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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.  

Sports Specialization

June 21, 2012

Since the 1950s, when high school sports was the “talk of the town” much more than so-called higher levels of sports, before television put college and professional sports on its shoulders and lifted their profiles above local high school teams, it was commonplace for students to participate in multiple sports and for coaches to coach a different sport each season.  Neither is the norm today.

It is likely that the natural tendency to keep testing one’s talent against the next greater challenge is a significant factor in the trend of students practicing and competing in a single sport year-round, but the introduction of non-school youth sports and the zeal of those programs (often commercially driven but sometimes more purely motivated) to expand those programs to every day of a child’s life has greased the skids toward runaway specialization.

Much of youth sports is well grounded in philosophies which provide safe participation for maximum numbers, but too much of youth sports makes distinctions between the abilities of children too early, and schedules children for too much competition in too-distant locations at tournaments that are too lavish and where trophies are too large.  All of which gets their parents thinking too soon about how special their children are and how far they might go in sports, thinking college scholarships and beyond.  In pursuit of this dream, they push their children harder, drive them further and pay increasing amounts to get them on the most elite teams.

Some youth sports programs – especially in ice hockey and soccer but also volleyball as well – will require nearly year-round play by students as a condition to be on the club or travel team, promising college scholarships to those who commit to this schedule, but ironically, with the costs of this non-school participation far exceeding the value of the partial athletic scholarship only a few will ever see.

Non-school youth sports is not the sole cause but it is a primary enabler of specialization, an addiction to a single sport that, like all addictions, puts a portion of life out of balance, generally to the detriment of the individual and the people around that person.  The research is convincing that while specialization can be positive for a few young people, it is far more likely to have negative than positive consequences, most frequently physical and emotional for the child, and financial for the family.