Play it Safe: Basics of Proper Helmet Use
February 4, 2020
Henry Ford Health System
If you or your child plays sports or participates in physically risky activities, wearing a helmet could be lifesaving. While no helmet is concussion-proof, wearing one can help reduce the risk of serious head injuries.
"Helmets are made with materials that help reduce impact to the head, protecting the skull from damage," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology. "You should be wearing a helmet whether you're playing a contact sport or riding something on a hard surface, such as a bike, scooter, skateboard or rollerblades."
Head Injury Prevention 101: Helmet Buying Basics
All helmets are certified at the same level for multi-use recreational activities. So there's no need to search for a specific seal or rating. Instead, when you're purchasing a helmet — or getting one second-hand — focus on these four factors:
How you’ll use it:
Pay attention to the risks involved with the activity you're doing. If you're biking, skiing or snowboarding, for example, you're wearing a helmet in case you get hit, not because you'll get hit.
There are two types of helmets: single-impact and multiple-impact. Single-impact helmets are made with foam materials that break down when hit as part of their force mitigating strategy. These helmets work well for bicycling, skateboarding, skiing or snowboarding. Multiple-impact helmets, such as those designed for sports like football, hockey and lacrosse, can withstand many hits over an entire season. The materials in these helmets don't break down, but rather compress and regain their original form.
"A helmet may perform better in the lab — for example, the dummy brain will experience 98Gs of force instead of 100Gs — but 2Gs of force probably won't make enough of a difference with a one-time injury," Dr. Kutcher says. "But 2Gs less force per hit for a linebacker who suffers multiple blows on a daily basis for many years? That could make a big difference.”
If football is your sport, the National Football League provides a helmet rating system that assesses helmets based on their ability to mitigate force over time.
How it fits:
Helmets fit differently depending on the make, style and type of sport they’re made for. "The key is making sure the helmet covers the entire skull and doesn't move around when in use," Dr. Kutcher says. The helmet should sit on the head without falling forward or backward. If you're relying only on a chinstrap to keep it in place, you don't have the right fit.
How comfortable it is:
Not all helmet brands fit every head. Helmet designs vary just like running shoes do. When you're shopping for a helmet, make sure it's snug, but not tight or uncomfortable. Comfort is critical, especially for kids. "You don't want a child to develop a negative association with wearing a protective helmet," Dr. Kutcher says.
What condition it’s in:
To get the most protection, your helmet should be in top condition. Do not wear a cracked or broken helmet, or one that has been involved in a crash or similar event (unless it's a multiple-impact design). An impact can crush foam materials. And don't allow the helmet to get too hot or cold — that can cause the materials to break down over time.
Get the Best Helmet Fit for Your Head
Properly wearing a helmet provides the greatest defense against injury — more than any style or brand. To make sure your helmet is secure, follow these rules:
· Measure head circumference: Every helmet brand provides a size chart, along with instructions about how to select the best fit. To get the best measurement, use a cloth tape to measure your head circumference. Place the tape about an inch above the eyebrows, keeping it level from front to back. If the measurement falls between sizes, select the smaller size.
· Pay attention to hairstyles: Make sure to try the helmet on with the hairstyle you'll have during the activity. A long-haired bike rider who gets a short haircut may require a helmet adjustment.
· Watch your vision: The helmet should not block your vision. You should be able to see straight ahead and side to side.
To Wear a Helmet or Not To Wear a Helmet: When to Play It Safe
There are several sports that don't require wearing a helmet. But if you or your child is involved in rugby or soccer, or another sport where helmets are optional, that doesn’t mean you're in the clear.
"It's important to base any decision about whether or not to wear a helmet in conjunction with your sports neurologist," notes Dr. Kutcher. "Your past medical history and current health status may still warrant the use of a helmet."
Unsure whether you're at risk of sustaining a head injury? Get a brain health baseline evaluation. Proper consideration of your brain health includes a physical examination, along with a personal and family medical and neurological history. It also offers you an opportunity to learn how to best protect your head.
