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.
Double Win Practice Policies
February 22, 2013
The MHSAA’s third health and safety thrust for the next four years focuses on practice rules, especially early in the fall season.
Here we will be especially interested in finding “double wins,” that is, policies that simultaneously enhance acclimatization and reduce head contact.
In football, for example, this could mean increasing the number of days without protective pads before the first practice in full pads. Michigan requires three days, but there’s a trend toward four or five days in other states.
Football might also limit any day to a single practice in pads, following the lead of colleges and a growing number of state high school associations that are restricting two-a-day practices in pads on the same day or on consecutive days.
Both of these changes could make acclimatization more gradual and healthy, and reduce the occurrences for contact to the head: two priorities as practice policies are reviewed and revised.
The MHSAA’s sport committees, sometimes with their work augmented by that of special task forces, are being charged with these responsibilities.