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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.

The Fun Factor

November 14, 2014

My experience with school-age young people is that what they seek most from sports participation is fun and friends. More sophisticated research from many sources consistently has affirmed my less formal findings.
The Journal of Physical Activity & Health added a July study to the body of research. This work was conducted by George Washington University in Washington, DC, and focused on organized soccer.
What was so surprising about this study is not that winning was not at the top of the list of what makes sports enjoyable for youth, but that winning ranked 48th of 81 factors measured. Winning didn’t even make it in the top half!
The lead author of the study, Associate Professor of Sports Psychology Amanda Visek, was quoted by the Chicago Tribune to say “the fun experience is not determined by the result of a game but rather by the process of physically engaging in the game.”
Tribune writer Danielle Braff quotes this research and other expert commentary that coalesces around the consensus that it is parents, not athletes or coaches, who are most hung up on the outcome of the game, as well as the issues that create the pressure on young people that ruins the pleasure of play: position, playing time and prospects of making an elite team or earning a college scholarship.
That’s the stuff parents worry about much more than their kids. And, according to a growing body of research, some of which we've cited in this space before, that’s the stuff that causes many kids to quit organized sports. It’s not fun anymore.