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.

Better Business

June 10, 2016

Maybe someday corporations that are generating increasing revenue by wringing money out of a decreasingly active population will realize that it would be a better business plan to promote more physical activity among what has now become the majority of young people – those who are not frequently active.

I am encouraged that “someday” may be coming soon when the symbol of business – The Wall Street Journal – features an article on the dangers of sport specialization that is too early and intense. The article promotes the benefits of balanced participation among youth.

In the May 17 issue, author Ben Cohen wrote this about NBA MVP Stephen Curry:

“Curry is already the most popular NBA player among kids. His approval ratings these days are close to ice cream’s. There was once a time when children wanted to be like Michael Jordan. Now they want to be Curry. But following his example doesn’t mean they have to grow up as the best shooter who ever lived. It may be as simple as dabbling in other sports when they’re still young.

“That’s because Curry is also the poster child for a saner approach to youth athletics. In an age of hyper-specialization, Curry has reached the pinnacle of his sport by doing the exact opposite. He played basketball, but he also played some baseball, football, soccer and basically everything else in a sport buffet. What worked for Curry, experts say, could work for everyone.

“As sports scientists continue to study how elite athletes develop, many of them have come to the conclusion that early specialization is the wrong approach. In the last five years, the American Medical Society for Sports Medicine, the American Academy of Pediatrics and the International Olympic Committee have published research supporting the position that children should sample different sports, rather than picking one too early.

“They have found that specializing in one sport at a young age is unnecessary and may even be unhelpful. Early focus on one sport – and only one sport – can increase the risk of overuse injuries and raise the potential for burnout. It also robs impressionable athletes of a diversity of experiences that can benefit them as they develop both as athletes and adults. The final argument against specialization may be the most obvious of them all: It’s not as fun.”

There’s much more to what Cohen writes, and we have posted on our Health & Safety page. Here is the link.