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.
Gladstone Coach Smith Built Champions
October 24, 2016
By Dennis Grall
Special for Second Half
ESCANABA — Gerry Smith put his life into helping area youngsters get a foot into the athletic doorway, and in the process touched the lives of so many people.
“Smitty” died Oct. 15 following a lengthy illness.
“God got a great softball coach,” said retired Gladstone athletic director Matt Houle. “He was unique and old school, but his love for kids and the game always showed clearly. He had such a passion for the game of softball and just loved working with kids.”
Smith, 70, worked at Mead Paper Co. for more than 30 years and was IBEW 979’s business agent for 21 years. But he will perhaps be most remembered for his 43 years on softball and baseball fields throughout the area. He spent 11 years as Gladstone High School’s head softball coach, directing the Braves to MHSAA titles in 2004 and 2009. He was 290-77-1, but missed much of the 2008 season because of shoulder surgery. The Braves were 31-10 under interim manager John Malloch, which would give Smith an overall 321-87-1 record.
“He put a lot of trust into people he asked to help him out,” said Ashley Hughes, who succeeded Smith in 2014 and guided the Braves to the MHSAA Division 3 title that year.
Hughes, who joined Smith on the softball staff when she became a teacher at her alma mater in 2009, also pitched for Smith and the Braves before getting a softball scholarship to Lake Superior State University.
She recalled Smith sought her services when she returned to Gladstone. “Hey kiddo, how about helping us out this year,” is how Hughes remembers that conversation.
He then told her, “I’m going to teach you everything I know and in a few years this will all be yours,” Hughes related.
“For me to come as head coach after Smitty, there was so much pressure. I wanted to live up to everything he had provided for this program,” Hughes said. “I didn’t want to disappoint him. He put a lot of faith in me.”
She said Smith also had an impact when she was a player. “He was so in your face in such a positive light. He wanted you to be successful, whether you had never touched a ball or had the ability to go on to play college ball. He was a spit-fire. He was so intense.
“He just exuded passion, at practice, at games. He had so much love for the game. That is something I’ve held onto because I too loved that game. To have someone like Smitty be so passionate and intense helped me become passionate and gave me the drive to be like that.”
Bill Buchmiller and Smith were partners for 40 years and he became godfather to Buchmiller’s children. In addition to guiding the Braves’ high school varsity, they served as American Legion coaches in the early stages of Gladstone’s program, worked together as Little League coaches and were softball teammates.
“He took a program from nothing to two state championships,” said Buchmiller. “He always encouraged the group. He may have broke them down a little bit but he always built them back up. He was a hard guy to get to know, but once you got to know him, he was a great guy.”
Smith used the knowledge he had gleaned from many years as a player and infused that into his players. “He just dwelled on the basics of softball. If you had to play small ball to win, that is what he played,” said Buchmiller.
“He covered all the different bases of softball. He stressed defense. He told (hitting coach) Al Verbrigghe, ‘You give me one run Al and we’ll win the ball game with my defense. Give me a run and we’ll manage somehow.’”
Theresa Shepeck, who joined Smith on the GHS staff in 2003, agreed with that assessment.
“Smitty always thought the short game was the way to go,” she said. “It was about bunting, not the long ball. You get a runner on one, you bunt her to two. You get somebody on three, then you suicide (bunt) her home.”
Shepeck said his players thrived on his various idiosyncrasies, such as finding tourney lodging in rather inexpensive motels and using a wad of cash to pay for the team’s rooms. “The kids just yukked it up,” she said with a laugh.
“He always put the kids first. If somebody made a mistake, it was never their fault; it is my (Smith’s) fault, the coaching staff’s fault. If one of us coaches made a mistake, he took that blame. It was always his fault, his responsibility,” said Shepeck.
The players appreciated how he used them in games and practices. “His philosophy was to put the best nine on the field, period,” she said. “He walked on a lot of toes, he had a lot of hurt feelings (of parents), but I think the kids respected that. Nobody ever doubted how they fit in. He was there to win.
“He was a little man (about 5-foot-6) but had a huge heart. He was all about the kids and the coaching staff. It was an honor to learn from him, to be in his presence, to be a mentor to the kids.”
Hughes agreed, noting “he had a way of figuring out what the team needs are and re-arranging the players (duties). He knew the players’ strengths and was always looking out for the entire team.”
Smith’s career record likely could have included more wins if he didn’t use the season’s first month to shuffle personnel while building for the postseason. It paid off when it counted the most as the Braves reached at least the Quarterfinal level each of his 11 seasons.
“He was definitely not afraid to experiment,” said Hughes. “He knew the rules of the game and he was always looking for more (from his players). He was an aggressive coach, and the girls who love the sport really grasped at that. He utilized every player on his roster.
“He didn’t have to say too much, but you always wanted to answer him and make him proud and prove to him that you can come through.”
Houle summed up Smith’s legacy when he said, “He was the person that put Gladstone High School on the map in high school activities. He will be dearly missed by so many. He touched so many lives.”
Denny Grall retired in 2012 after 39 years at the Escanaba Daily Press and four at the Green Bay Press-Gazette, plus 15 months for WLST radio in Escanaba; he served as the Daily Press sports editor from 1970-80 and again from 1984-2012. Grall was inducted into the Upper Peninsula Sports Hall of Fame in 2002 and serves as its executive secretary. E-mail him at [email protected] with story ideas for the Upper Peninsula.
PHOTOS: (Top) Gladstone High School softball manager Gerry Smith holds the Division 3 championship trophy after the Braves won the 2009 title in Battle Creek. Smith, who also led the Braves to the 2004 crown, died Oct. 15. (Middle) Smith talks with catcher Jordan Kowalski at a practice prior to the 2011 Division 3 Semifinals. (Photos courtesy of Escanaba Daily Press.)