Health & Safety Journey

September 30, 2014

The Michigan High school Athletic Association is a bit more than halfway through an eight-year effort to shine the light on, and provide leadership for, four health and safety issues for school sports.
Four and five years ago our health and safety focus was adding more health history to the preparticipation physical examination process and printed forms. With the essential assistance of the Michigan Department of Community Health, this was done, and it earned widespread, positive reaction from Michigan’s diverse medical community.
Two and three years ago our focus was the head; and our early adoption of an all-sports return-to-play protocol after concussion symptoms became a national model.
Last year and this, heat and hydration has been the focus. The MHSAA imposed on its own tournaments, and recommended for member schools’ practices and contests, policies to manage heat and humidity that include a reduction or modification of activities when the heat index reaches a certain level and cessation of all activities when the heat index reaches an even higher level.
Next school year and in 2016-17 the focus will be the fourth “H”: hearts. Tests for heart defects are expensive and results are often misleading, and the triggers of sudden cardiac arrest are unpredictable. Therefore, we will be pointing to the two actions medical authorities appear to agree upon most: (1) the need for planned and practiced emergency procedures, and (2) the need to have AEDs nearby, in good working order.
We urge MHSAA member schools not to wait for the MHSAA focus to make this a local school focus, and we recommend the MI HEARTSafe Schools initiative. See the HeartSafe Action Plan or the HeartSafe School information for details.

Reality Check

July 29, 2016

In Garrison Keillor’s fictional Lake Wobegon, Minnesota, “all the children are above average.” The greater fiction is that most parents believe their children are way above average, especially when it comes to sports. On that topic most parents are badly in need of a reality check.

A colleague at the MHSAA showed me a letter from the CEO of the Amateur Athletic Union to my colleague’s eight-year-old daughter announcing that she had been selected for a national publication that would identify the brightest future stars of women’s basketball, for a fee of course. A scam certainly; but how many other people might be taken in by this, or contribute to it “just in case” because they wouldn’t want to do anything to discourage their child’s ascension to stardom?

The MHSAA’s Task Force on Multi-Sport Participation has identified delusional parents as one of the greatest contributors to athletic specialization that is too early and intense, forcing some children out of sports too soon and leading them toward a life of inactivity and obesity, while leading the chosen youth toward overuse injuries that can be equally damaging to adult fitness.

This task force is developing strategies to help inform parents of elementary children that their children will almost certainly not participate in either college or professional sports but, with adequate attention to physical fitness, nutrition and sports sampling, most children can be involved in interscholastic athletics and remain active and fit for life after high school.

Among several task force strategies are a “Reality Check” video for parent meetings and printed pieces on “What Parents Should Know” with units by medical personnel, physical educators and coaches.

These efforts won’t change the world. They are, however, a small part of what we can do, have an obligation to do and will do to promote the health and safety of this and the next generation of young people.