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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.  

Shared Responsibility

March 26, 2013

My counterpart in Georgia has a nice way with words, and recently used that talent to add his perspective to topics like those we’ve been addressing here in Michigan.  In the March 2013 Georgia High School Association newsletter, under the title “All of Us Must ‘Pay the Price’ for Student-Athlete Wellness,” GHSA Executive Director Ralph Swearingin writes:

“In ‘History and Philosophy of Education’ courses many of us learned that an early concept in the American educational system involved the school operating ‘in loco parentis’ – in the place of the parent.  During those early days, that concept was applied to the authority of school personnel to regulate the behavior of students.  Over time, however, the application of that concept to school discipline has diminished.

“It is interesting to note that school personnel are called upon to fulfill parental roles in ways that were not prevalent in the past.  Over time there has been an evolution of responsibilities placed on the educational system to provide services that used to be provided by the family.  One such area involves the responsibility to be the ‘health and safety guardians’ of our students.  Debates about whether it is the school’s responsibility are non-productive.  This responsibility has been thrust upon member schools and state association staff members, and it is doubtful that this trend is reversible . . .

“The very nature of athletics makes it impossible to guarantee the safety of every student in every sport.  The goal is to minimize the risk to these students with prudent preparation and vigilant supervision.  While the American culture may be thrusting this responsibility on the school personnel, there are productive ways to send some of that responsibility back to the students and their families.

“. . . Students and their families need to be informed about all of these issues.  Preseason meetings with players and parents or guardians should involve the dissemination of information about relevant health and safety considerations . . .

“But education of players and their families is not enough.  Coaches must be certain to teach techniques that minimize risks, and to be certain that all equipment used in the sport are in good repair and are being used properly.  School personnel need to be certain that published guidelines and protocols are being followed.  Doing these things involves the expenditure of time and money, but the well-being of our students dictates that we ‘pay the price.’ ”