Century of School Sports: MHSAA Programs Prioritize Health & Safety
By
Geoff Kimmerly
MHSAA.com senior editor
April 29, 2025
Rank the top 10 conversations anyone would choose to have when it comes to school sports – be it talking up top teams, the latest stars, past champs, etc. – and advances in health & safety probably come in somewhere around No. 27.
But no topic has been or will remain more important to generating and maintaining successful athletic programs at every level of sport – including the high school and junior high/middle school levels administered by the MHSAA.
From the start of organized school athletics in Michigan more than 100 years ago, health and safety have been priorities. Sports safety concerns – especially in football – helped drive the creation of organized sport administration. Longtime policies – like the one ceasing activity for 30 minutes for lightning or thunder – have become part of daily life in athletics. Other measures, like MHSAA-provided insurance coverage to assist families who experience catastrophic injuries in school practices and competitions, aren’t even known by most – but can be life-altering for those who require those benefits.
For most of this century, the MHSAA’s health & safety initiatives have focused on the “4 Hs” coined by retired executive director Jack Roberts – Health Histories, Heads, Heat and Hearts. Those were the drive of much of his work especially over the final decade of his tenure before he retired in 2018 after 32 years.
Current executive director Mark Uyl’s time leading the association has seen the MHSAA begin work in mental health and create a Sports Medicine Advisory Committee (SMAC) during the 2019-20 school year. He also led the MHSAA through its successfully safe return to play amid COVID-19 and the pandemic’s aftermath.
Health and safety information is contained in every preseason coaches meeting, which all coaches (head and assistant) are required to take. The MHSAA also has a strong relationship with the Michigan Athletic Trainer’s Society (MATS), who have a representative serving on every MHSAA sport committee along with the SMAC.
Along the lines of major initiatives, here are highlights:
Histories: Although pre-participation physicals long have been required, the MHSAA took a significant step incorporating student and family history with the introduction of new physical forms in 2011. The current form includes several questions not only about the participant receiving the physical, but also heart-related questions about family members.
Heads: The MHSAA was among the first states to adopt a return-to-play protocol requiring an athlete to be cleared by a doctor, physician’s assistant or nurse practitioner, with that protocol also not allowing the athlete to return to participation until at least the next day after a possible head injury. At the start of the 2015-16 school year, the MHSAA launched the largest state-led sideline testing pilot program for concussions, providing a pair of screening tests so those injuries could be detected during practice and competition. Also since 2015-16, the MHSAA has required member high schools to report all potential head injuries and several details including when they took place (practice or competition) and how long students were treated before returning to activity – another first-of-its-kind initiative nationally. The MHSAA currently works with the University of Michigan Concussion Center to provide the most up-to-date information on the subject.
Heat: Long a megaphone for hydration and other best practices for preventing heat-related illnesses, the MHSAA took a major step with the creation of its “Model Policy for Heat and Humidity” for the 2013-14 school year that designates limits to activities (including a complete stop) based on heat index. While the policy is mandated for MHSAA Tournament activity, several schools have adopted the policy for the regular season as well. The MHSAA continues annually to renew awareness of heat management with its “Heat Ways” preseason guide for fall sports.
Hearts: The MHSAA has focused on providing tools so that as many people as possible are prepared to help during a cardiac event. Beginning with the 2015-16 school year, all varsity head coaches have been required to have CPR certification – and that requirement has been extended to head coaches at all high school and junior/middle school levels, ensuring that at least one person on site for every game and practice is trained in this life-saving technique. The MHSAA also has worked with MI HEARTSafe to in part get more AEDs into schools. Beginning this school year, the MHSAA required schools to build emergency action plans (EAPs) specific to sport and venue. And, as noted above, the preparticipation physical also asks questions about an athlete’s family history of heart health, so medical professionals can identify early situations that may require further investigation.
Mental Health: Annual rules meetings include required training in the be nice. program provided by the Mental Health Foundation of West Michigan. The MHSAA also has worked with Ithaca athletic director Terry Hessbrook to promote his B#4 Foundation and its work in suicide prevention and mental health awareness.
Sports Medicine Advisory Committee: The SMAC, made up of experts from the medical and educational communities, meets twice a year to consider topics and make recommendations relevant to health and safety in school sports.
Insurance: All the way back in 1940-41, the MHSAA became one of the first state associations nationally to provide accident benefit insurance to its constituents. The insurance provided over the years has evolved into a catastrophic claims policy beginning with the 1970-71 school year, and then in 2015-16 to include benefits specific to head injuries. The MHSAA’s insurance policy continues to cover deductibles and co-pays left unpaid by other policies for head injuries resulting during school practices or competitions, and at no cost to either schools or families.
There have been other notable moments over the years. Often, the MHSAA has taken action on health and safety issues before other governing bodies have produced mandates – for example, during the 1999-2000 season, MHSAA ice hockey players were required for the first time to wear neck guards that did not become mandatory nationally until this past winter.
More recently, the MHSAA instituted acclimatization rules specific to football and also limits on the amount of practice contact – to the minute – allowed per week. The MHSAA also has chimed in on air pollution created by wildfires, mosquito-borne eastern equine encephalitis and other situations that could potentially impact school sports, and partners with the United Dairy Industry of Michigan to provide nutrition information and awareness at events and on the MHSAA website.
These aren’t the first subjects that come to mind when fans talk about school sports – and that’s fine. But it’s our job, with school administrators, coaches and officials, to always have them front of mind – and we gladly do so to keep sports as safe as possible for hundreds of thousands of athletes whose achievements remain our favorite topics of conversation as well.
