Concussion Care Continuum

June 2, 2015

The concussion care continuum is of equal importance from start to finish, but some of the stops along the way are more in the MHSAA’s area of influence than others, so they are receiving more of our attention.
We would never say that removal-from-play decisions are more important than return-to-play decisions. However, because the removal decisions occur at school sports venues by school-appointed persons, while the latter are made at medical facilities by licensed medical personnel selected by students’ families, the MHSAA is giving the removal process more attention than the return.
This helps to explain why the MHSAA is orchestrating pilot programs where volunteering member schools will be testing systems during the 2015-16 school year that may assist sideline personnel at practices and contests when assessing if a concussion event has occurred and that player should be withheld from further activity that day. The buzz that these pilot programs is creating will increase everyone’s attention on improving sideline concussion management. For more information, click here.
The MHSAA has always believed it shared a role with local schools and health care facilities and professional organizations of coaches and school administrators in the education of coaches, athletes and parents. This remains our first and foremost focus on the concussion care continuum.
But the pilot programs, and more specific requirements beginning in 2015-16 to report head injury events, demonstrate that the MHSAA is moving further along the continuum to assist the entire concussion management team. As we do so, our focus is on all levels of all sports for both genders, grades 7 through 12, with attention to both practices and competition.

Multi-Sport Imperative

September 15, 2015

During all my years administering school sports programs, my colleagues in this work here and across the U.S. and I have criticized sports specialization for young athletes; but until very recently it seemed the only people who agreed with us were ourselves.

Each single-sport organization promoted its own sport, and coaches of those sports tended to pressure athletes to focus on a single sport early in life and eventually exclusively. Parents bought into the fantasy that this early single-mindedness was the key to a college athletic scholarship and even a professional sports career.

While we spoke of a high-minded philosophy, on the local level, as a practical matter, more and more coaches and athletes were pursuing an ever-narrower sports experience. Until now.

Starting very recently, the conversation has changed, or at least it’s been joined by new voices. We’ve learned that Big Ten football coaches favor recruits who play more than football in high school. We’ve learned that our fantastic Women’s World Cup Soccer champions were almost all multiple-sport athletes in secondary school. We’ve learned that the hottest young U.S. golfer on the Men’s PGA Tour was a multiple-sport enthusiast in his teens. We’ve seen a half-dozen high profile sports executives with school-aged children advocate for a more balanced experience for their kids. And now we see several dozen amateur and professional sports organizations have joined a campaign to oppose the negative trends in youth sports and to promote a more balanced, healthier sports experience for children and adolescents.

And there it is – a healthier experience. Suddenly, our philosophy that multiple-sport participation is better for youth than sport specialization has been made a health and safety issue, which we’ve known all along but have not emphasized enough.

Now, with attention to over-use injuries and burnout, sport specialization has become a health and safety crisis on the level of concussions, heat illness and sudden cardiac arrest. Multi-sport participation has become a health and safety imperative. A matter of good public policy.

We need to catch and ride this wave for all it’s worth. In the same way the environmental movement catches fire when presented as a human rights issue – that people everywhere have a basic right to clean air and water – we must present sport specialization as a threat to young persons’ health and safety – a risk as great as head trauma, heat illness and heart failure, requiring the kind of bold policies and programs we’ve implemented in recent years to address those equally serious problems.