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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.

Mounting Evidence

October 10, 2014

On three occasions over the last three months alone, I’ve posted opinions and statistics about the downsides of sports specialization, often citing the work and words of others because, frankly, I’m expected to oppose sports specialization – it’s in my DNA and job description – and anyway, the experts always come from some other place.
  • On July 15 (“Misspent Money”), the Chicago Tribune’s William Hageman was the reporter and Utah State University provided the research. The message was that sports specialization is a serious waste of family resources.

  • On July 18 (“Specialization Risks”), the renowned David Epstein was the writer and Loyola University of Chicago provided the work. The message was that serious health risks make specialization counterproductive to successful sports careers.

  • On Sept. 5 (“More Than a Myth”), I reported that the Lansing State Journal picked a three-sport male and four-sport female as its 2013-14 high school athletes of the year – practical proof that the reports of the death of the multi-sport athlete are greatly exaggerated.

Last month, Athletic Business recalled its August 2013 interview with the often quoted Dr. James Andrews, the orthopedic surgeon and injury consultant and author of “Any Given Monday: Sports Injuries and How to Prevent Them for Athletes, Parents and Coaches – Based on My Life in Sports Medicine.” In this interview, Dr. Andrews reiterated his earlier statements (some quoted in earlier postings here) that there is a “dramatic increase in overuse injuries ... due in large part to kids participating in one sport all year ...”

Athletic Business editor-in-chief Dennis Van Milligen added in his September 2014 editorial:

“Parents are ‘investing’ outrageous amounts of money into their children’s athletic development, because the fear is that they will not reach the level they need to without specialization, a notion constantly disproved.”

For multiple reasons, the multiple-sport experience is best. We must strive continually to make that experience possible for most of our student-athletes.