Staying Ahead on Head Safety
July 6, 2015
By Rob Kaminski
MHSAA benchmarks editor
Three stacks of concussion-related material offered precious little space on MHSAA Executive Director Jack Roberts’ desk, and perhaps consumed even more room in his head as he tried to wrap his mind around the seemingly daily “latest and greatest” documents outlining signs, detection and return-to-play elements involving head trauma.
Without a doubt, the scene is quite similar on any given day in the offices of his cohorts across the country as school sports leaders are faced with the daunting, dizzying task of devising plans to address concerns aimed at the health of their games.
Lawmakers, rules makers, medical experts and the court of public opinion all want the same thing for student-athletes: a reduction in the chances of head-related injuries. And they all are perfectly willing to offer instant fixes to those in charge.
They often expect those in Roberts’ position to analyze, digest and create action plans as soon as possible without considering the research and resources it will take to get there.
“All parties involved want the same thing. We all want to provide the safest environment for educational athletics through protocols and practices that will offer the most minimal risk of injury,” Roberts said. “But, this can’t be accomplished through unfunded mandates which would stifle the already struggling athletic budgets in many schools.
“Changes have to occur through training and education, orchestrated through state offices and executed locally. And, it takes time to research the best and most effective means. There is so much information, and so many devices in the field today that those in athletic leadership roles almost have to have a medical background as well.”
For instance, there are documents which list as few as five symptoms for concussions, and those listing as many as 15. There are sideline detection methods which purport to take 20 minutes and those which claim to determine concussions in 20 seconds. There are as many return-to-play protocols as there are state associations.
Increasingly, state high school associations are seeking opinions and expertise from local medical personnel. In March, in one of many such meetings, Roberts and other MHSAA staff welcomed several from the Michigan Department of Health and Human Services to their office to discuss sideline detection methods and return-to-play issues.
“There are two areas that concerned us most,” Roberts said. “One, sideline detection of head injuries is inconsistent across the state in terms of both results and resources. Two, we need methods which generate immediate reports and permanent records.”
As the group which convened in March discussed the topic, potential hurdles and new perspectives on sideline management came to the forefront.
On the money and manpower front, who would be responsible for administering sideline tools? Most ideally they would need to be overseen by medical personnel rather than coaches or team managers.
From a perspective standpoint, an interesting view was volleyed out to the group: could sideline detection actually speed up a student’s return to play rather than slow it down? Current protocol prescribes that if competition continues while an athlete is withheld for an apparent concussion, that athlete may not be returned to competition that day but is subject to the return-to-play protocol. And, clearance may not be on the same date on which the athlete was removed from play. Only an M.D., D.O., Physician’s Assistant or Nurse Practitioner may clear the individual to return to activity. With immediate sideline detection, are parties more vulnerable should a student pass immediate tests, only to have undetected effects of the incident increase over time?
“The group shed a different light on the various scenarios, which was a primary purpose for the meeting,” Roberts said. “As one can see, there are so many variables to consider when attempting to determine the next plausible and practical steps toward minimizing and detecting head injuries.
“Further, we have to take into consideration practice sessions as well as competitions, and all sports, not just select sports.”
Adding to the challenge is simply the nature of athletics. Competitors at any level are just that: competitive. Often, students – or their parents – will attempt to hide symptoms or be reluctant to come forward with injuries, particularly head injuries which can’t be seen.
In more cases, perhaps the symptoms simply are not recognized, which is why education is paramount.
First, association leaders have to tackle the due diligence of researching issues and potential solutions to situations currently threatening the well-being of scholastic sports. Considering that some 1,620,000 results are offered when “sideline concussion detection tools” is typed into a search engine, this is a laborious and continual chore.
Such information then needs to be packaged and presented to leaders at the local levels – athletic directors – to pass on to coaches, the individuals who have as much or more influence on students that perhaps any other adults, including parents in some cases.
This is why MHSAA rules meetings, Coaches Advancement Program sessions and other statewide forums continue to bang the drum on health and safety issues; to make sure the messages and procedures reach the student-athletes.
And, it’s why the MHSAA is asking coaches and ADs to be accountable in verifying that the plans in place are being carried out.
Less Could Mean Less
There are times when it’s good to say, “less means more,” but in the case of contact sports, practices and competitions, the idea is for less to mean less. As in less time for collisions to occur yielding fewer injures.
It’s early yet, and one year does not constitute a large sample size, but the MHSAA Football Practice Policy instituted last August could be one step toward reducing head injuries.
