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.

Multi-Sport Imperative

September 15, 2015

During all my years administering school sports programs, my colleagues in this work here and across the U.S. and I have criticized sports specialization for young athletes; but until very recently it seemed the only people who agreed with us were ourselves.

Each single-sport organization promoted its own sport, and coaches of those sports tended to pressure athletes to focus on a single sport early in life and eventually exclusively. Parents bought into the fantasy that this early single-mindedness was the key to a college athletic scholarship and even a professional sports career.

While we spoke of a high-minded philosophy, on the local level, as a practical matter, more and more coaches and athletes were pursuing an ever-narrower sports experience. Until now.

Starting very recently, the conversation has changed, or at least it’s been joined by new voices. We’ve learned that Big Ten football coaches favor recruits who play more than football in high school. We’ve learned that our fantastic Women’s World Cup Soccer champions were almost all multiple-sport athletes in secondary school. We’ve learned that the hottest young U.S. golfer on the Men’s PGA Tour was a multiple-sport enthusiast in his teens. We’ve seen a half-dozen high profile sports executives with school-aged children advocate for a more balanced experience for their kids. And now we see several dozen amateur and professional sports organizations have joined a campaign to oppose the negative trends in youth sports and to promote a more balanced, healthier sports experience for children and adolescents.

And there it is – a healthier experience. Suddenly, our philosophy that multiple-sport participation is better for youth than sport specialization has been made a health and safety issue, which we’ve known all along but have not emphasized enough.

Now, with attention to over-use injuries and burnout, sport specialization has become a health and safety crisis on the level of concussions, heat illness and sudden cardiac arrest. Multi-sport participation has become a health and safety imperative. A matter of good public policy.

We need to catch and ride this wave for all it’s worth. In the same way the environmental movement catches fire when presented as a human rights issue – that people everywhere have a basic right to clean air and water – we must present sport specialization as a threat to young persons’ health and safety – a risk as great as head trauma, heat illness and heart failure, requiring the kind of bold policies and programs we’ve implemented in recent years to address those equally serious problems.