Improving Concussion Data
August 18, 2017
The Michigan High School Athletic Association’s 750 member high schools reported nearly 500 fewer concussions for the 2016-17 school year than the year before – 11 percent fewer.
That’s good news, but it’s not a trend we can bank on. It’s too soon to do that. There are too many variables that might explain or contribute to the decline from 4,452 to 3,958 concussions.
Related Story | 2016-17 Summary Report
But of this we are certain: Schools are taking head injuries seriously. It is not a lack of concern or a lack of care in reporting that has led to the 11 percent decline.
It’s more likely the second year’s data is just better than the first year. The process was better understood. The numbers are more accurate.
Our data will become most reliable and useful when we have several years to compare and analyze. Only then will we really know where the trouble spots remain; and only then can those areas be most effectively addressed.
School Sports’ Influence
June 20, 2017
As I sat a year ago in an audience consisting of my colleagues from across the U.S., I shared the general frustration – or perhaps it was exhaustion – when a veteran member of our national sports medicine advisory committee discussed the role of high school sports leaders in addressing what he said posed the greatest threat to students.
That threat was nothing we had been working on so very hard for so very long. It wasn’t heads, heat or hearts. Not extreme weight loss in wrestling or, increasingly, in other sports. Not communicable diseases, especially in wrestling. It wasn’t specialization. Not performance enhancing drugs.
He reported that the greatest threat is accidents. Away from the practice and competition venues, and especially traffic accidents. He wondered what our role should be.
He acknowledged much we’ve done regarding so many issues in the past, and all the newer issues – such as opioid addiction, depression and suicide – that are pressing for our attention; but he said it was the same issue today that it has been for decades that most threatens students. Accidents. Especially automobile accidents.
He admitted that the time and place of this threat was not under the control of athletic coaches and administrators. But his point was that the time and place is still under the influence of coaches and administrators.
Say all you want that school sports is irrelevant in this age of video games and ubiquitous non-school sports. This physician knows the score. He knows that school sports still matters mightily to kids, and that those in charge of local school sports programs still yield great power over young people.
Pick a problem – almost any problem – and people want school sports to address it. From bullying to bulimia, from obesity to overuse injuries. It is unfair to ask us to do all this, especially when funding for school sports is considered a frill in so many places.
But it’s a heck of an honor to work in an area where people think we’re the solution, or at least a deterrent. So we keep trying.