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. 

Task Force Building Multi-Sport Message

November 11, 2016

By Geoff Kimmerly
Second Half editor

Walled Lake Western’s Cody White draws his perspective on high school sports from a background that, while perhaps not unique, has to be close.

The Warriors senior is one of the top college football prospects in Michigan, a Big Ten-caliber player who has committed to continue his career at Michigan State University after he graduates in the spring.

Our state has a handful of athletes like that every year, of course. But White also is the son of former NFL player and Detroit Lions executive Sheldon White – and has followed his father’s Dayton, Ohio, footsteps in playing three sports during his high school career.

White plays football, basketball during the winter and baseball in the spring, in addition to travel basketball and baseball during the summer. He has played these same sports throughout high school. His freshman year he also competed in track & field, along with baseball. As of May – when White and his multi-sport experience were featured on Second Half – he hadn’t ruled out returning to track & field, in addition to baseball, as a senior.

“I couldn’t see myself not competing in those sports,” White said at the time. “I love them so much. I want to finish my senior year playing all three.”

It’s White’s experience, and the benefits enjoyed by so many who have shunned the recent trend toward specialization, that is driving the MHSAA’s Multi-Sport Task Force as it aims to promote the value of a varied sports experience through high school, even for athletes considered “elite” in a sport they’ll go on to play at higher levels.

The Multi-Sport Task Force met for the third time Oct. 27 and includes coaches, administrators and teachers with diverse experiences in athletics at schools large and small; urban, suburban and rural and in both the interscholastic and club settings.

The idea of moving away from specialization and back toward playing multiple sports has gained steam in recent years with pronouncements of how doing so paid off for nationally-recognized stars like professional golfer Jordan Spieth, baseball Hall of Famer John Smoltz and a number of members of the U.S. women’s soccer national team who played multiple sports through high school.

The MHSAA’s task force is working to develop that message, package it in the most digestible formats, and deliver it to the key decision-makers to benefit athletes at the age where the message can have the heaviest impact on their sports careers and growth into physically fit adults.

“This is a fundamental topic in school sports,” MHSAA Executive Director Jack Roberts told the task force during its most recent meeting. “This is something we’ll be talking about five and 10 years from now.”

The task force is charged with a series of goals that will be discussed below and are still in development. But there’s no doubt coaches will play a significant part in promoting and carrying out this important mission.

“Growing up was a little different (for me) than the usual kid. Going to Lions games and just being around football all the time. I think I love the game more because I was around it so much. But I think playing three sports helped me, too. The twisting of your hips in baseball, when you swing the bat, you’re using different muscles. And all the jumping you do in basketball. You have to move in tight spaces. With football, you’re with the football guys. By doing all three you meet different people.” – Cody White, “Western’s White Enjoys ‘Special’ Career” – May 4, 2016 

What we’ve learned

The task force’s first meeting in April included discussions with Dr. Tony Moreno of Eastern Michigan University, a frequent Coaches Advancement Program instructor, and Dr. Brooke Lemmon of the MSU Sports Medicine Clinic. Among points from their focus on medical issues that result from specialization:

•  Specialization has chronic, long-term affects; young people who do not learn physical literacy – how to solve movement problems – are less likely to be physically active and, hence, less likely to be physically fit. This is becoming an expensive health issue for society.

•  The loss of physical education from schools is the root of these problems and has led to the creation of “privatized PE” for those who can afford a club sports experience. Physical education in schools, done correctly, can create a relatively noncompetitive environment that increases student interest in becoming physically active.

•  More time spent in one activity will lead to more injuries, especially of the chronic nature. The number of hours per week a child spends on one sport activity shouldn’t exceed that child’s age (8 hours per week for an 8-year-old, for example).

Dr. Dan Gould, the director of the MSU Institute for the Study of Youth Sports, talked to the task force during its second meeting about how children perceive sports – and the need to adjust parents’ expectations for their kids’ success. He explained how kids can lose their identity focusing on just one sport, and also the importance of free play – the games kids make up themselves while playing in a structure-free environment.

Bob Mancini of USA Hockey visited with the task force most recently, explaining how his was the first governing body to tell athletes it wanted them to play their sport – but in order to do so well, play other sports also. USA Hockey’s American Development Model was launched in 2009 to in part promote multi-sport participation – and is growing hockey in the process, with increased participation seen at youth levels over the last three years.  

“It’s just really fun to do different things. We don’t have a lot of the numbers, but we have the people who are willing to put in the hard work, even if it’s not their best sport. Each season is only three to four months at the most. So it keeps things exciting.”— 2016 Bronson graduate Kelsey Robinson, a defensive specialist in volleyball, former cross country runner, guard in basketball and a third baseman and centerfielder in softball, “Multi-Sport Experience ‘Special’ for Bronson” – February 2, 2016

Questions & Answers

The task force will meet again Feb. 8, and in the meantime there are a number of questions – and answers – to be considered.

The group has pinpointed a series of goals:

1. Partner with groups promoting diverse physical activity.

2. Encourage those promoting more and better physical education.

3. Prepare tools for administrators for use in interviewing prospective coaches, conducting meetings with their coaching staffs and encouraging them to “walk the talk” of balanced participation.

4. Assist in the explanation of the multi-sport experience to parents through a variety of media, including a guidebook and video explaining its benefits.

Carrying out these aspirations comes with plenty to discuss.

Who most needs to hear the message of multi-sport participation? It’s most likely junior high and middle school parents, or even those of elementary students just starting to experience organized athletics.

What do these parents and children most need to know? Parents are stakeholders in their children’s athletic ventures. The challenge is convincing them our way is best for their kids’ futures, from a health and development standpoint.  

Who should deliver this message? Celebrities obviously carry clout when they talk about how their multi-sport experiences led them to become successful adults. But there also could be a strong emotional tug from current student-athletes who tell their stories. 

How can coaches and athletic directors help spread the word? The MHSAA, with input from the task force, will develop tools to help. But the options are many: could it come in video form, eye-catching graphics for use at coaches meetings, or live interaction at regional summits?

We are looking for ideas, both for getting out the message and incentivizing taking part in the multi-sport experience. Schools already are doing great things to promote multi-sport participation, and we’d love to hear about what's working.

To that vein, we’ll close with a final success story from this fall about a team that benefited from a lineup of multi-sport athletes:

Grosse Pointe Woods University Liggett on Oct. 15 ended an eight-year championship run by Ann Arbor Greenhills at Lower Peninsula Division 4 Boys Tennis Finals. Knights coach Matt Sobieralski relied on a roster filled with multi-sport athletes, including No. 1 singles player T.J. Dulac, who also ran cross country this fall.  

Only one player on the Liggett roster plays only tennis, and Sobieralski says his players’ multi-sport participation served them well.

“It makes you tough, mentally tough and strong. And they’re competitive. That’s important. I think tennis, a lot of times, is 80 percent mental and 20 percent ability. You win a lot of matches with guts and just hanging in there. I always say a good player can win even when they’re not playing their best, because they’ll try something different and they keep fighting. That’s the team I’ve got. I’m really proud of their fight.” – Matt Sobieralski, “Liggett Ends Greenhills’ 8-Year Reign” – October 16, 2016

PHOTOS: (Top) Walled Lake Western's Cody White runs ahead of a group of Lowell defenders during last season's Division 2 Semifinals. (Middle) Bronson (right) goes for a kill during last season's Class C Semifinal against Traverse City St. Francis. (Top photo courtesy of Walled Lake Western athletic department.)