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.
A Pitcher’s Prescription
August 3, 2015
One of our community’s local heroes who has really lived up to his hype is John Smoltz, a three-sport standout in high school who was recently inducted into Major League Baseball’s Hall of Fame in Cooperstown, New York.
Michigan’s climate and Smoltz’s passion for other sports than baseball kept him from throwing so much, so early and so often that he was able to bring a lively arm into the major leagues. Nevertheless, he needed “Tommy John” surgery to repair damage to his arm, like an increasing number of baseball pitchers today.
Smoltz, who had his surgery in 2000, told USA Today recently: “We’ve asked kids to do too much, too early, and at a high velocity at a young age, and you’re just not able to handle that over time. It’s like RPM-ing your car. If you redline it enough, you’re going to blow your engine.”
The new Hall of Famer is using this high-profile platform to ask parents to stop their kids from playing year-round baseball. Like famed orthopedist James Andrews, Smoltz is recommending players take a vacation from baseball for two to four months every year.
So, those non-school fall baseball leagues we’re now seeing crop up for high school age players? After a spring and summer of ball, most high school players probably need a rest from baseball and would benefit much more from playing a school-sponsored sport in the autumn: cross country, football, soccer, tennis.
Developing skills in other sports and camaraderie with other students is a healthier prescription than year-round baseball.