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 –

  • 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.

  • 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 –

  • 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.)

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.