NFHS Voice: No HS Football Link to CTE
October 21, 2019
By Karissa Niehoff
NFHS Executive Director
When it comes to the long-term effects of concussions in sports, there is a wide range of information published – almost on a daily basis. Unfortunately, much of the media coverage as it relates to high school sports – and particularly the sport of football – is misleading.
Last week, the Concussion Legacy Foundation introduced its new public-service announcement that compared youth football dangers to smoking. As the pre-teen football players puff on cigarettes, the voiceover says, “Tackle football is like smoking, the younger I start, the longer I’m exposed to danger.”
The “Tackle Can Wait” campaign by the foundation is an attempt to steer children under the age of 14 into flag football. Although establishing a finite age may be difficult, reducing contact at youth levels is certainly a positive. USA Football is doing just that nationally through its Football Development Model. Likewise, the 51 member state associations of the National Federation of State High School Associations (NFHS) have enacted limitations on contact during preseason and practice sessions.
Our concern is the term “exposed to danger.” These types of messages continue to spread unwarranted fear to parents of high school student-athletes. The “danger” refers to reports that players who incur repeated concussions can develop chronic traumatic encephalopathy (CTE).
A 2017 study from the Journal of American Medical Association (JAMA) linked CTE in the brains of deceased National Football League players. Even if this report is accurate, these are individuals who endured repeated blows to the head for 20 to 25 years BEFORE any concussion protocols were in place.
Less publicized is a study by Dr. Munro Cullum and his colleagues at the Peter O’Donnell Jr. Brain Institute, which is a part of the University of Texas Southwestern Medical Center in Dallas. Cullum’s group studied 35 former NFL players age 50 and older who had sustained multiple concussions throughout their careers. The findings showed no significant association between the length of the individuals’ careers, the number of concussions and their cognitive function later in life.
Two studies, two different conclusions. Regardless of the outcome, however, they are not applicable to kids playing football before and during high school. There is absolutely no linkage to CTE at these levels, and the word “danger” should not be a part of the discussion.
A more applicable and significant study was also published in JAMA in 2017. In a study of about 4,000 men who graduated from Wisconsin high schools in 1957, there was no difference in cognitive function or decline between those who played football and those who did not as they reached 65 years of age. We would assume the majority of these individuals discontinued football after high school.
With more than one million boys – and girls – playing the contact sport of football each year, severe injuries do occur from time to time, but parents should know that efforts to lessen the risk of a catastrophic injury, including head injuries, have never been stronger than they are today.
In fact, new data from the National High School Sports-Related Injury Surveillance Study indicates some positive trends in concussion rates. The study, which was released in the American Academy of Pediatrics online issue of Pediatrics last week, indicated that concussion rates during football practices dropped from 5.47 to 4.44 concussions per 10,000 athletic exposures between the 2013-14 and 2017-18 seasons.
In addition, repeat concussion rates across all sports declined from 0.47 to 0.28 per 10,000 exposures during the same time period.
Concussion laws are in place in every state. All NFHS sports rules books have concussion management protocols. Helmet-to-helmet hits are not allowed in football. Limits on contact in preseason and practice in football are in place in every state.
After considering all the available research, we encourage parents to let their kids play their sport of choice in high school, but we would discourage moving away from football – or any contact sport – solely based on the fear of developing CTE later in life.
Dr. Karissa L. Niehoff is in her second year as executive director of the National Federation of State High School Associations (NFHS) in Indianapolis, Indiana. She is the first female to head the national leadership organization for high school athletics and performing arts activities and the sixth full-time executive director of the NFHS, which celebrated its 100th year of service during the 2018-19 school year. She previously was executive director of the Connecticut Association of Schools-Connecticut Interscholastic Athletic Conference for seven years.
Parents, Make a Pledge
October 24, 2012
By Scott Westfall
MSU Institute for the Study of Youth Sports
NOTE: This is the second of a two-part viewpoint explaining the importance of coaches and parents setting proper examples for young athletes in their treatment of game officials. Click to read Part 1.
From time to time, even the most well-intentioned parents yell at officials things they are not proud of later.
As the head coach, it is essential to communicate expectations at the annual preseason parent meeting. Let parents know you want this to be classy program, and you need their help. Inform them that you, your assistant coaches, and the players (their children) will not be yelling at officials, and that you would be grateful if they would do the same.
Let them know that although other teams and their fans might holler at the officials, this team will be above the fray.
Encourage parents to applaud players from both sides. While they undoubtedly want your team to win, it is a sign of class to applaud the opposition for a good effort and/or performance at the end of the contest. In addition, ask your parents to sign a Parent Pledge Form stating that they will hold themselves to a higher standard. See an example below:
I. I pledge to respect the sport. I understand the importance of setting a good example for my child. No matter what others may do, I will show respect for all involved including coaches, players, opposing coaches, opposing players, opposing fans and officials. I understand that officials make mistakes. If the official makes a bad call against our team, I will respect the sport and remain silent.
Initials: ________ Initials: ________
II. I pledge to contribute to a positive team culture. I will not be the parent in the stands or behind the scenes who puts down the kids or the team. I understand this creates a negative atmosphere and can damage a team’s culture. If I have any problem, I pledge to either bring it to the coach with a solution-oriented mindset, or choose to remain silent. In either case, I will contribute only in a positive way to my child’s team culture.
Initials: ________ Initials: ________
After instituting this practice, the first season might seem like more of an experiment. The second season may become a work in progress. But by the time the kids and parents have been in the program for three and four years, it will have become the norm and soon a tradition that is gladly passed down to the new families in the program.
The mantra of your parents will change, and they will take pride in acting differently than what they see at other schools. Other teams will see your parents stand up and applaud participants from both sides during wins and losses, and this act of class will become your team’s identity.
Respecting authority is essential in any society. This respect must be given to judges, policemen and school principals, to teachers, coaches and even referees.
Reinstituting this respect for officials is going to be a challenge, but a challenge that is worthwhile. A coach has the power to transform a program, which will in turn affect the way assistant coaches, parents, and fans conduct themselves.
In the end, the individuals who will receive the greatest benefit are the ones you are doing your job for in the first place – the kids.
Scott Westfall has spent the last 10 years as a teacher, coach, and athletic director in Fort Collins, Colo. He currently is working on his Doctorate at Michigan State University, with an emphasis in Sport Psychology and Athletic Administration, and assisting the MHSAA with its student leadership programs. Westfall is a former athlete who participated in football, wrestling, tennis and cross country at the high school level, and rugby at the collegiate level. He can be reached at [email protected].