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.
Lacrosse Logic
March 6, 2012
Sometimes the administrators of school sports will be heard to say, “Is ours the only sport program that cares about kids’ well-being?” Or, “Are we the only folks willing to both make and enforce rules to protect the program and its participants?”
So, there are feelings of vindication and validation when we read about other sports programs which see and do some things somewhat our way. And it appears US Lacrosse is one of those groups. Here’s some of what is included in its Oct. 30, 2011 Position Statement: “Boys’ and Girls’ Youth Lacrosse Participation Recommendations.”
“1. Athletes at all level of play should have 1-2 days off per week from competitive athletics and training to allow for recovery.“2. Athletes at the U-9, U-11, U-13 and U-15 level should have at least 2-3 months away from sport specific training and competition during the year.“3. Athletes at the U-9, U-11, U-13 and U-15 level should play on only one lacrosse team during a season. If an athlete is playing on more than one team in the same season, they should not participate for more than 16-20 hours per week.”“6. Encourage participation in multiple sports throughout the year and avoid sports specialization before the U-15 age group (high school). Those athletes who choose to specialize in the sport of lacrosse in high school will need to take extra precaution with regard to overuse injuries and burnout. While there may be potential benefits to extra training, the risks of becoming one-dimensional at a young age needs to be evaluated on a seasonal basis. Furthermore, specialization does not guarantee improved play or college acceptance and only an estimated 5 percent of high school senior athletes progress to play some form of collegiate sports. Some researchers believe there is a benefit to multiple sport participation throughout high school.”