Straight Talk on Head Trauma
May 6, 2013
Bill Heinz is the handsome square-jawed, plain-speaking medical orthopedist from Maine who chairs the Sports Medicine Advisory Committee of the National Federation of State High school Associations. Here, in my words, is what Dr. Heinz had to say about concussions last month in Indianapolis in a ballroom full of staff members and attorneys for statewide athletic associations from across the United States.
About Prevention –
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No equipment can prevent concussions in any sport. What can reduce such head trauma is to diminish the frequency and severity of contact to the head.
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In football, that requires officials’ strict enforcement of current rules, coaches’ teaching of blocking and tackling consistent with those rules, and rules makers’ continuing search for ways to reduce the frequency of the game’s most dangerous situations.
About Aftercare –
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No pharmaceutical remedy exists for concussions. The remedy is time. Only complete rest – from both academic and athletic activity – begins the recovery process; and then return to such activity must be gradual, and under the care of trained health care professionals.
That has been and will continue to be our message to our constituents in Michigan.
(Click here for our recent communication reinforcing the state laws that take effect in Michigan on June 30, 2013.)
Best Practices
June 28, 2016
Two-thirds of concussions reported in Michigan high school football last fall occurred in games. Even though there are at least five times more hours of exposure during practices than games, there are half as many concussions during practice, according to the mandated concussion reporting requirement of the Michigan High School Athletic Association that is unmatched in the country in terms of its depth and breadth for a statewide requirement.
Michigan was among the handful of states to restrict contact in practice, in 2014, a full season prior to recommendations from the National Federation of State High School Associations and later action by most other statewide associations.
Some of those statewide organizations continue to operate without limitation on contact in football practices, while their counterpart organizations in other states have gone so far as to limit contact to a certain number of minutes in a day and/or week.
Entering mostly uncharted waters for high school football in early 2014, an MHSAA task force recommended that the number of practices be limited where collisions between players could occur – no more than one per day during preseason, no more than two per week after the first game.
This change was embraced by this state’s football coaches association and adopted by the MHSAA Representative Council. All parties liked the ease of administration of this policy, and all distrusted the idea of limiting the number of minutes of contact during practices.
If there is a 30-minute limit on contact in a day or a 90-minute limit on contact in a week, is it the same 30-minute or 90-minute period for all players, even if many are not involved in one or more of the contact drills? Or does the limit apply to each player individually; and if so, how is that tracked, and by whom?
These and other questions made coaches and administrators question how effective a limit on minutes might really be. Nevertheless, a 90-minute per week limit during regular season has been made an MHSAA recommendation for the 2016 season. This will provide an opportunity to address and possibly answer some of the questions that have been raised.
The MHSAA will survey schools this fall about their practice plans and the actual time spent in contact drills by players, assessing how that differs according to offense, defense, player position and grade in school, and determining best practices for how to track player contact minutes.
When Michigan acted in 2014 to limit contact in practice, it was one of the first states to do so. As Michigan takes additional steps to limit contact in practice, it will be one of the first states to do so after researching the best ways to actually do it.