Concussion Care: Signs & Symptoms to Watch
October 27, 2020

Henry Ford Health System
When you experience a blow to the head, knowing whether you've suffered a concussion isn't always clear cut.
Head injuries have a range of physical, psychological and intellectual effects — and only a small number of people lose consciousness.
"It's critical for parents, coaches, players and trainers to recognize the potential signs and symptoms of a concussion," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology. "The basic rule is that a concussion can affect any aspect of brain function."
Signs of Concussion
The Latin root of the word "concussion" means "to shake violently" — which makes sense. Concussions happen when there's a combination of movement and impact. So, any injury that involves a hit to the head — a fall, collision or hard hit by a heavy object — could cause one. So could a hit to the body that causes the head to move quickly.
"But every brain injury is different," Dr. Kutcher says. "Some symptoms show up right away while others develop gradually over days."
Here are common concussion symptoms to watch for — both immediately following a head injury and in the hours and days after:
Physical Concussion Symptoms
- Changes in sleep patterns
- Difficulty with balance
- Dizziness or lightheadedness
- Fatigue
- Headache
- Light sensitivity
- Nausea
- Numbness or tingling
- Sensitivity to sound
- Visual problems
- Vomiting
Emotional Concussion Symptoms
- Anxiety
- Depression
- Irritability
- Mood swings
Cognitive Concussion Symptoms
- Confusion
- Difficulty concentrating
- Feeling "slow" or "foggy"
- Memory problems
Diagnosing Concussion: Getting It Right
One reason concussions are frequently misdiagnosed is because they're assessed on the field or courtside during game play or practice. Coaches, trainers and parents often make lightning fast decisions about whether symptoms, such as headache, nausea and light sensitivity, are signs of concussion.
"Unfortunately, it’s more complicated than completing a concussion checklist. Everyone — and every concussion — is different. So, observers shouldn’t be diagnosing a head injury on the spot, but rather making a triage decision for safety. They should leave the diagnosis to the medical professionals," Dr. Kutcher says. In fact, those in-the-moment assessments are wrong about half of the time.
People should focus instead on getting immediate, emergency care for anyone who displays the following signs and symptoms right after a hit:
- Difficulty walking
- Weakness on one or both sides
- Not waking up
- Repeated vomiting
- Persistent confusion
- Seizures
- Unconsciousness
No matter how hard (or lightly) you think you've been hit, it's important to take head injury symptoms seriously. Even a seemingly minor blow could have a major impact. A complete evaluation by a medical professional will not only determine whether you have a concussion, it can also identify more serious, or even life-threatening, concerns.
"In every case, medical professionals are better equipped to assess the extent of the damage if you have a comprehensive baseline evaluation on file," Dr. Kutcher says. This thorough evaluation with a sports neurologist, including a complete family and neurological history, can act as a critical point of reference when trainers and medical professionals are trying to diagnose or manage a concussion.
Dr. Jeffrey Kutcher is a sports neurologist and the medical director of the Henry Ford Kutcher Clinic for Concussion and Sports Neurology.
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: Predecessors Laid Foundation for MHSAA's Formation
By
Geoff Kimmerly
MHSAA.com senior editor
January 14, 2025
We have celebrated throughout this school year the 100th anniversary of the Michigan High School Athletic Association – our “Century of School Sports.” But the first high school sports in this state were being played more than a half-century before the MHSAA was established in December 1924 – and it’s important to recognize our predecessor organizations for their pioneering work.
To keep things very brief, it’s fair to say that high school athletics in Michigan followed the increase in number high schools across the state – especially public schools – as well as interest in sports predominantly at the college level.
In lieu of citing detail by detail, the following is based on research from “Athletics in Michigan High Schools – The First Hundred Years” by L.L. Forsythe, who served as the first president of the MHSAA Representative Council after playing a leading role in its creation as an officer of the previous Michigan Interscholastic Athletic Association. Newspaper reports of the day also contributed to what's summarized below.
It is also key to keep in mind a few things about the organizations that regulated high school athletics before the MHSAA, and to understand their relation to our work today:
- Schools at the start of organized athletics sought primarily to create competitive equity and a safe playing environment for their teams and athletes.
- Schools looked to the statewide organization to uphold and consider appeals for those rules regulating eligibility and fair play.
- Schools later asked for the statewide organization to take over sponsorship of the statewide championship events that began to crop up over the 30 years before the MHSAA formed.
According to Forsythe’s research, the first public high schools in Michigan opened during the middle of the 19th century – as of 1850, only 3-4 existed, but after the Civil War that number began to grow, and with it an interest in athletics as part of student life. Football and baseball were main draws, later to be joined by basketball and track & field – which would be among the MHSAA’s first championship offerings several years later.
The Beginning (1895-1909)
Forsythe notes that 1895 saw the first steps toward regulating high school athletics on a statewide basis. A few entities took on roles in an attempt to bring structure.
- The Michigan State Teachers Association, which in 1895 began to recruit schools to become part of an organization that would require eligible athletes to be enrolled students, succeeding academically with at least a “passing grade,” and participating in no more than five seasons or years of a sport. However, the MSTA did not have a program of activities, as those of the day were generally organized by universities.
- The University Athletic Association was formed by University of Michigan in 1898, and was the main organizer of invitational “state” championships in partnership with the MSTA.
- Another organization, the Michigan Inter-School Athletic Association, also pops up in 1895 as the host of what aspired to be an annual field day.
Michigan Interscholastic Athletic Association (1909-1924)
The Michigan Schoolmasters’ Club absorbed control of athletics from the MSTA in April 1909, forming the MIAA and immediately introducing a series of regulations including an age limit of 21 years old, an eligibility limit of four years, and a restriction on participation by athletes who had competed professionally.
The MIAA would continue to set other eligibility rules, charge dues ($1), and also write into bylaws that member schools could play only member schools. That latter detail was a big driver of growth – the revised MIAA constitution in 1921 added that regulation, and the association grow from 26 schools in 1920 to 130 in 1921, to 284 in 1922 to 305 schools in 1923.
On the event side, the MIAA conducted its first state track meet in 1912, then did so coordinating with Michigan State College. The 1921 basketball tournament saw the first mention of classes – Class B for schools with 250 or fewer students, and Class A for schools with more than 250.
It should also be noted that during the early 1920s, MIAA representatives helped form the organization (first of Midwest states) that would become the National Federation of State High School Associations (NFHS) – which continues to write game rules for nearly all MHSAA sports.
The MIAA continued operating into its annual meeting in December 1923, when leaders were presented with an unwelcome surprise announcement – the Michigan legislature, at the close of its recent session, had transferred supervision of interscholastic athletics to the state Superintendent of Public Instruction (to the superintendent's surprise as well, Forsythe noted).
The negotiations between schools and the state over the following year resulted in the dissolution of the MIAA on Dec. 5, 1924 – and the first meeting of the MHSAA eight days later.
Previous "Century of School Sports" Spotlights
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