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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.  

On the Hook

March 12, 2013

The over-arching theme of interscholastic athletic administration today is the health and safety of our student participants.  It’s always our most important concern but now, by both self-serving and serious advocates, it’s being made a political football – actually more like a soccer ball being kicked back and forth and back again, resulting in about as much chance of scoring any positive goals as a World Cup soccer game will have in scoring any goals at all.

We are daily being distracted, and taken off our tasks, by symbolic more than substantive proposals to require this, that or the other thing to protect children from the risk of injury – regardless of grassroots input and without regard to grassroots resources.  Zealous advocates for child safety wish to protect children from any risk of physical exertion, while in the next breath they complain of youth inactivity and obesity.  And those who are trying to increase participation AND the quality of that experience – that’s us – become the targets of criticism.  Often, those who have never done anything, blame those who have done a lot, for not doing enough.

Our frustration is flowing from the health and safety “idea du jour” to which we must respond, knowing that every time we fail to gush over some legislator’s or advocate’s notion, we invite the characterization that we are uncaring, lazy or arrogant, or all of the above.  What we are doing is protecting schools from ubiquitous, onerous mandates which no one else in the school community is taking notice of because, appropriately, they are focused on the impossible task of providing an ever-expanding list of required services to an ever-increasing percentage of school-aged children with an ever-increasing list of problems, with the expectation that all of them will perform at ever-improving levels of achievement.

But even with all these disclaimers, I can’t let us off the hook.  There are some things we can do and must do to better meet our highest calling in educational athletics which, if we’ve lost sight of it in the confusing clutter of challenges, is not only to do no harm physically to students but also to help instill in them healthy habits for the rest of their lives. Consistent with this high calling, we have obligations to do some critically important things – sometimes in spite of outside interference and sometimes beyond that interference – and do so without delay.  It is about those things that I have been commenting most these past few months, and will continue to address.