Concussion Testing Pilots Kick Off Fall
August 4, 2015
By Geoff Kimmerly
Second Half editor
The Michigan High School Athletic Association kicked off the 2015-16 school year Monday by hosting 70 member high schools for training in two pilot sideline concussion testing programs aimed at assisting in decision-making regarding the removal of athletes from activity after possible concussion events and record-keeping of those events beginning this fall.
Illinois-based King-Devick Test and Maryland-based XLNTbrain Sport each will be used to monitor approximately 10,000 Michigan high school student-athletes drawn from schools representing all four classes and a variety of regions statewide.
The pilot programs are part of a three-pronged advance by the MHSAA in concussion care this fall. In addition to becoming the first state association to offer pilot sideline concussion testing, the MHSAA will be the first to mandate record-keeping by member schools of all possible concussion events from detection to an athlete’s return to play. The requirement applies to both practices and events, all levels of all sports in grades 7 through 12.
The MHSAA also this fall is the first state association to provide all participants at every MHSAA 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 concussions sustained during MHSAA practices or competitions. There is no cost to either schools or families.
“These pilot programs are intended to not only improve what’s actually happening on the sidelines at practices and contests in these communities that are part of the pilot programs, they’re intended to spread the word of the need for improved concussion detection across every community,” MHSAA Executive Director John E. “Jack” Roberts said. “We hope these schools involved will become involved in their leagues and conferences and with their peers across the state as we expand the awareness of the need for better sideline detection and provide ways to get it done.”
The MHSAA asked schools at the end of this spring to volunteer for the pilot programs and then selected participants in order to guarantee a variety of schools based on enrollment and location. Schools are committed to involving at least two sports for each gender each season.
Schools participating in the XLNTbrain Sport pilot program are: Adrian, Adrian Madison, AuGres-Sims, Bay City Central, Bear Lake, Brethren, Belding, Birmingham Groves, Brighton, Chesaning, Corunna, Detroit Collegiate Prep, East Kentwood, Fennville, Fowlerville, Gibraltar Carlson, Grand Rapids Christian, Grandville, Greenville, Grosse Ile, Hamilton, Harrison Township L’Anse Creuse, Hazel Park, Kalamazoo Christian, Lansing Christian, Macomb L’Anse Creuse North, Owosso, Pewamo-Westphalia, Portland, Reese, Rochester Hills Lutheran Northwest, St. Clair Shores Lakeview, St. Johns, Stanton Central Montcalm, Vermontville Maple Valley, West Bloomfield and Wyoming Kelloggsville.
Schools participating in the King-Devick Test pilot are: Bay City Western, Benton Harbor, Buchanan, Calumet, Caro, Caseville, Detroit Cody, Detroit Martin Luther King, Fenton, Flint Kearsley, Frankenmuth, Fruitport, Garden City, Grand Ledge, Grand Rapids Northview, Lake Leelanau St. Mary, Lake Linden-Hubbell, Lincoln Alcona, Midland Bullock Creek, Montague, Muskegon, Niles, Pontiac Notre Dame Prep, Romeo, Saginaw Heritage, Scottville Mason County Central, Shelby, St. Charles, St. Joseph, Tawas, Vicksburg, Whitehall and Yale.
The King-Devick Test is a rapid eye movement screening evaluation that requires athletes to read single-digit numbers displayed on a tablet computer in order to detect impairments of eye movement, attention, language, concentration and other symptoms of abnormal brain function. The test has been validated in more than 50 recent peer reviewed articles published in elite medical journals and is associated with the Mayo Clinic.
The test is administered on the sidelines during evaluations for suspected head injuries, and the post-injury results are then compared to an athlete’s preseason baseline. Any worsening of performance (increased time and/or errors) suggests a concussion has occurred and the athlete should be “removed from play” for further evaluation.
“The first and most critical step in managing concussion in the youth athlete is to recognize when one has occurred – not always a simple task,” said Dr. David Dodick, professor of neurology and director of sports concussion services at the Mayo Clinic. “The King-Devick test helps take the guesswork and subjectivity out of the sideline evaluation in a rapid, accurate, and objective way.”
XLNTbrain Sport includes balance and web-based neuro-cognitive tests also used before the start of a season to create a baseline measurement of reaction time, attention, inhibition, impulsivity, memory, information processing efficiency and executive function. The test also assesses mood, anxiety, stress and emotionality.
