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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.  

Moving Forward

December 28, 2012

Coaches will often convey to their teams a variation of this theme:  “If we’re not moving forward, we’re falling behind.”  And with such immediate feedback – the next contest – coaches can measure their team’s progress quite easily. Progress is harder to measure for the organizations that serve and support coaches and athletes.

If we are doing our jobs well, we will have both an “inside game” and an “outside game.”  We will create our own opportunities to improve our services and we will be alert to opportunities to improve ourselves when they are handed to us or forced upon us from outside sources.  Both types of change can be positive.

  • Change from inside has the benefit of institutional knowledge.  This change can be informed, measured and careful to avoid unintended consequences that hurt more than help customers.
  • Change from outside can be less rational but also less restrained by history and culture.  It can be more disruptive in a positive sense, perhaps more innovative in origin and more expansive in impact.

It’s my sense that, as the calendar turns from 2012 to 2013, the MHSAA is at the merging of two lanes of traffic – an inside lane of change combining with an outside lane change – which will modify some services and move them forward at unprecedented speeds during the new year and the next.

  • This has been obvious as we have partnered with ArbiterSports to prepare the ArbiterGame scheduling software for our member schools.  Hard work internally that’s about to show results to schools and their publics.
  • This may become obvious as we expand our schedule of inexpensive camps for inexperienced officials.  This could be an antecedent to additional training requirements for MHSAA tournament officials.  The public expects better, and we can do better.
  • This may also become obvious as we expand offerings and then add requirements for coaching education focused on maximizing good health and minimizing risk.  There is a gathering parade of experts and evidence advocating for much more training for many more coaches; and we must find our way to the head of that column.