Health Histories
September 4, 2012
Eighteen months ago we completed two new preparticipation physical examination forms: (1) a two-sided card delivered without charge to schools in whatever quantity they need; and (2) a four-page form that is downloadable at MHSAA.com.
Both are improved from the previous card in that they ask more about family and student health history which, more than any cursory exam, helps identify potential health risks before participation. Both were developed with the cooperation and consensus of a diverse panel of medical experts assembled by the Michigan Department of Community Health.
At schools’ requests, the MHSAA has distributed more copies of the two-sided card than there are students enrolled in MHSAA member schools; so we know the form has widespread use. But still, this particular form is not required, which allows schools with a special local resource to utilize something they like better, and this also allows families with special needs to use the documents that best meet their child’s circumstances.
The take-away on this topic is that today’s standard of care is a comprehensive physical with detailed family history prior to first participation in school sports and, thereafter, more cursory annual exams, except when the student has had an injury or illness that requires more review.
Attending to Football
November 29, 2013
The interscholastic football season comes to an end this weekend with the MHSAA Finals at Ford Field, but the most talked about sport in high schools today will continue to make headlines for many months into the future.
Some of the headlines will introduce topics that are merely footnotes compared to what is really most important, that being the efforts to keep school-sponsored football the safest and sanest brand of football in America.
At the center of these efforts has been a task force appointed by the MHSAA to work throughout 2013 to advance these two objectives: “To promote the value of interscholastic football and to probe for ways to make the sport safer in Michigan.”
The tangible results of the task force’s four meetings are these:
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- A proposal to the MHSAA Representative Council to revise football practice policies to improve acclimatization of players and to reduce head trauma. The proposal goes to the Representative Council Dec. 6 for discussion, then to the Michigan High School Football Coaches Association and MHSAA Football Committee in January and to the MHSAA League/Conference meeting in February, before returning to the Representative Council for action on March 22.
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Three proposals to the NFHS Football Rules Committee to modify playing rules to promote player safety.
- A variety of print, online and broadcast promotions on behalf of the value of interscholastic football and its safety record and to encourage healthier out-of-season activities by students in all sports.
MHSAA research informs us that participation in 11- or 8-player football in member high schools this fall was down 3.0 percent compared to 2012, and down 7.63 percent since the 2008 season. The biggest reasons cited by those surveyed are, in declining order, safety issues, declining enrollment, athletes playing other school or non-school sports, cultural changes and pay-to-participate.
It is important to note that participation is not declining everywhere, not even everywhere where enrollments are down and participation fees are up. It is important to note also that some other sports are in much greater decline than football in terms of high school participation.
It is difficult for me to imagine my life without football as a part of it. It’s difficult to imagine schools and communities without football. I very much doubt that the absence of football would have improved my life or the schools and communities I’ve been a part of. It’s a sport that needs our attention, not its extinction.