After a possible head injury, a sideline assessment is done using a smartphone or tablet with those results then compared with the athlete’s baseline measurements. The program documents the severity of a concussion, provides a guide for on-the-field decision making regarding treatment and recovery time and can report results via email to parents, coaches, training staff and medical professionals.
Dr. Harry Kerasidis, who designed the XLNTbrain Sport software, presented at the Coalition for Concussion Treatment Summit at the United Nations building in 2014.
“We included an objective balance test that relies on smartphone accelerometer technology which is effective in the field during practice and game situations,” Kerasidis said. “Should a concussion injury be suspected, the system automatically generates a notification to parents and medical professionals and creates a recovery protocol and post-injury tracking so the right people can monitor the athlete’s progress. Then, the system assists medical professionals with the all-important return-to-learn and return-to-play clearance.”
Click for information on XLNTbrain Sport. Click for information on the King-Devick Test.
For more on Health & Safety, including preseason physical examination, hydration and cardiovascular resources in addition to concussion information and online training sessions, visit the MHSAA’s redesigned Health & Safety web page.
PHOTOS: (Top) Saginaw Heritage athletic director Peter Ryan (right) is administered the King-Devick baseline test by K-D's Samantha Figueroa. (Middle) XLNTbrain Sport creater Dr. Harry Kerasidis provides insight on his program to those being trained to use it Monday.
'Distinguished' Garvey Serves Hackett Well
By
Pam Shebest
Special for MHSAA.com
March 28, 2017
KALAMAZOO — Mike Garvey’s high school sports career took him to Switzerland, England, West Germany, Belgium and France.
As unorthodox as that was, it set the foundation for his life’s work as a director of athletics, currently at Kalamazoo Hackett Catholic Prep.
For his work in high school athletics, Garvey has a collection of honors and awards, including his latest: a 2016 National Interscholastic Athletic Administrators Association Distinguished Service Award, presented at the national banquet in Nashville, Tenn., in December.
“It was pretty neat,” said Garvey, who prefers talking about his coaches and athletes instead of himself.
“I don’t have a job; I have a mission and my mission is to serve the kids, which is really why this one means so much to me, because it’s a distinguished service award.”
The award, based on service to the NIAAA and interscholastic athletics at the local, state and national levels, followed his 2015 Allen W. Bush Award from the MHSAA for “giving and serving without a lot of attention,” he said. “Mr. Quiet and Humble,” he added with a laugh.
“While Mike’s first priority is at his school and the students there, he involves himself in league, state and national organizations, sharing his knowledge and experience with others so they can become better at what they do,” said Gary Ellis, athletic director at Allegan High School for 17 years before retiring in 2013.
“His willingness to mentor others has had a positive effect on many districts within his conference and throughout the state.”
Coaches enjoy working with Garvey, said Jesse Brown, who is starting his 12th season as Hackett’s head baseball coach.
“The great thing about Mike is that he is focused on the kids first,” Brown said. “As a coach, we put kids first. It puts us on the same page immediately.
“It’s that relationship building he has, even with his coaches. I look at him as a mentor for me. He’s very, very open and is willing to help you grow. He pushes you to do that, too.”
With none of 27 varsity head coaches working in the building, Garvey has an interesting dynamic, keeping in touch with them through emails or phone calls when they are not on campus.
“We have an awesome staff here, and that makes my life easier,” Garvey said. “Our head coaches own their programs. I tell them, ‘If I wanted to be the head coach in your sport, I would have hired me. So go run it.’ I think they like that.”
Garvey recently finished his term as the liaison between the state and national associations, and he is MIAAA coordinator for leadership training.
At the national level, he teaches “Coaching for Character,” starting each class with a quip: “‘I thought this class was characters in coaching.”
New initiatives at Hackett
Garvey was instrumental in starting two initiatives for athletes at Hackett: The Captains Clinic and, this year, an award called Scholar Athletic of Distinction.
He instituted the clinic because with no varsity head coaches in the building, “I felt like throughout my career, I watched coaches and their captains but it really didn’t mean anything,” he said.
“You’re the most popular kid, and you’re going to get one of those little captain’s bars at the end of the season. That wasn’t good enough.”
The clinic is a three-hour session and this year totaled 57 athletes. Any captains who do not attend lose that status.
“This year, we talked about what it means to be a good teammate,” he said. “They appreciated the pizza at the end. Free T-shirt and pizza; I got kids right there.”
