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.
Prevention Progression
June 28, 2015
The starting point for concussion care is prevention; and when we talk about prevention of concussions we must include education, equipment and enforcement.
Education is a shared responsibility of all who conduct and coach athletic programs; and the vital information about prevention, recognition, after-care and recovery needs to reach every player, their parents and all coaches.
Equipment is mainly the responsibility of those who make the protective gear and of those who make the rules specifications for that gear, but there are important responsibilities at more local levels. For example, to make sure what schools purchase and provide to players meets rules requirements, gets reconditioned as needed and fits properly. In football, for example, the fit of the helmet is much more important than its price ... fit at the start of the season and checked throughout the season.
As with education and equipment, enforcement is also a shared responsibility. In football it includes local enforcement of the 2014 football practice rules that have reduced collision practices; and in contests it means contest officials’ enforcement of the strongest set of safety rules in the game’s history.
In all sports, officials are to err on the side of safety; and when they do, the MHSAA will have their backs. Local school administrators and coaches should too.