Health Histories
September 4, 2012
Eighteen months ago we completed two new preparticipation physical examination forms: (1) a two-sided card delivered without charge to schools in whatever quantity they need; and (2) a four-page form that is downloadable at MHSAA.com.
Both are improved from the previous card in that they ask more about family and student health history which, more than any cursory exam, helps identify potential health risks before participation. Both were developed with the cooperation and consensus of a diverse panel of medical experts assembled by the Michigan Department of Community Health.
At schools’ requests, the MHSAA has distributed more copies of the two-sided card than there are students enrolled in MHSAA member schools; so we know the form has widespread use. But still, this particular form is not required, which allows schools with a special local resource to utilize something they like better, and this also allows families with special needs to use the documents that best meet their child’s circumstances.
The take-away on this topic is that today’s standard of care is a comprehensive physical with detailed family history prior to first participation in school sports and, thereafter, more cursory annual exams, except when the student has had an injury or illness that requires more review.
Culture Wars
January 24, 2017
Our purpose in school sports is to help develop the whole child. That’s why we do not advocate that sports consume a child’s whole life.
We recognize that it’s not good to get too much of a good thing. Too many hours devoted to sports and too many months devoted to the same sport can lead to a life that is out of balance and unhealthy.
Unfortunately, every restriction we impose to protect children from such risks and to promote their good health is exploited by others. For example, by non-school club coaches that covet our kids. And by almost every convention and visitors bureau in the country that is sponsoring sports events to boost their local economy.
While we talk of balanced participation and a long-term approach that leads to a lifetime of physical activity, better health and reduced medical expenses, we are out-shouted by a culture that does not have the whole child in mind. Our frame of reference is helping to raise a healthy human being, which is challenged by a culture that is more intent on raising revenue from the athletic dreams and fantasies of children and their parents.