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.)
Internal Medicine
March 20, 2018
When I express concerns for the health of high school basketball, I’m not confusing our problems with the corruption of major college men’s basketball that is under investigation by the Federal Bureau of Investigation. Yes, there are some tentacles that reach us, and taint us; but the problems that plague us most are more basic and local.
The concerns I have for high school basketball are captured in scenes that play out much too often across the membership of the Michigan High School Athletic Association. For example:
- Declining participation, with JV and varsity rosters too small to practice 5-on-5 at either level.
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Increasing forfeits.
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Ugly mismatches, with scores so lopsided that it is hard to imagine much teaching or learning can occur.
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Starters transferring; reserves dropping out.
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Confrontations between parents and coaches.
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Faculty coaches becoming a vanishing breed.
These kinds of concerns do not flow from the top down – we can’t blame these issues on the NCAA and NBA. No, our more persistent and perplexing problems percolate up from the youth level.
Often the students who come to our programs have participated in youth sports programs for five to 10 years before they join a school team. They arrive with expectations that often differ from what is intended for school-based programs. They’ve been in a different environment; they have different expectations.
And much of what is coming with youth sports begins to infect school sports.
There is no vaccination that will be 100 percent effective in immunizing us. There is no single solution that can quickly reverse these negative trends in school-based basketball and other school sports. The efforts must be systemic and long-term. And among the efforts that must be made are these
- More attention to coaches education – every coach, every year – where the ethics of educational athletics and the meaning of success in school sports provide the core of the curriculum; and
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More attention to junior high/middle schools – more opportunities for 6th- through 8th-graders to sample school sports and to savor an experience that puts team before individual and learning ahead of winning.