Head Trauma and Learning

November 23, 2012

Researchers at my alma mater have joined their voices to the growing chorus of concerns about the effects of repeated blows to the head.

A study of the cognitive effects of head impacts on members of Dartmouth College football, hockey, track, crew and Nordic ski teams compared before and after season results on learning and memory skills.  Participating athletes also came from Brown and Virginia Tech.

  • 22 percent of athletes in contact sports had lower results on learning and memory skills tests after their season.
  • Only 4 percent of athletes in non-contact sports posted lower test results.

The researchers caution that it is unknown at this point how long these negative effects may last, but they also note there is some correlation between test results and how hard the athletes were hitting heads.

This adds to the mounting evidence that rules writers, program sponsors, coaches and officials must look for and implement a variety of measures to reduce the frequency and severity of head impacts in both practice and competition in all sports.

Internal Medicine

March 20, 2018

When I express concerns for the health of high school basketball, I’m not confusing our problems with the corruption of major college men’s basketball that is under investigation by the Federal Bureau of Investigation. Yes, there are some tentacles that reach us, and taint us; but the problems that plague us most are more basic and local.

The concerns I have for high school basketball are captured in scenes that play out much too often across the membership of the Michigan High School Athletic Association. For example:

  • Declining participation, with JV and varsity rosters too small to practice 5-on-5 at either level.
  • Increasing forfeits.

  • Ugly mismatches, with scores so lopsided that it is hard to imagine much teaching or learning can occur.

  • Starters transferring; reserves dropping out.

  • Confrontations between parents and coaches.

  • Faculty coaches becoming a vanishing breed.

These kinds of concerns do not flow from the top down – we can’t blame these issues on the NCAA and NBA. No, our more persistent and perplexing problems percolate up from the youth level.

Often the students who come to our programs have participated in youth sports programs for five to 10 years before they join a school team. They arrive with expectations that often differ from what is intended for school-based programs. They’ve been in a different environment; they have different expectations.

And much of what is coming with youth sports begins to infect school sports. 

There is no vaccination that will be 100 percent effective in immunizing us. There is no single solution that can quickly reverse these negative trends in school-based basketball and other school sports. The efforts must be systemic and long-term. And among the efforts that must be made are these

  • More attention to coaches education – every coach, every year – where the ethics of educational athletics and the meaning of success in school sports provide the core of the curriculum; and
  • More attention to junior high/middle schools – more opportunities for 6th- through 8th-graders to sample school sports and to savor an experience that puts team before individual and learning ahead of winning.