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.

Sportsmanship and Success in Soccer

August 16, 2012

Ralph Polson, president of the National Soccer Coaches Association of America (NSCAA), reports in the July/August 2012 Soccer Journal that there is a strong statistical link between sportsmanship and success in intercollegiate soccer.  He cites the work of Tim Lenahan, head men’s coach at Northwestern University, who compiled total fouls, yellow cards and red cards for the 2011 season to create a “Fair Play Rating” (FPR).

Polson reports that 12 of the 20 teams with the top FPR made the NCAA tournament, while only one of the teams in the bottom 20 did.  Of course, this is a statistical link, not necessarily cause and effect.  But here’s how Mr. Polson concludes his column:

“How should we interpret this data?  One direction is toward more disciplined teams.  It seems to me the more a culture of sportsmanship and fair play is established, the more likely any team is to demonstrate the consistency needed for success.  The data suggests those teams without entrenched standards, with respect to on-field behavior, should anticipate a higher likelihood of failure in today’s highly competitive environment.

“Play within the spirit of the game and more than just a win may be gained; play against the spirit of the game and much more than just a game may be lost.”

Dr. Brian Crossman, chair of the NSCAA Ethics Committee, contributes this to the discussion in the same issue of Soccer Journal:

“A five year study from 2007 to 2011 of almost 4,700 intercollegiate soccer matches in which only one player was red-carded during the match showed a strong likelihood that the player’s team would lose.  Teams that had one player red-carded lost 67 percent of the matches, tied 10 percent of the matches and won 23 percent of the matches.  In other words, a team that had a player red-carded at any time during the match was three times more likely to lose the match than win it.  Taking steps to encourage clean and fair play, and thus to reduce the likelihood of having players ejected, will pay dividends in sportsmanship and should improve your team’s won-loss record.”

For more, go to www.nscaa.com.