Concussion Story

March 22, 2016

“The national narrative is not our story.” That’s been the mindset of the Michigan High School Athletic Association on many sports issues; and it’s never been more necessary than now, on the topic of concussions.

Hollywood’s December release of the movie “Concussion” and revelation after revelation of diseased NFL veterans tend to condemn professional football. But, in spite of its bad press, the NFL product roars on, setting records for its reach and revenue. Apparently the NFL is “too big to fail,” so critics of football attack an easier target – amateur, and especially, youth football. Other critics call for an end to football but swallow their whistle regarding boxing and even more barbaric ultimate fighting.

In sharp contrast, we hope, to the hypocrisy of the national narrative is the story of school sports in Michigan. We cannot speak for levels above or below us, but school-sponsored football has never been safer, for obvious reasons – the equipment has never been more protective; coaches have never received more health and safety training; playing rules have never been more safety-oriented; and officials have never had more authority to penalize unsafe play. 

But in our story, football is not the only topic. Our health and safety narrative addresses all sports and both genders; and the 2015-16 school year provides three significant examples.

Mandated Concussion Reports – The MHSAA required for the first time this year that member high schools report possible concussions by their student-athletes. This is in all sports, both practice and competition, for both girls and boys. While reports are tentative for winter sports and it’s very early in the spring sports season, it is likely that in each case it will be a girls sport that has the most concussions, underscoring that school sports must be concerned about concussions in all sports and both genders. 

Sideline Concussion Detection – The MHSAA last fall became the first state association to offer pilot sideline concussion testing, with 62 schools taking part in one of two programs. Among the objectives of the pilot programs was to increase awareness of concussions and improve sideline detection; and preliminary results indicate that the average number of possible concussions reported by pilot schools exceeds the average reported by schools outside the pilot group.

Concussion Care Insurance – The MHSAA also is the first state association to provide all participants at every member high school and junior high/middle school with insurance intended to pay accident medical expense benefits – covering deductibles and co-pays left unpaid by other policies – resulting from head injuries sustained during school practices or competitions. This coverage is at no cost to either schools or families. 

While the insurance program will produce additional data about the frequency and severity of head injuries, the principal purpose of this initiative is to assure that families with no insurance, or insurance with high deductibles or co-pays, will not delay in seeking prompt, professional medical attention if their child shows signs of concussion after a practice or competition.

Again, this insurance is for all sports, both practice and competition, for both boys and girls; and it’s for all MHSAA member schools, grades 7 through 12. It will apply to the 6th grade for those school districts which join the MHSAA at the 6th-grade level, which is possible for the first time in 2016-17.

A Can-Do Response

January 5, 2015

Michigan has a tradition of some of the nation’s most lenient out-of-season coaching rules, especially in the summer; and yet, the few rules we have are sometimes blamed for driving students to non-school programs.

Nevertheless, there is some validity to the criticism. It is observably true that non-school programs seem to fill every void in the interscholastic calendar. The day after high school seasons end, many non-school programs begin. The day a school coach can no longer work with more than three or four students, a non-school coach begins to do so.

The challenge is to balance the negative effects of an “arms war” in high school sports against driving students toward non-school programs. It’s the balance of too few vs. too many rules out of season.

The out-of-the-box compromise for this dilemma could be to not regulate the off season as much as to conduct school-sponsored off-season programs in a healthier way than they normally occur, i.e., to move schools back in control of and in the center of the non-school season. To not merely regulate what schools and coaches can’t do, but actually run the programs they can do and want to do.

Of course, this would require more of what schools have less of – resources. School administrators who may be in agreement that schools should operate off-season programs to keep kids attached to in-season programs still balk because they lack resources. At a time when resources are being cut for basic support of in-season programs, how could they justify spending more for out-of-season outreach?

Ultimately, in discovering the sweet spot for out-of-season interaction between school coaches with student-athletes, we need to give at least as much attention to providing more opportunity for what they can do together as for what they can’t do.