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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.  

Continuous Work

July 6, 2015

Since we posted the blog below on May 16, 2014, we have observed that major portions of the NCAA’s sanctions of Penn State have been overturned for being beyond the authority that member institutions have given the NCAA. This reminds us of the need to have our own organization continuously working on rules and penalties, and the authority to make and enforce such rules and penalties, that may become necessary in the future for the ever-growing range of issues we confront in school sport.

We take no comfort when leaders of sports on other levels get embroiled in controversy; but we do try to learn from those situations.

For example, we watched very closely in 2012 how the National Collegiate Athletic Association responded fast and with force to the horrific sex abuse scandal at Penn State. The NCAA may have ignored its prescribed due process and exceeded its penalty authority, winning mostly praise from the public; but now the NCAA is mired in litigation over the legality of its swift and severe actions.

We are currently observing what could be a similar scenario for the National Basketball Association. Its commissioner moved quickly to impose a lifetime ban and other sanctions after racist public statements by an NBA team owner. While most people have praised the speed and severity of the commissioner’s actions, some people note that the recent racist remarks were not something new for this owner and the unprecedented penalties may be the subject of a lifetime of litigation.

The lesson of these situations for leaders in other places and on other levels is to be especially cautious about using power in popular ways. No matter how horrible the transgression, no matter how angry it makes you personally, follow the established rules of procedure and keep within the limits of your explicit authority.

I confess that this can be frustrating and that I have sometimes felt paralysis more than power when performing the role as MHSAA investigator and penalizer. But some of that frustration may be my own fault. If such frustrations are too common, we should be reworking the organization’s Constitution and rules, with the members’ agreement, to streamline process and strengthen penalties.

Significant steps in this direction have been occurring. For example, in May of 2013, the Representative Council adopted the athletic-related transfer rule; and on May 4, 2014, the Council increased the maximum penalty for undue influence from one year to four years for both students and adults.