NFHS Voice: Planning with Patience
May 30, 2020
By Karissa Niehoff
NFHS Executive Director
For several weeks, Americans have been awaiting answers to several questions. When will restaurants restart dine-in services? When will hair salons and gyms be open? When will people be able to congregate for worship services? And, of course, when will education-based sports and performing arts programs return?
And the answer to the all-important last question is the same as the first three – it varies from state to state.
If there was ever any doubt about the popularity and interest in high school sports and performing arts – and how much these programs have been missed during the past three months – it was erased last week as the NFHS released its Guidance for Opening Up High School Athletics and Activities document.
The response was non-stop through the mainstream media as well as our social media platforms as the first nationwide discussion about the return of high school sports and other activities was in full swing.
Since that disappointing week in mid-March when it seemed like all of life came to a halt, millions of people – from high school students, coaches, parents, administrators, officials and fans – have been looking forward to the return of school-based sports and other activity programs. And the guidance document offered some hope that soon the light at the end of tunnel will not be the oncoming train we have felt for many weeks.
Now, state high school associations are developing timetables and protocols for return of activities in their states. And those guidelines will be different from state to state. This is not a one-size-fits-all plan. Depending on the specific circumstances of a state with respect to the containment of the virus, its progression through the various phases of returning to activities could be much different than another state.
As the guidance document developed by the NFHS Sports Medicine Advisory Committee noted, our hope is that students can return to school-based athletics and activities in any and all situations where it can be done smartly. When it comes to education-based sports and performing arts within our nation’s schools, nothing is more important than the health and safety of the participants AND the individuals conducting those programs.
Some individuals have expressed concern that our guidance document is too cautious, noting that some non-school youth programs have already restarted in some areas.
In one state this past week, a non-school sports program was allowed to restart because the “data shows children are less affected by the coronavirus.” While the preponderance of evidence shows that to be true, plans in education-based activities will include also protection for adults who coach, officiate and administer those events, which may be seen as a more conservative approach.
Within high school sports, the drive of coaches and dreams of parents cannot run ahead of player safety. Last week, a successful high school football coach with three previous state titles was suspended for allegedly holding practices. And there have been reports of parents considering moving to another state with fewer COVID-19 cases to enhance the chance of their son playing football and earning a college scholarship.
The NFHS, through its Sports Medicine Advisory Committee, took action in developing its Guidance for Opening Up High School Athletics and Activities document. The various state high school associations are taking action in the coming weeks in developing plans for a return to activities at the state level.
Now, we would ask parents and other fans to take action – and that action is patience. The urge to return to normal is understandable, but the path back to where we were three months ago will take time, and that “time” will not happen at the expense of the safety and well-being of everyone involved in high school sports and performing arts programs.
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.
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.
