5 Concussion Myths Debunked
February 28, 2020
Henry Ford Health System
Awareness about the dangers of concussions is at an all-time high. In response, athletic organizations — from Pop Warner football (a nonprofit program for kids 5 to 16) to USA Hockey — have safe-play protocols in place. But misconceptions about injury — prevention, management and return to play — are still all too common.
"It's great that parents, coaches and athletes are focused on the potential for concussions, but they also need to be aware of the complexities involved in evaluating, diagnosing and managing concussion," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology.
The best way to get the knowledge you need? Learn how to separate fact from fiction.
Separating Concussion Fact From Fiction
Here’s the truth behind five common concussion myths:
Myth #1: Concussions are only caused by blows to the head.
Concussions happen in response to force. While they often result from a blow to the head, they can also occur after a hit to the neck, shoulders or anywhere else on the body. To cause brain injury, the force of the impact only needs to cause the head to move rapidly back and forth (think whiplash from a car crash or a spill down the stairs).
Myth #2: Concussions always involve a loss of consciousness.
A very small percentage of all concussions, 10 percent or less, result in a loss of consciousness. For the remaining injuries, parents, coaches and medical providers should watch for additional symptoms such as:
· Confusion
· Balance problems
· Slurred speech
· Physical complaints including headache, nausea and vomiting.
Myth #3: You should keep a person awake overnight after a concussion has occurred.
It's important to observe and interact with a recently concussed person for the first few hours to recognize the potential signs of a more serious injury. However, if they are interacting normally after four hours, it’s okay to let them sleep. If you have any doubts or questions, always err on the side of caution and seek medical attention.
Myth #4: After a concussion, kids should avoid digital media until they feel better.
Unless digital activities or screen time significantly worsen symptoms, there's no reason to avoid them. "You shouldn't force people who have suffered a concussion to rest too much — or deprive them of sensory input — if they are comfortable engaging in activity," Dr. Kutcher says. What’s more, taking away activities that bring a person joy or keep them socially connected could end up prolonging their recovery by creating additional symptoms.
Myth #5: All physical activity should be avoided after a concussion.
It’s important to rest for the first two to three days after a concussion. However, you need to be careful not to rest too much or avoid all activity for too long.
Engaging in physical, mental and social activities can be beneficial. But knowing how much to do and when to take it easy can be difficult. If you have any questions, consult a sports neurologist for specific recommendations.
Ground Rules for Concussion Prevention and Management
When it comes to preventing concussion, common sense offers the greatest impact, Dr. Kutcher notes. He recommends starting with these four tenets:
- Whenever possible, limit the amount of contact in practices and games.
- Wear proper fitting and certified helmets or other head protection whenever appropriate.
- Spread contact drills out over time as much as possible.
- Practice good technique and play by the rules.
Athletes — especially those who play contact sports — should undergo an annual neurological evaluation that includes a comprehensive, focused neurological history and examination. This information provides a critical point of reference for medical professionals.
Knowing the truth about concussions — including what to watch for and what to do if one occurs — is really the best game plan.
Dr. Jeffrey Kutcher is a sports neurologist at the Henry Ford Concussion and Sports Neurology Clinic and the global director of the Kutcher Clinic.
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.
Visit henryford.com/sports or call (313) 972-4216 for an appointment within 24 business hours.
Century of School Sports: Michigan's National Impact Begins at NFHS' Start
By
Geoff Kimmerly
MHSAA.com senior editor
January 28, 2025
The beginning of the National Federation of State High School Associations (NFHS) predated the start of the MHSAA by about 4½ years. But Michigan played a leading role in creating the national organization for school-based sports and arts activities – and through its work with the NFHS continues to impact how school sports are played across the country.
On May 14, 1920, representatives from the Illinois, Indiana, Iowa, Michigan and Wisconsin high school associations met to discuss common issues – especially national championships and eligibility rules in football, as returning World War I veterans were seeking to play on high school teams; and, according to meeting minutes, because “high school athletics were being handled in an unsatisfactory manner in contests under the auspices of colleges and universities.” At this time, Michigan school sports were governed by the MHSAA’s predecessor organization – the Michigan Interscholastic Athletic Association (MIAA) – and president A.W. Krauss, the principal at Grand Rapids South High School, represented our state.
Building on their desire to form common rules to govern athletics, those five states together formed the framework for the Mid-West Federation of State High School Associations, and the MIAA officially voted to join the organization March 31, 1921, becoming one of the four founding states (Indiana was absent when the Mid-West Federation constitution was adopted). Just about a year later, on March 1, 1922, with 11 states now present, the Mid-West Federation changed its name to the National Federation of State High School Athletic Associations – which became the current NFHS in 1970.
Representing the MIAA at the 1922 Federation meeting was Ann Arbor High School principal L.L. Forsythe – cited frequently for his outsized contributions during this “Century of School Sports” series – and he was elected as Federation vice president, a role in which he served for 15 years. Obviously his impact in that role was significant for the growing organization, which now includes associations from all 50 states and Washington, D.C.
Another Michigan school sports luminary, retired executive director John E. Jack Roberts, also had significant ties to the NFHS. He served on staff from 1973-80 and was heavily involved with the implementation of Title IX at the local and state levels. He also made immense contributions as the NFHS representative to the landmark Amateur Sports Act of 1978, and played a significant role in the NFHS rules-writing process as the organization started writing and publishing rules for a number of new sports during the 1970s. Roberts began his 32-year tenure leading the MHSAA in 1986.
The NFHS’s primary contribution to state associations remains today as writer of game rules for nearly all school sports, and those rules govern the majority of MHSAA-sponsored programs. (Competitive cheer is exclusive to Michigan, and golf, tennis and bowling are regulated by national governing organizations).
By agreeing to follow NFHS game rules, the MHSAA receives the opportunity to help make them, serving turns on rules-making committees with other representatives from the NFHS’s Section 4 – which also includes Wisconsin, Iowa, Illinois and Indiana. Michigan also sends a rotating representative to serve on the national record book committee.
Previous "Century of School Sports" Spotlights
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
(Map graphic courtesy of NFHS.)