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.

A Pitcher’s Prescription

August 3, 2015

One of our community’s local heroes who has really lived up to his hype is John Smoltz, a three-sport standout in high school who was recently inducted into Major League Baseball’s Hall of Fame in Cooperstown, New York.

Michigan’s climate and Smoltz’s passion for other sports than baseball kept him from throwing so much, so early and so often that he was able to bring a lively arm into the major leagues. Nevertheless, he needed “Tommy John” surgery to repair damage to his arm, like an increasing number of baseball pitchers today.

Smoltz, who had his surgery in 2000, told USA Today recently: “We’ve asked kids to do too much, too early, and at a high velocity at a young age, and you’re just not able to handle that over time. It’s like RPM-ing your car. If you redline it enough, you’re going to blow your engine.”

The new Hall of Famer is using this high-profile platform to ask parents to stop their kids from playing year-round baseball. Like famed orthopedist James Andrews, Smoltz is recommending players take a vacation from baseball for two to four months every year.

So, those non-school fall baseball leagues we’re now seeing crop up for high school age players? After a spring and summer of ball, most high school players probably need a rest from baseball and would benefit much more from playing a school-sponsored sport in the autumn: cross country, football, soccer, tennis.

Developing skills in other sports and camaraderie with other students is a healthier prescription than year-round baseball.