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.
Concussion Story
March 22, 2016
“The national narrative is not our story.” That’s been the mindset of the Michigan High School Athletic Association on many sports issues; and it’s never been more necessary than now, on the topic of concussions.
Hollywood’s December release of the movie “Concussion” and revelation after revelation of diseased NFL veterans tend to condemn professional football. But, in spite of its bad press, the NFL product roars on, setting records for its reach and revenue. Apparently the NFL is “too big to fail,” so critics of football attack an easier target – amateur, and especially, youth football. Other critics call for an end to football but swallow their whistle regarding boxing and even more barbaric ultimate fighting.
In sharp contrast, we hope, to the hypocrisy of the national narrative is the story of school sports in Michigan. We cannot speak for levels above or below us, but school-sponsored football has never been safer, for obvious reasons – the equipment has never been more protective; coaches have never received more health and safety training; playing rules have never been more safety-oriented; and officials have never had more authority to penalize unsafe play.
But in our story, football is not the only topic. Our health and safety narrative addresses all sports and both genders; and the 2015-16 school year provides three significant examples.
Mandated Concussion Reports – The MHSAA required for the first time this year that member high schools report possible concussions by their student-athletes. This is in all sports, both practice and competition, for both girls and boys. While reports are tentative for winter sports and it’s very early in the spring sports season, it is likely that in each case it will be a girls sport that has the most concussions, underscoring that school sports must be concerned about concussions in all sports and both genders.
Sideline Concussion Detection – The MHSAA last fall became the first state association to offer pilot sideline concussion testing, with 62 schools taking part in one of two programs. Among the objectives of the pilot programs was to increase awareness of concussions and improve sideline detection; and preliminary results indicate that the average number of possible concussions reported by pilot schools exceeds the average reported by schools outside the pilot group.
Concussion Care Insurance – The MHSAA also is the first state association to provide all participants at every member high school and junior high/middle school with insurance intended to pay accident medical expense benefits – covering deductibles and co-pays left unpaid by other policies – resulting from head injuries sustained during school practices or competitions. This coverage is at no cost to either schools or families.
While the insurance program will produce additional data about the frequency and severity of head injuries, the principal purpose of this initiative is to assure that families with no insurance, or insurance with high deductibles or co-pays, will not delay in seeking prompt, professional medical attention if their child shows signs of concussion after a practice or competition.
Again, this insurance is for all sports, both practice and competition, for both boys and girls; and it’s for all MHSAA member schools, grades 7 through 12. It will apply to the 6th grade for those school districts which join the MHSAA at the 6th-grade level, which is possible for the first time in 2016-17.