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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.  

Over Our Heads

June 29, 2012

In last month’s Wired magazine, Vint Cerf of Google cites American computer scientist Alan Kay’s comment, “The best way to predict the future is to invent it.”

Wired’s Thomas Goetz writes, “Too much of the technology world is trying to build clever solutions to picayune problems.”  (A quick look at the more than 1.2 million mobile phone applications available free or for sale in our world today – growing by 2,500 per day – makes the observation abundantly clear that many great minds are being wasted on the mundane, silly apps that do nothing to improve the quality of life for humankind.)

Goetz would have these talents aimed at much higher order needs of society.  “These times especially call for more than mere incrementalism.  Let’s demand that our leaders get in over their heads, that they remain a little bit naïve about what they’re getting into.”

And what might “going beyond incrementalism” look like for us in school sports?  Well, on just one topic – health and safety – it might mean, as provocative samples to stimulate bigger and better ideas:

      • Restricting kickoff returns, punt returns and interception returns in football – the three most dangerous times for players.

      • Reducing heading of the ball in soccer to reduce the effects of repeated blows to the brain.

      • Requiring all head coaches to complete CPR training, and requiring all coaches on all levels to complete an online coaching fundamentals course within their first two years of coaching.

      • Presenting an AED with every MHSAA tournament trophy – District, Regional and Final, for both champion and runner-up – during each of the next four years.

In any event, we need to avoid the distraction of meaningless matters and fix our focus on larger issues, and risk raising ideas and making changes that could have more lasting impact than incremental changes.  Just talking about these things begins to send messages that improve school sports.  Doing some things like them would actually invent our future.