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Concussion Concerns

May 29, 2012

The MHSAA has been concerned for many years with the need for heightened awareness of concussions.  For example:  

  • In 2000 the laminated card “Head Injury Guide for Trainers and Coaches,” provided by St. Johns Health Systems, was distributed in quantities to every MHSAA member school.
  • The following fall, 20,000 laminated “Management of Concussions in Sports” cards, a joint project of the American Academy of Neurology and the Brain Injury Association of Michigan, were distributed to schools.
  • In the summer of 2005 the video “Concussions and Second Impact Syndrome” was provided at no cost to every MHSAA member high school.
  • In the fall of 2007 the DVD “Sports Head Injury,” a project of Henry Ford Health Systems, was provided to every MHSAA member junior high/middle school and high school.

All of this and many other efforts have been provided at no cost to our member schools, and continue to be provided at no cost to these cash-strapped institutions.

In 2010, the MHSAA adopted strong return-to-play protocols for students with concussions and suspected of being concussed.  Under our rule, any athlete who exhibits signs, symptoms or behaviors consistent with a concussion must be removed from competition.  Furthermore, our rule clearly states that if a student is removed from play due to a suspected concussion, that student cannot return to play that day and must be cleared in writing by an MD or DO prior to returning on any later day.  And the rule has a strong enforcement mechanism:  if a school allows a concussed student to return to play without the written authorization of an MD or DO, that is the same as playing an ineligible athlete and results in forfeiture of the contest.    

The MHSAA’s website posts training tools for athletes, parents and coaches, including those of the Centers for Disease Control, and three free online courses – one from CDC, one from the National Federation of State High School Associations and the third from Michigan NeuroSport at the University of Michigan.  The “Parent’s Guide to Concussion in Sports” has been widely distributed to school administrators, coaches, students and parents.

During this school year alone, nearly 20,000 high school coaches and officials will complete a rules meeting requirement that, beyond basic playing rules, is dominated by information regarding head trauma prevention, recognition and after care.  

We welcome help in this effort from professional sports organizations.  However, if professional sport leagues want to make a meaningful contribution to this topic in this state and other states, they must do more to change the culture of their programs.  All of our collective efforts on this topic are undermined when a professional player gets his “bell rung” in a nationally-televised game and returns later to that game, or is carried off the field or court one day and returns to play the next.  These nationally-televised tragedies-in-waiting may send the message to our youngest athletes and their parents and coaches that concussions are not serious.

This is not merely a football issue.  For us, it’s also an issue for soccer, ice hockey, wrestling, lacrosse and almost every sport we serve.  Furthermore, this issue is but one of several compelling health and safety issues in school sports that deserve our attention and must receive it every year to help local schools whose resources have been so severely reduced in recent years.  

The Next Big Thing

February 16, 2016

The full-time athletic director, without a lot of other duties and with support for clerical matters as well as event supervision, is a situation rarely seen in secondary schools today. That’s bad for students, schools and school sports.

Today, typically the athletic director’s job is divided among many areas of a school’s operations. And when a veteran athletic director retires, moves up or otherwise moves on, it is typical that the “replacement” is an inexperienced person who is given even more to do with less time to do it.

So, when I asked the MHSAA Representative Council in December to talk about and commit to writing what it believes is the “next big thing” the MHSAA should be doing, it was not surprising to me that the consensus was this: “We should be conducting much more Athletic Director In-Service training, both in person and electronically, for both new ADs and veterans; and we shouldn’t shy away from a ‘back-to basics’ approach, with testing.”

The theme of the responses of Representative Council members in December was that as schools are becoming increasingly under-resourced, the MHSAA must do more. Clearly, the Representative Council (as a group) has lower expectations for what schools can do for themselves, and higher expectations for what the MHSAA should be doing to help schools. If there is a worry in all this, it is that the Representative Council is losing confidence in the principle of “institutional control,” and the Council sees the need to place increasing demands on the MHSAA to train, oversee and actually do things that would have been an overreach of our proper role 20 or even 10 years ago.

The transformational idea here – I don’t like it, but perhaps it’s unavoidable – is that the MHSAA must do more because of the reality that overburdened, under-resourced school personnel can only do less. And, if we fail to do more, school sports will continue to create problems for itself, and worse, continue to drift to a point where school sports are barely distinguishable from non-school sports programs.

We are seeing building athletic directors less engaged in the administration of school sports and, in their place, local administrators are depending on third parties to schedule games and assign officials, or they are delegating scheduling and most administrative details to their coaches, an increasing number of whom are nonfaculty members who have more affinity to non-school sports than school sports. This isn’t just happening in skiing, golf and bowling but also in basketball and other sports.

As we inventory the controversies we’ve endured this past fall, we see that in almost every case there was a lack of knowledge or execution at the local level that created a problem which people then were all too ready to blame the MHSAA for. The policy or the organization gets criticized for an individual’s deficient attention or action at the local level. And every controversy is a distraction – it gets in the way of our work, and it adversely affects our ability to convey a positive message about the important role of educational athletics in the lives of students, schools and society.