Related Topic: 7 Tips for Recovering Mentally After a Sports Injury
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.
Lee Takes Key Steps in Heart Safety with AED Purchase, CPR Training for All Athletes
By
Steve Vedder
Special for MHSAA.com
December 30, 2025
WYOMING – Tom DeGennaro never felt the typical dizziness, lightheadedness or nausea associated with the attack before he simply fell over in his Wyoming Lee classroom seven years ago.
His students moved quickly to help him, but within minutes, DeGennaro, one day past his 53rd birthday, was dead.
"Literally dead on the floor," DeGennaro said. "Just nothing there."
DeGennaro suffered an aneurysm, a bleeding of the brain which caused a subarachnoid hemorrhage or ventricular fibrillation which led to cardiac arrest. Fortunately, paramedics swiftly arrived at the school and with the help of an automated external defibrillator (AED), shocked DeGennaro back to life. Six months later DeGennaro, a former football and track coach at four West Michigan high schools, awoke from a coma.
"I was talking to the kids, then I just flopped over and started convulsing," DeGennaro said of his only recollection of the event.
It was an incident which stuck with Wyoming Lee cross country and track coach Greg Popma, who had coached under DeGennaro at Lee for many years. The more Popma saw overweight and obviously out-of-shape spectators huffing and puffing to make it to different points of a three-mile cross country course, the more it bothered him that real tragedy at a meet was only a heartbeat away.
So Popma did something about it.
With the help of a grant from the American Heart Association, Popma organized the purchase of an AED to be kept at all Legends sporting events. Sure, all Wyoming Lee school buildings already had an AED, but Popma worried that in a medical emergency such as a heart attack, minutes counted. Popma wasn't completely sold on the idea that an AED could be rushed to a nearby cross country course, softball field or tennis court in time to fend off disaster. Now an AED is kept at the ready disposal of a Wyoming Lee trainer.
Popma admits the odds of ever needing an AED at a cross country meet or any other sporting event are low. But he isn't willing to just accept low odds.
Instead of letting a near-tragedy to his coaching partner and friend just slide into memory, Popma chose to act.
"It made me think a little that something like that could happen at any time," Popma said of DeGennaro's experience. "It's not only about the kids, but about parents and others who probably shouldn't be running or going from place to place at a cross country meet. We needed to have something there."
While MHSAA guidelines require all head coaches at member high schools and middle schools to be CPR certified (with that certification usually including AED training), Popma took the training a step farther. With the help of Wyoming Lee teacher Mike Donovan, all athletes from 15 Lee teams have been trained and certified in the usage of CPR.
Popma said he's seen AEDs at countless cross country and track meets over 25 years of coaching. Most are easily within reach at the organizational tent at meets. And while he's never witnessed a heart attack at an event, Popma knows of a father dying at a Legends baseball game, and he's also old enough to remember 28-year-old Detroit Lions receiver Chuck Hughes dying on the field at Tiger Stadium in 1971 due to a heart attack.
To do nothing and hope for the best is not a plan, Popma said.
"I hope people understand, what good is it if you don't have an AED?" he said. "Obviously you can't have 100 percent certainty if you don't make the attempt. The response has been positive. Coaches think it's a good idea. It's like, 'Oh, I never thought of that.'"
DeGennaro is recovered from his heart attack, but in the last seven years figures he's been shocked over 90 times by the implantable cardioverter defibrillator (ICD) in his chest. DeGennaro is honored that his experience sparked safety improvements at Wyoming Lee.
"Love it," he said. "Even at professional events these things can happen. AEDs need to be at every place, every sporting event and not just for the kids. For the adults, too.
"Nothing is 100 percent. You bring band-aids to games and never get cut, right? There needs to be preparation for something like a heart attack. I have two goals in life now. Spreading the word of Christ and getting people to learn about CPR."
PHOTO Wyoming Lee cross country/track coach Greg Popma carries his school’s portable AED that is brought to school sporting events. (Photo by Steve Vedder.)