Health & Safety Journey

September 30, 2014

The Michigan High school Athletic Association is a bit more than halfway through an eight-year effort to shine the light on, and provide leadership for, four health and safety issues for school sports.

Four and five years ago our health and safety focus was adding more health history to the preparticipation physical examination process and printed forms. With the essential assistance of the Michigan Department of Community Health, this was done, and it earned widespread, positive reaction from Michigan’s diverse medical community.

Two and three years ago our focus was the head; and our early adoption of an all-sports return-to-play protocol after concussion symptoms became a national model.

Last year and this, heat and hydration has been the focus. The MHSAA imposed on its own tournaments, and recommended for member schools’ practices and contests, policies to manage heat and humidity that include a reduction or modification of activities when the heat index reaches a certain level and cessation of all activities when the heat index reaches an even higher level.

Next school year and in 2016-17 the focus will be the fourth “H”: hearts. Tests for heart defects are expensive and results are often misleading, and the triggers of sudden cardiac arrest are unpredictable. Therefore, we will be pointing to the two actions medical authorities appear to agree upon most: (1) the need for planned and practiced emergency procedures, and (2) the need to have AEDs nearby, in good working order.

We urge MHSAA member schools not to wait for the MHSAA focus to make this a local school focus, and we recommend the MI HEARTSafe Schools initiative. See the HeartSafe Action Plan or the HeartSafe School information for details.

Best Practices

April 10, 2012

For decades, football has had the greatest participation among high school sports.  In recent years it’s become the greatest spectator sport as well. Today, MHSAA Football Playoff revenue exceeds that of Boys and Girls Basketball Tournaments combined. And if I ever want to generate comments to a blog, all I have to do is mention football.

I can write either the most inspired or inane words about most topics, and not generate a comment.  But mention “football,” and opinions come fast and usually furious.

So it was with my eyes wide open that I challenged some “sacred cows” in my posting of March 20, questioned some of the standard operating procedures of high school football practice, and predicted that we will soon be making some changes in the sport I played through four years of college and coached in high school and to which I owe more of my character development than any other sport.  I knew some readers would call me out of date and out of touch, knowing nothing of my past or my passion.

I knew some readers would challenge any comparison made with college and professional players, asserting that older players need fewer practices with less contact because they already have the skills and techniques of blocking and tackling.  However, they miss the fact that it is the younger and still growing body that needs more care and caution, not less.  Less hitting, not more.  More heat and humidity acclimatization, not less.

I knew some readers would complain about diminishing time to develop young players, overlooking the proliferation of camps, clinics, combines, 7-on-7 leagues and the like which have improved skills and conditioning for many athletes prior to the official start of practice.  If that were not true or if we would dial down the out-of-season demands, then I might not join the amassing advocates for reduced in-season practice demands.  But sadly, it is true; coaches already have these kids year-round.
 
On the same day that I posted predictions of changes for football practice policies in Michigan, including more days before pads and fewer days with double sessions, the Georgia High School Association adopted policies that did just that, requiring five days of practice before the first with full pads and prohibiting two-a-day practices on consecutive days.

Such changes reflect the growing body of evidence regarding “best practices” for high school football, including the recommendations of the American Academy of Pediatrics, the Centers for Disease Control and Prevention, and the National Federation of State High School Associations.  This train has left the station; and Michigan should be an early stop, an early adopter of practice policies modifications.  We put our players, coaches and selves in peril if we ignore the evidence.

I’m embarrassed to say that for too long I avoided this topic because I knew it would bring ridicule.  Then recently, a young but experienced head football coach told me that these are the kinds of changes that football needs.  Needs to keep the game attractive to kids; and needs to keep the game safe for kids.