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.

Late to the Game

November 8, 2016

The Michigan High School Athletic Association’s Task Force on Multi-Sport Participation has learned that school sports are in competition versus non-school youth sports, not only programmatically but also and more fundamentally, philosophically. School sports sees child development quite differently and has as its mission developing the whole child.

Non-school youth sports business interests have convinced consumers (that’s parents) that early and intense specialization with private lessons and personal trainers, and lots of travel and tournaments is necessary for a child’s athletic interests and ultimate happiness. That is sometimes true ... once in a very great while.

What is much more often true is that specialization in a sport that is too early and too intense stunts a young person’s physical literacy, which often leads to less well-rounded athletic ability, a more sedentary lifestyle and poorer health in later life.

The theme of the Task Force recommendations to the MHSAA so far is that we have to reach youth and their parents earlier in life if we hope to compete for their hearts and minds.

When 80 percent of youth drop out of organized sports by the age of 13 – usually because they have been left out or become burned out – we’ve missed the kickoff if we start talking to them in 9th grade about the benefits of multi-sport participation and the school sport experience. In fact, the game is more than half over by then and our messages fall on deaf ears. We are absolutely correct with our message but appear out of step and out of touch to those who have only heard the sports specialization speech from youth coaches and their commercial interests.