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.

Soccer Head Games

September 1, 2015

I have been trying to get our soccer purists in Michigan to consider – to at least talk about – less head-to-ball contact – at least at the junior high/middle school level. I’ve had very little success. Apparently I lack credentials to offer suggestions about the “beautiful game.”

Recently, people who do have the credentials that I apparently lack have given credibility to my concerns, including a host of former World Cup champions led by Brandi Chastain, who are supporting Safer Soccer which says banning heading for participants under 14 years old (especially females) is a “no brainer.”

Launched in 2014 by Sports Legacy Institute and the Santa Clara University Institute of Sports Law and Ethics, the goal of Safer Soccer is to educate the soccer community that delaying heading until age 14 or high school “would eliminate the No. 1 cause of concussions in middle school soccer and is in the best interest of youth soccer players.”

The danger is both in the head-to-ball contact and the head-to-head contact by two players competing to head the ball.

There are legitimate differences of opinion on this topic, as well as absurd claims of some that this campaign is intended to give back the hard-fought gains of women in sports, and equally bizarre blather of others that this is intended to keep the sport of soccer in a place of secondary profile in the U.S. If we can get past that nonsense, perhaps then we can have an adult debate about children’s health.