Beginning this past football season, the number of practices with helmets, shoulder pads and full pads were limited to start the season, and preseason “collision” sessions were limited to one per day. During the season, such practices were limited to two per week, while the length of practices was also regulated.
Dr. Steven Broglio of the University of Michigan Neurosport department is conducting a three-year study of the Ann Arbor Gabriel Richard football program with the assistance of Richelle Williams to determine the “Effects of Concussion and Sub-Concussion.” The study began in 2013, one year prior to the new MHSAA guidelines.
Research in 2013 showed approximately 650 “impacts” per player. In 2014, the number dropped to approximately 500 impacts per player. Impacts are defined as greater than 10 gs of acceleration. Williams stated that a slap on the back is 4 g, coughing is 3.5 g. On average, a helmet hit is 25-45 g. Concussions usually happen (roughly) between 80-150g.
An encoder is embedded into each football athlete’s helmet which monitors head impacts and exactly where the impact is located. Williams sits at each practice and game and through a pager identifies the player’s number and impact from a hit of 90g or more.
They are also looking at those who do not sustain an impact concussion, but rather sustain multiple head impacts and whether those multiple head impacts lead up to brain changes (measured through EEG).
The initial findings, as submitted by the study team, indicated two reasons why there were fewer overall impacts from 2013 to 2014:
Primary reason: The MHSAA adoption that became effective in August 2014 with new limitations that were placed on “collision practices” and conditions that full pads could not be worn until the fifth day of team practice.
Secondary reason: Fewer players evaluated in 2014 than 2013.
Fit for a King?
Editor’s Note: There are many sideline detection tools on the market, as a quick Google on the topic will reveal. The following, the King-Devick test, is among the highly recommended tests, summarized here simply to provide an idea of the types of systems available and how they operate. The following is from King-Devick’s website.
The King-Devick Test is an objective remove-from-play sideline concussion screening test that can be administered by parents and coaches in minutes. The King-Devick Test is an accurate and reliable method for identifying athletes with head trauma and has particular relevance to: Football, Hockey, Soccer, Basketball, Lacrosse, Rugby, Baseball, Softball and Other Collision Activities.
King-Devick Test is an easy-to-administer test which is given on the sidelines of sporting events to aid in the detection of concussions in athletes. King-Devick Test (K-D Test) can help to objectively determine whether players should be removed from games. As a result, King-Devick Test can help prevent the serious consequences of repetitive concussions resulting from an athlete returning to play after a head injury.
How King-Devick Test Works
Concussions are a complex type of brain injury that is not visible on routine scans of the brain, yet are detectable when important aspects of brain function are measured. King-Devick Test (K-D Test) is a two-minute test that requires an athlete to read single digit numbers displayed on cards or on an iPad. After suspected head trauma, the athlete is given the test and if the time needed to complete the test is any longer than the athlete’s baseline test time, the athlete should be removed from play and should be evaluated by a licensed professional.
Remove-From-Play vs. Return-To-Play
Both remove-from-play and return-to-play decisions are crucial in concussion recovery. It is critical to remove a concussed athlete from play in order to prevent further damage. It is also extremely important to keep the athlete from returning to play until they have made a full recovery. There are tools to assist in making both remove-from-play and return-to-play decisions.
King-Devick Test for Remove-From-Play Decisions
- Quick, objective sideline testing
- Measures impairments of speech, language and other correlates of suboptimal brain function
- Instant screening feedback in minutes
- Administered by parents, coaches, athletic trainers and medical professionals in remove-from-play decisions
- Neurocognitive Testing for Return-To-Play Decisions
- Computerized concussion evaluation system (in the computer lab)
- Measures verbal and visual memory, processing speed and reaction
- Tracks recovery of cognitive processes following concussion
- Assists clinicians in making return-to-play decisions
'Lapeer Through and Through,' Schmidt Surpasses Half-Century in Coaching
By
Paul Costanzo
Special for MHSAA.com
April 2, 2025
Manny Schmidt still wants to be at track practice.
After 50-plus years coaching in Lapeer, the man they call Coach Manny has not lost his love for helping student-athletes – and at this rate, he might go another 50.
“I told my wife years ago that the first day I don’t feel like going to practice, that I’d rather be somewhere else, that’s the day I’m done,” Schmidt said. “And it hasn’t happened yet. Obviously, you have bad days and things like that. But track, and right now practice, it just keeps me going.”
Schmidt, who is the head boys track & field coach at Lapeer, began coaching track as an assistant in 1974, and has remained there – and Lapeer East, then back at Lapeer when the schools merged back together – ever since. On Friday, April 11, he will be honored at an event at Lightning Rounds in Lapeer for his years of service to Lapeer athletes. The event begins at 7:30 p.m., following the Lapeer Lightning Co-Ed Relays.
