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Injecting Sports Medicine

May 13, 2014

We are receiving the proper dosage of sports medicine advice in Michigan.

The Sports Medicine Advisory Committee of the National Federation of State High School Associations advises the NFHS and its member associations on medical and safety issues and conditions as they relate to interscholastic athletics. With nationwide expertise representing a broad range of sports medicine disciplines, the SMAC meets over three days, two times each year. It issues advisories and position statements and publishes a comprehensive manual which is provided without charge to each member high school in Michigan. 

The MHSAA has had direct representation on the SMAC for two separate four-year terms; and we depend on the SMAC to monitor, evaluate, filter and disseminate current sports medicine information that is of practical use at the interscholastic level.

The SMAC and the Michigan Department of Community Health are the voices the MHSAA listens to most in the often over-hyped cacophony of sports medicine opinion. What makes the SMAC even more unique than its prestigious panel of experts is that it has direct input into the rules-making process of the NFHS which dominates the publishing of high school playing rules. The MHSAA adopts those rules in every MHSAA sport for which rules are prepared by the NFHS.

The MHSAA has sometimes been criticized for not having its own sports medicine committee. However, we believe there is no need to create another committee to duplicate the work of the NFHS Sports Medicine Committee. And when we have needed extra attention to a unique in-state topic, we have found the Michigan Department of Community Health to be a willing and able partner.

Heads and Heat

August 16, 2012

We are engaged in very serious discussions. They’re not only complicated, with unintended negative consequences possible from what are thought to be positive actions; they’re also a matter of life and death.

The topic is football – the high school sport under most scrutiny today and suffering from the most criticism it’s seen since the 1970s when catastrophic neck injuries spiked, liability awards soared, many insurers balked, and most helmet manufacturers abandoned the business altogether.

During recent years we have learned about the devastating long-term effects of repeated blows to the head; and we’re trying to reduce such hits.  We’ve learned that 70 percent of concussions in football result from helmet-to-helmet contact, and we’re trying to have coaches teach blocking and tackling differently and have officials penalize “high hits” consistently and rigorously.

During the past several years we’ve learned that serious heat illness and heat-related deaths are 100 percent preventable, yet nationwide there were 35 heat-related deaths in high school football alone from 1995 to 2010; and we’re promoting practices that acclimatize athletes more gradually than “old school” traditionalists might advocate.

As we simultaneously address issues of heads and heat in football, some coaches may think we’re being overbearing, while many in medical fields say we’re out of date, citing higher standards of the American Academy of Pediatrics, National Athletic Trainers Association and National Federation of State High School Associations, as well as many of our counterpart organizations across the country.

As we consider in-season changes to improve athlete acclimatization and reduce blows to the head, we should be open to making out-of-season changes that work toward rather than in opposition to those objectives.  There can be no sacred cows.  The topic is too serious.

Ultimately, if we err in the outcome of this year’s discussions about heads and heat in football, it must be on the side of safety, on minimizing risks for student participants.  They deserve it and, once again, the sport of football needs it.