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.

Girls, Boys and Concussions

September 13, 2016

On Monday the Michigan High School Athletic Association announced the major findings from the first year that member high schools were required to report all suspected concussions in the practices and competitions conducted in the 28 sports served by the MHSAA.

It surprises no one that 11-player and 8-player football ranked first and third, with 49 and 34 head injuries per thousand participants, respectively.

And while I’m told it’s not surprising to the experts that girls report more head injuries than boys, it is stunning to me how very many more head injuries are reported for girls than boys.

In sports with identical playing rules, girls reported head injuries with approximately twice the frequency that boys did.

In soccer, girls reported 30 head injuries per 1,000 participants, compared to 18 per 1,000 for boys.

In basketball, girls reported 29 head injuries per 1,000 participants, compared to only 11 per 1,000 for boys.

Girls reported concussions at the rate of 11 per 1,000 participants in softball, while boys reported just 4 per 1,000 in baseball.

Only a small percentage of either girls or boys were cleared by licensed medical personnel to return to activity in less than six days, and more than half were withheld between six and 15 days in soccer and basketball. The data suggests that clearance for girls to be returned to activity was slightly more gradual than it was for boys.

Researchers and reporters may find dozens of other observations and curiosities from the summary of 4,452 confirmed head injury reports submitted by the MHSAA’s 755 member high schools for MHSAA-supported sports in 2015-16; but what has the MHSAA’s attention is this giant gender difference.

Is this gender difference accurate, and if so, what are the physiological factors involved that make it so?

Is there a tendency for over-reporting by females, or under-reporting by males, and if so, what are the social and/or psychological factors that may cause this?

Regardless, what does this mean for how coaches work with boys and girls; and what does that mean for how we prepare coaches through the MHSAA Coaches Advancement Program?

The MHSAA will take to an even deeper level its nearly 30-year partnership with the Institute for the Study of Youth Sports at Michigan State University to explore the issues related to coaches education that have emerged as a result of the first year of mandated concussion reporting for Michigan high schools.

The 2015-16 school year was only a start; it identified some initial themes. The more important value will be realized after the 2016-17 school year, and subsequent school years, when year-over-year comparisons will be made and trends will become apparent that will demand action to further promote the welfare of participants in school-sponsored sports.