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It’s a Blizzard

March 18, 2015

Like the good people in Boston and other eastern cities and towns who couldn’t find anywhere to put all the snow they were getting this past winter, those in charge of school sports can’t find anywhere to put all the advice and expertise pouring down on us. We are well beyond the tipping point between too little and too much information regarding concussions.

In one stack before me are different descriptions of concussion signs and symptoms. I could go with a list as short as five symptoms or as long as 15.

In a second stack before me are different sideline detection solutions – tests that take 20 seconds to more than 20 minutes, some that require annual preliminary testing and others that do not.

In a third stack are a variety of return-to-play or return-to-learn protocols, ranging from a half-dozen steps to more than twice that number.

When I read that the National Football League, with all of its resources, was “overwhelmed by all of the expert opinion right now,” I was not comforted.
We have to cut through the clutter and provide our constituents clear and concise recommendations for the efficient education of coaches, student-athletes, parents and others; for electronic sideline detection solutions that are not only quick and effective in assessing injuries but also provide immediate reports and permanent records of concussions; and for protocols that place return to play well behind return to practice and further behind return to learn.

Specialization Risks

July 21, 2014

Another informed and influential voice has joined our frequent refrain that sports specialization is rarely in a student’s best interest.

David Epstein, author of The Sports Gene, offered an opinion piece for the New York Times last month that “hyper-specialization . . . is both dangerous and counterproductive.”

Epstein described the results of a three-year study at Loyola University of Chicago that found highly specialized youth had a 36 percent increased risk of suffering a serious overuse injury, including “stress fractures in their backs, arms and legs; damage to elbow ligaments; and cracks in the cartilage in their joints.”

Epstein continued: “Because families with greater financial resources were better able to facilitate the travel and private coaching that specialization requires, socio-economic status turned up as a positive predictor of serious injury.”

“In case health risks alone aren't reason enough for parents to ignore the siren call of specialization,” wrote Epstein, “diversification also provides performance benefits.” He cited “better learning of motor and anticipatory skills – the unconscious ability to read bodies and game situations – to other sports. They take less time to master the sport they ultimately choose.”