Sophomore Natalie Toweson not only attended the clinic but helped design the T-shirts.
“His big thing is quotes,” Toweson said of Garvey. “I think I learned a lot from seeing other leaders and what they take out of certain situations. He has senior captains come in and share their experiences and how you can follow their lead because they’re really big role models to the underclassmen.
“Mr. Garvey brings a lot of energy and experience. He gives us new experiences, like playing Class A schools we’ve never played before, but is also very supportive and is at every game he can be.”
For the scholar-athlete award, Garvey has a rubric where athletes get points for years on freshman, junior varsity and varsity teams; bonus points for extra service hours, a higher GPA, all-conference, serving as captains and captains clinics attended.
Long way back to Michigan
Growing up in Detroit, Garvey attended Catholic schools, but during his first month as a freshman at Birmingham Brother Rice, his father was transferred to Geneva, Switzerland, for his work with Chrysler.
Mike’s sophomore year, his dad was transferred to the office in London, where Garvey honed his athletic skills.
“I was in an American school, so we did have sports,” he said. “In Europe the school sports aren’t that big because the parents don’t think they’re that good, so we competed with other American schools, which meant that for tournaments or competitions, we’d go to what used to be West Germany.
“We’d go to Belgium; we would go to France. It was really cool. When I moved back at the end of that last year, I had been in way more countries than I had been in states.”
Garvey competed in soccer, rugby, wrestling, baseball and swimming, which “was not my best sport,” he quickly added. “I just kind of had a jock heart and loved sports.”
After high school, he spent the next year in Europe and finally decided he had to choose a career.
“My two options in my brain were teach PE (physical education) and coach or be a dentist,” he said. “Vastly different. The year after I graduated, I stayed to help my previous coaches in London, and I was sold.”
After graduating from Western Michigan University, Garvey took a job in Illinois where he taught four hours of French, a language he learned while in Switzerland, and two hours of religion.
He was also head coach of wrestling and baseball and a football assistant coach.
Four years later, he moved back to Michigan, teaching at Lawton High School. That led to his first job as director of athletics, spanning his last five years there.
Garvey went from Lawton to Delton Kellogg, where he spent seven years as AD.
“I really felt like I grew there because I was away from my comfort zone,” he said. “It was stand up and be the guy. That’s where I got real involved with the state AD association.”
When Delton added assistant principal duties to his job description, Garvey decided he did not want to play the good guy (AD)/bad guy (assistant principal) roles and took a job at Otsego High School.
“I got to be involved in the building process,” Garvey said. “I loved Otsego and the people I worked with, and I worked with an awesome principal (Herve Dardis).
“I was involved in all the building stuff: the stadium, the ball fields, the tennis courts, the building. It was really fun.”
In 2010, Garvey had the opportunity to return to his Catholic roots when the AD position became available at Hackett.
“I went through the interview process, and I decided I had to come home,” he said. “My kids (Erin and Kristy) went here and I knew 20 years ago I was going to finish at a Catholic school.”
As conflicted as he was at making the choice, Garvey knew he made the correct one.
“It was really hard to leave Otsego because as an administrative team we had put together the facilities, which were outstanding.
“But I just couldn’t say ‘No’ to a Catholic school. I just couldn’t do it.”
And he remains up to the two toughest challenges in his work leading Hackett’s athletic department.
“No. 1, keep all our programs strong because we don’t have that many kids, yet we offer a crazy number of opportunities for them,” he said. “To keep those programs viable, we need bodies.
“The other hard part is I’m married to my best friend (Jennifer) and it keeps me away from her. When this becomes a job, then I’m done.”
Pam Shebest served as a sportswriter at the Kalamazoo Gazette from 1985-2009 after 11 years part-time with the Gazette while teaching French and English at White Pigeon High School. She can be reached at [email protected] with story ideas for Calhoun, Kalamazoo and Van Buren counties.
PHOTOS: (Top) Kalamazoo Hackett Catholic Prep athletic director Mike Garvey holds up his NIAAA Distinguished Service Award; adjacent, attendees of a “Captains Clinic.” (Middle) Retired Allegan athletic director Gary Ellis, Hackett baseball coach Jesse Brown, sophomore athlete Natalie Toweson. (Below) Garvey enjoys some down time with grandson Dylan Alexander (left) and granddaughter Maya Wilson. (Photos courtesy of Mike Garvey; plaque photo and head shots by Pam Shebest.)