Safety First

August 16, 2012

In the final chapter of A Moveable Feast, Ernest Hemingway writes:  “Skiing was not the way it is now, the spiral fracture had not become common then, and no one could afford a broken leg.  There were no ski patrols.  Anything you ran down from, you had to climb up.  That gave you legs that were fit to run down with.”

As motorized lifts carried less prepared people faster and with greater ease and comfort to higher and longer slopes, alpine skiing injuries became more frequent and serious.  Similar patterns can be found in many other sports as technological advancements have taken participants to extremes their physical bodies were unprepared or unsuited for.

The classic but far from unique example is football.  Improvements in helmets, mouth guards and face masks and the requirement of all three for head and face protection, encouraged coaches to teach and players to use blocking and tackling techniques that threatened their unprotected necks.  Catastrophic spinal cord injuries spiked in the early 1970s.  High school football rule makers countered with the prohibition of spearing in 1975, and then barring both butt-blocking and face tackling in 1976.  Certification of helmets was required in 1980.

New technologies created poles that catapulted pole vaulters to unexpected heights in the late 1960s; and high school rule makers responded with new requirements for poles and landing pits in 1975.  Risks of injuries and lawsuits were largely responsible for the pole vault being dropped at least temporarily from the schedule of events in some states.

The pursuit of profits by manufacturers and personal bests by athletes and their coaches will continue to push bodies to the extreme limits of what is safe; and rule makers will push back, often being labeled as out of date or out of step by those they are trying to protect.

Every four years the Olympics shine a spotlight on amazing dedication by athletes and alarming developments in equipment across the full spectrum of sports.  We are watching the 2012 Summer Games in awe of the participants, but on alert that some of the products they are utilizing will help, but others will harm, our high school programs.

We need to be certain that those who arrive at the top of our mountains have the legs to run down safely.

Fantasy Land

March 8, 2013

Advocating at the national level for unachievable ideals not only diminishes the importance of those achieving reasonable accomplishments at the grassroots level, it also threatens the future of organized sports for the masses; and few organizations in a position to know better are doing as much to create these unintended consequences as the National Athletic Trainers Association.

It is a NATA-driven “Youth Sports Safety Alliance” that has developed a six-page manifesto for youth sports, including NATA’s “Secondary School Student Athletes’ Bill of Rights” which is mostly beyond the means of youth sports sponsors, and has marched to Capitol Hill to urge the federal legislature’s action to pursue those goals, among which is the conveniently unstated objective of advancing job opportunities and security for athletic trainers themselves.

MHSAA surveys indicate that, conservatively, fewer than 20 percent of Michigan high schools and junior high/middle schools have a full-time certified athletic trainer on staff.  In fact, only a minority of schools think such a full-time position is necessary, given other cheaper options available to them in the form of contracted services of medical groups and the volunteered services of many other medical professionals.  An even smaller minority has the means to pay for a full-time certified athletic trainer, given all the cuts in state aid to schools; and many schools – urban, suburban, rural and remote – wonder where in their communities they would find a certified athletic trainer if such were mandated everywhere.

NATA’s earlier recommendations in the extreme for acclimatization of players at the start of the football season have already resulted in a state law in Maryland that football coaches there criticize for leading to a less safe sport now that they have less time to teach technique and prepare players for first-game contact.  In theory, NATA’s notions are nice ideas; but in practice, they are less safe for the participants.  And anything that is less safe for the participants not only endangers today’s players, it also jeopardizes the future of the game.  Which, by the way, does nothing to enhance employment opportunities for trainers.