“Manny has been a staple of Lapeer Athletics through many different renditions over the years,” Lapeer athletic director Shad Spilski said. “His willingness to help student-athletes grow and achieve their goals is all he wants out of his athletes. Manny spends, and has spent, countless hours over several decades providing athletes multiple opportunities to hone their skills. He not only coaches, but he is one of Lapeer athletes’ biggest fans and supporters. You will always find him at other sporting events cheering on athletes and his coaching colleagues. He truly is Lapeer through and through.”
Schmidt came to Lapeer to teach English in December of 1972 after graduating from Western Michigan University. He had attended high school at St. Joseph Catholic, and was unfamiliar with Lapeer.
But it didn’t take long for him to fall in love with the school community after receiving the assignment.
“Almost immediately,” he said. “I started in December; the teacher had left and I got the job in December. Three days later, they had a staff Christmas party that I got invited to, and all of my close friends over the years, many of them, I guess, I met at that party.”
Coaching was always something Schmidt wanted to do. He played basketball and ran track in high school, and had a basketball coach who made a big impact on his life. He wanted to do the same for others.
In the spring of 1974, during his first full year of teaching English at Lapeer, he got that chance as the assistant track coach. He has since coached cross country – working to start the Lapeer East girls program in the 1990s – junior varsity football and middle school basketball. He also served as a basketball official for more than 30 years.
“I just liked being part of it,” he said.
Throughout his five decades coaching track, Schmidt has worked with athletes in every event. While middle and long distance are what he’s long enjoyed coaching, he’s currently working with the Lapeer throwers and high jumpers, as head cross country coaches Russ Reitz and Bill Spruytte are also coaching track.
“In our program, we have four of us (Schmidt, Reitz, Spruytte and Anthony Merlo), and we all have equal voice, we all coach together,” Schmidt said. “On any given day, and that’s the nice thing, I could be with anything. I could be with the hurdlers.”
This past year, Schmidt returned to the Lapeer cross country staff as an assistant, saying he was honored that the current coaches respected him enough to call him back.
But for them, it was an honor to have him.
“Working with Manny is like having access to decades of knowledge,” said fellow cross country assistant Christine Cerny. “It is such a privilege to be able to draw from that and learn from that myself. It’s so awesome to be able to coach alongside him after he has coached my kids.”
During his time, Schmidt has coached multiple generations of Lapeer families, including his own. His children Corrinne and Jennifer both ran for him, as did his grandchildren Morgan, Mason and Colton.
And by his side the entire time has been his wife, Val, who worked as a scorekeeper during meets.
“When I started coaching, she would be the person at all our home cross country meets and all our home track meets who sat there and kept track by hand,” Schmidt said. “Probably the happiest person with this new technology is my wife – now she doesn’t have to do it. When we have invites, she’ll do medals and stuff like that.”
Technological changes have been abundant for high school athletes over the past five decades, not just in competition but outside of it. Schmidt recalls returning to Lapeer from away meets and having athletes line up at the school’s two payphones to call their parents.
“Now, when we get back, everyone has called home and their rides are there waiting,” Schmidt said.
Throughout his time, Schmidt has done plenty of winning and coached several athletes who have moved on to compete at the college level. But the relationships he’s created are what he values most.
“Nobody’s luckier than I am with where I taught and where I coached, and who I’ve coached with over the years,” Schmidt said. “You have to look forward to going to work, and I hate to use the word ‘work’ with coaching. It is, I guess. But there’s just so much good with it.”
Paul Costanzo served as a sportswriter at The Port Huron Times Herald from 2006-15, including three years as lead sportswriter, and prior to that as sports editor at the Hillsdale Daily News from 2005-06. He can be reached at [email protected] with story ideas for Genesee, Lapeer, St. Clair, Sanilac, Huron, Tuscola, Saginaw, Bay, Arenac, Midland and Gladwin counties.
PHOTOS (Top) Clockwise from the top left: (1) Manny Schmidt (standing, second from left) coaches the Lapeer White Junior High girls basketball team. (2) Schmidt, top middle, takes a photo with Lapeer’s boys track & field team last spring. (3) Schmidt, left, has coached three of his grandchildren including Morgan Turk. (4) Schmidt, far left, takes a photo with the 2011 Lapeer East cross country teams. (5) Schmidt, standing far right, coaches Michelle Brundage during the 1991 Meet of Champions. (Middle) Schmidt looks on during an event. (Photos provided by the Lapeer athletic department.)