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. 

2016 Bush Awards Honor Valued Educators

By Geoff Kimmerly
MHSAA.com senior editor

June 20, 2016

Three educators who have combined for more than a century of service to high school athletics – Adrian Madison’s Kristen Isom, Holly’s Deb VanKuiken and Battle Creek’s Jim Cummins – have been named recipients of the Michigan High School Athletic Association's Allen W. Bush Award for 2016.

Al Bush served as executive director of the MHSAA for 10 years. The award honors individuals for past and continuing service to prep athletics as a coach, administrator, official, trainer, doctor or member of the media. The award was developed to bring recognition to men and women who are giving and serving without a lot of attention. This is the 25th year of the award, with selections made by the MHSAA's Representative Council.

“This year’s three Bush Award winners are tied by their dedication to working with our student-athletes on a day-to-day basis over the course of decades, providing guidance that in turn has been spread throughout their local and sport communities,” said John E. “Jack” Roberts, executive director of the MHSAA. “We are grateful for their service and pleased to honor them with the Bush Award.”

Isom, a member of the MHSAA’s Representative Council since 2008, recently completed her 30th year of service and currently is athletic director at Madison for grades 7-12. She’s also taught health and physical education and coached at least one of a variety of sports every year. She’s served as president of the Tri-County Conference for the last decade after previously serving as secretary and treasurer.

An MHSAA tournament host for many events over the years, Isom was named Region 6 Athletic Director of the Year in 2000 from the Michigan Interscholastic Athletic Administrators Association. She’s a member of that association, the National Interscholastic Athletic Administrators Association and the Society of Health and Physical Educators of Michigan. The class adviser at Madison for this fall’s juniors, Isom also assists in selection for the MHSAA Student Advisory Council.

A graduate of Clinton High School, Isom earned her bachelor’s degree from Michigan State University, a master’s from Eastern Michigan University and has completed graduate courses from Fresno Pacific University. She’s active with Adrian’s United Church of Christ in various service projects, including an annual fundraiser for cancer research.

“As her community has grown over the years, and the needs and expectations have evolved for all of our schools, Kris Isom has provided valuable leadership at both the local and statewide levels,” Roberts said. “Her many contributions have been rooted in her belief in the mission of educational athletics. Her work with students at her school and input on selections for our Advisory Council show again her dedication to those learning those lessons by playing our games. She’s a worthy recipient of the Bush Award.”

VanKuiken also just completed her 30th year in education, including her 18th as an athletic administrator. She’s served as athletic director for Holly Area Schools the last 12 years after teaching at Bridgeport from 1984-1996 and then serving as assistant principal and athletic director at that school from 1996-2002. She coached softball, volleyball and both boys and girls tennis at various points during her time at Bridgeport, girls tennis as the varsity head coach from 1985-95. She also served as secretary and then president of the Tri-Valley Conference while at Bridgeport. Holly has added high school boys and girls bowling and middle school softball, baseball, swimming & diving and bowling during her tenure.

The Region 9 Athletic Director of the Year in 2007, VanKuiken was elected to the MIAAA Executive Board in 2005 and served as president during the 2007-08 school year. She helped produce a “Critical Incident Plans” DVD for the association to assist administrators statewide and created the first strategic plan for the MIAAA during her term as president. She received the MIAAA’s George Lovich Service Award in 2011.

VanKuiken also has served on the board of directors for The Academy of Sports Leadership, which plans and organizes camps for future coaches every summer in Ann Arbor, and is a member of the NIAAA, serving on its endowment committee. After a three-sport career at Lansing Sexton, he earned her bachelor’s and master’s degrees from Central Michigan University and played field hockey collegiately, and she’s attained Certified Master Athletic Administrator status from the NIAAA. She received the MHSAA’s Women in Sports Leadership Award in 2009.

“Deb VanKuiken’s work shows she always has the athlete in mind, from the opportunities she’s worked to add through new programs at her school to the programs she’s initiated as a leader of the MIAAA,” Roberts said. “Her vision continues to benefit all groups she serves, not only athletes, but coaches and administrators as well. We’re pleased to recognize her with the Bush Award.

Like VanKuiken, Cummins also coached a number of sports at the high school level and primarily tennis; he coached that sport for 47 years in addition to baseball, football, basketball for 33 years and volleyball for 11. At Battle Creek Springfield and Battle Creek Central, he coached 67 Regional tennis champions and four flights that won individual Finals titles. His teams finished third at MHSAA Finals four times and won eight straight Kalamazoo Valley Association titles.

He’s perhaps most recognizable statewide for directing more than 40 MHSAA Tennis Finals for either boys or girls at various sites around the Lower Peninsula. He’s also managed an MHSAA Regional every year since 1974 for boys and all but three years since 1983 for girls, and has continued to serve on the MHSAA seeding and rules committees.

Cummins was twice named Class C/D Coach of the Year, once for boys season and once for girls, by the Michigan High School Tennis Coaches Association, and he was inducted into that association’s Hall of Fame in 1990. He also is a member of the Colon and Battle Creek Public Schools halls of fame and received the MHSTeCA’s Distinguished Service Award in 2014. Cummins graduated from Colon in 1963 and Central Michigan in 1967. He retired from public education after 30 years and currently is employed as an adjunct instructor of mathematics by Kellogg Community College. He was named Outstanding Educator by the W.K. Kellogg Foundation in 1990, 1992, 1994, 1995 and 1999.

“Jim Cummins’ impact on athletes and coaches over many years have turned into positive effects on hundreds as his lessons have been passed on,” Roberts said. “He has been especially valuable to the MHSAA as a knowledgeable voice in tennis and a  tournament host in that sport at our highest level, and he’s also lent his time and expertise to our volleyball and wrestling tournaments over the years. We’re glad to honor Jim Cummins with the Bush Award.”

The MHSAA is a private, not-for-profit corporation of voluntary membership by more than 1,400 public and private senior high schools and junior high/middle schools which exists to develop common rules for athletic eligibility and competition. No government funds or tax dollars support the MHSAA, which was the first such association nationally to not accept membership dues or tournament entry fees from schools. Member schools which enforce these rules are permitted to participate in MHSAA tournaments, which attract more than 1.4 million spectators each year.