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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.

A Dedicated Downtime

November 7, 2014

Those who administer, coach or play school sports have become familiar with the phrase “downtime” to describe that period just before a season when coaches are not allowed to assemble players for activities that look too much like practice being conducted before the earliest practice of the season is allowed by rule.
In school sports, therefore, we often consider the downtime as a time to do less as teams – less than during the season, and even less than what is allowed teams during most of the offseason. If student-athletes are going to prepare for the upcoming season, they do so more as individuals than as organized teams during the brief preseason downtime.
In this we might look to the arts and literature for assistance; for it is in the downtime – the time away, on one’s own – that many artists, writers and other creative types have found their inspiration for excellence.
In Daily Rituals: How Artists Work, author Mason Currey describes the working habits of 160 creative thinkers. A common theme is the time these people demanded to be away from others to walk, sit and ponder. To wonder. To work through obstacles that seemed to be blocking their progress.
This is an imperfect analogy for student-athletes and school coaches, but it’s still instructive. In fact, a disconnected downtime – one without television, texting, tweeting and team drills, but with time and space to earnestly assess strengths and address weaknesses – might be central to an effective prescription for the upcoming season.