Previous "Century of School Sports" Spotlights
April 23: Patches Signify Registered Officials' Role in MHSAA Story - Read
April 16: Student Advisory Council Gives Voice to Athletes - Read
April 9: State's Storytellers Share Spring Memories - Read
April 2: Sharp Leadership Synonymous with MHSAA Success - Read
March 25: Athletic Directors Indispensable to Mission of School Sports - Read
March 18: 2025 Finals Begin Next Half-Century of Girls Hoops Championships - Read
March 11: Boys Basketball's Best 1st to Earn MHSAA Finals Titles - Read
March 5: Everything We Do Begins with Participation - Read
Feb. 25: Slogans & Logos Remain Unforgettable Parts of MHSAA History - Read
Feb. 19: MHSAA Tickets Continue to Provide Fan-Friendly Value - Read
Feb. 11: We Recognize Those Who Make Our Games Go - Read
Feb. 4: WISL Conference Continues to Inspire Aspiring Leaders - Read
Jan. 28: Michigan's National Impact Begins at NFHS' Start - Read
Jan. 21: Awards Celebrate Well-Rounded Educational Experience - Read
Jan. 14: Predecessors Laid Foundation for MHSAA's Formation - Read
Jan. 9: MHSAA Blazes Trail Into Cyberspace - Read
Dec. 31: State's Storytellers Share Winter Memories - Read
Dec. 17: MHSAA Over Time - Read
Dec. 10: On This Day, December 13, We Will Celebrate - Read
Dec. 3: MHSAA Work Guided by Representative Council - Read
Nov. 26: Finals Provide Future Pros Early Ford Field Glory - Read
Nov. 19: Connection at Heart of Coaches Advancement Program - Read
Nov. 12: Good Sports are Winners Then, Now & Always - Read
Nov. 5: MHSAA's Home Sweet Home - Read
Oct. 29: MHSAA Summits Draw Thousands to Promote Sportsmanship - Read
Oct. 23: Cross Country Finals Among MHSAA's Longest Running - Read
Oct. 15: State's Storytellers Share Fall Memories - Read
Oct. 8: Guided by 4 S's of Educational Athletics - Read
Oct. 1: Michigan Sends 10 to National Hall of Fame - Read
Sept. 25: MHSAA Record Books Filled with 1000s of Achievements - Read
Sept. 18: Why Does the MHSAA Have These Rules? - Read
Sept. 10: Special Medals, Patches to Commemorate Special Year - Read
Sept. 4: Fall to Finish with 50th Football Championships - Read
Aug. 28: Let the Celebration Begin - Read
Is My Student Athlete's Pain More Than Just Growing Pains?
February 14, 2023
There are a few factors that can make student athletes prone to injury. They might be overusing their muscles (thanks to a more rigorous exercise regimen), and they might not yet have developed the proper technique for their sport.
“These factors, combined with the fact that student athletes have growing bodies that they’re still getting used to—especially after a growth spurt — can make them more prone to injury,” says Nancy White, M.D., a sports medicine physician with Henry Ford Health System.
However, just because your child is feeling pain doesn’t necessarily mean they’ve sustained an injury. There is such a thing as growing pains, although the term may be misleading. “Most experts feel that growth itself does not cause pain,” says Dr. White. “The most likely reason for ‘growing pains’ is overuse of the muscles, causing pain and soreness after an activity.”
These growing pains typically occur at the front of the thighs, the back of the knees and the calves, she says, and occur commonly in the late afternoon, evening, or night. If your child is experiencing pain outside of these areas or times of day, it might not be growing pains — and it’s a good idea to get it checked out by a doctor.
Tell-Tale Signs That Pain Should Be Examined
If the pain goes away by the next day — if your child has rested during night and feels better the next morning — there’s no need for concern. But you should head to the doctor if:
► the pain is lingering into the next day.
► the pain is also accompanied by bruising, swelling or redness.
► the pain is so intense that they’re unable to put weight on their legs.
“In these cases, don’t wait — the longer you wait, the more dangerous the injury can become,” says Dr. White.
How Student Athletes Can Help Prevent Injuries
Encourage your child to take proper precautions and maintain healthy habits, all of which can lower the likelihood that they’ll sustain an injury. Dr. White recommends the following tips:
- Maintain proper technique. “Knowing and understanding the movements needed for whatever sport they practice is so important,” says Dr. White. “Figure skating and gymnastics are two sports where I tend to see injuries more often during growth phases. These athletes are often learning difficult skills at a time in their lives when they’re going through a growth spurt, and that combination can lead to injury.”
- Stretch before and after playing a sport. “Try dynamic stretching — where you’re actually moving while stretching — instead of static stretching, where you’re holding the stretch,” says Dr. White. “Dynamic stretching is a great warm up. It can help improve flexibility and reduce the risk of injury.”
- Strength train, especially in the core and limbs. Doing so will help create stable, strong muscles to keep the body properly aligned and lessen the chances of injury.
- Eat a balanced diet and stay hydrated. While it’s normal for kids to have sugar every once in a while, filling the bulk of their diet with plenty of water, fresh fruits and vegetables, healthy protein, fats and carbohydrates will help them function to their best ability.
- Get enough rest each night. Sleep is necessary for health and well-being in general, but when it comes to athletes, rest is incredibly important to help their bodies recuperate. In general, kids need about 10 hours of sleep per night. So if your child plays a sport, you want to really be sure that they’re hitting that 10-hour mark, says Dr. White.
Dr. Nancy White is a sports medicine physician with Henry Ford Health System. She sees patients at Henry Ford Medical Center – Columbus in Novi, and Henry Ford Medical Center — Bloomfield Township.
Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan. To find a sports medicine physician at Henry Ford, visit henryford.com or call 1-800-436-7936.