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.
Early Results
May 17, 2016
On May 3 we released a preliminary summation of results of winter season concussions reported by Michigan High School Athletic Association member schools. It was reported that 48 percent of the concussions reported were to female athletes, who make up only 38 percent of all winter season participants.
We will be digging deeper into the reports and providing a more comprehensive summary for all three seasons – fall, winter and spring; but we already see one suspected theme is being confirmed: more concussions reported for girls than for boys.
Even though girls’ participation in basketball is 36 percent lower than boys in MHSAA member high schools, there were 88 percent more concussions reported for girls than boys in that sport this past season.
We hope that researchers will step forward to inquire into the physiological, psychological, social and other reasons for the significant disparity in concussions reported by males and females; and perhaps they will be able to suggest what administrators, coaches, rule-makers and others might do in response to that research.
We expect that other themes suggested by the data from this first-year reporting requirement and then year-over-year comparisons will create interest in other research, all of which will help make school sports an even healthier experience for boys and girls than it already is.