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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.  

Best Practices

April 10, 2012

For decades, football has had the greatest participation among high school sports.  In recent years it’s become the greatest spectator sport as well. Today, MHSAA Football Playoff revenue exceeds that of Boys and Girls Basketball Tournaments combined. And if I ever want to generate comments to a blog, all I have to do is mention football.

I can write either the most inspired or inane words about most topics, and not generate a comment.  But mention “football,” and opinions come fast and usually furious.

So it was with my eyes wide open that I challenged some “sacred cows” in my posting of March 20, questioned some of the standard operating procedures of high school football practice, and predicted that we will soon be making some changes in the sport I played through four years of college and coached in high school and to which I owe more of my character development than any other sport.  I knew some readers would call me out of date and out of touch, knowing nothing of my past or my passion.

I knew some readers would challenge any comparison made with college and professional players, asserting that older players need fewer practices with less contact because they already have the skills and techniques of blocking and tackling.  However, they miss the fact that it is the younger and still growing body that needs more care and caution, not less.  Less hitting, not more.  More heat and humidity acclimatization, not less.

I knew some readers would complain about diminishing time to develop young players, overlooking the proliferation of camps, clinics, combines, 7-on-7 leagues and the like which have improved skills and conditioning for many athletes prior to the official start of practice.  If that were not true or if we would dial down the out-of-season demands, then I might not join the amassing advocates for reduced in-season practice demands.  But sadly, it is true; coaches already have these kids year-round.
 
On the same day that I posted predictions of changes for football practice policies in Michigan, including more days before pads and fewer days with double sessions, the Georgia High School Association adopted policies that did just that, requiring five days of practice before the first with full pads and prohibiting two-a-day practices on consecutive days.

Such changes reflect the growing body of evidence regarding “best practices” for high school football, including the recommendations of the American Academy of Pediatrics, the Centers for Disease Control and Prevention, and the National Federation of State High School Associations.  This train has left the station; and Michigan should be an early stop, an early adopter of practice policies modifications.  We put our players, coaches and selves in peril if we ignore the evidence.

I’m embarrassed to say that for too long I avoided this topic because I knew it would bring ridicule.  Then recently, a young but experienced head football coach told me that these are the kinds of changes that football needs.  Needs to keep the game attractive to kids; and needs to keep the game safe for kids.