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. 

Career Wins Record Reflection of Towler's Dedication to Genesee County HS Hockey

By Paul Costanzo
Special for MHSAA.com

January 10, 2024

Jeff Rouse called his former hockey coach Doug Towler one of the most intense people he’s met. 

Bay & Thumb“He was a (butt)-kicker,” Rouse said. “You knew Doug was the boss. If you weren’t listening in practice, you were skating, or he was breaking hockey sticks over the net.”

But when Rouse had the opportunity to attend a party celebrating Towler setting the MHSAA all-time coaching wins record recently, he and some of his former Grand Blanc teammates, who played for Towler during the 1980s, made sure to be there. And to see the emotion on Towler’s face as he walked into Madden’s Bar in Davison greeted by dozens of his former players made it more than worth it.

“I’ve got nothing but good things to say about Doug Towler as a coach, and even as a friend after,” Rouse said. “He’s always been a good dude. … We’re all just fortunate to have been blessed to skate for the man.”

Hundreds of players at Flint Northern, Grand Blanc, Davison and now with the Genesee Generals – a second-year co-op team with athletes from Davison, Flushing, Goodrich and Swartz Creek – have had the opportunity to play for Towler over his more than 40-year career. And on Saturday, Dec. 23, they all became part of history.

The Generals defeated Bay Area Thunder 3-2 that night, giving Towler his 630th career victory, sending him past Mike Turner of Trenton for most all-time for a hockey coach in Michigan. 

Towler knew it was on the horizon, but didn’t want to bring attention to it – “That’s so Doug,” Rouse remarked – as he didn’t want to put extra pressure on his players.

But when he stepped into Madden’s, it all started to get to Towler.

“When I got to the party that they had, it was a surprise, obviously,” said Towler, who now has 631 wins. “I got there and I see the guys I work with at (IMA Brookwood Golf Club), and I see some old players, and it did kind of hit me a little bit. It was, honestly, it was great. It was a fun night. A couple of the (Flint) Powers coaches came over after their game, and there was a Grand Blanc coach there, and so it was a nice night. There were a lot of laughs, a lot of stories. And I’m sure, you know, over the years, those stories have gotten bigger.”

One doesn’t need to exaggerate when telling tales of Towler’s career, though.

The Sarnia, Ontario, native played college hockey at the University of New Hampshire and signed with the Chicago Blackhawks organization, playing in their minor league system for two years. His pro career took him to Austria, but he returned to North America to play for the Flint Generals of the International Hockey League. After one full season with the Generals and an injury-shortened second IHL season played in Flint and Saginaw, Towler joined the coaching ranks, taking over the Flint Northern program in 1979.

After two seasons at Northern, he spent a decade at Grand Blanc, winning three Regional titles between 1981-91. He took over the Davison program in 1992, and over his 30 years with the program he’s won eight Regional titles, made four trips to the Semifinals and two MHSAA Finals appearances.

“I played for him for three years, and I’ve known Coach Towler for a long time, and personal accolades were never on his radar,” said Albert Mitchell, who played for Towler from 2001-03 and helped Davison finish as Finals runner-up in 2002 and 2003. “He was always about wanting to make guys better hockey players, and better young men.”

It’s that philosophy that not only helped Towler win more games than any other hockey coach in the state – Traverse City Central’s Chris Givens is second among active coaches, and entered the season with 428 wins – but made so many former players want to be there for him when the milestone was celebrated.

“It’s safe to say that, for me, I don’t believe I would have ever played high school hockey if it wasn’t for Coach Towler,” said Mitchell, who went on to play at Elmira College in New York and is now the coach of the Fenton-Linden Area high school team. “Coach Towler is somebody that my dad respected and he wanted me to play for, and fortunately I did. I was fortunate to go on and play at the next level, and without Coach Towler, I don’t think I would have been able to do that.”

As fun as the party was, it came dangerously close to not being a celebration of a new record. The Generals led Bay Area 3-0, but allowed a pair of third-period goals that put the game in doubt. Assistant coach Ryan Welch, who had helped arrange the afterparty, said there were some extra nerves down the stretch.

“Was I nervous? Hell yeah, I was nervous,” Welch said with a laugh. “We had planned it two weeks before, and we played Friday and Saturday of that week, so we had to win both of them. We ended up winning 3-2 in Tawas and won 3-2 in Bay City. One of the coaches, Tony Perry, he rarely says anything, and he was chirping the whole game. I do think there was a little bit of nerves with everyone. Doug had his whole family here, and I’m sure our kids were nervous – we didn’t play the very best. Everyone was a little bit nervous because they wanted to be a part of this history.”

Welch, who played for Towler from 2002-06, is one of his three longtime assistants, although his 12-year tenure is much shorter than the others. Both Tony Perry and Charlie Eakes have been with Towler for more than 30 years.

Welch, Rouse and Mitchell all marveled at Towler’s ability to span multiple generations of athletes during his time as a high school coach. But they all are less surprised that Towler could pull it off, and more in awe of what he’s done.

“He’s had a lifelong commitment to the game of hockey at the high school level,” Welch said. “Usually, coaches start to have a little success and they move on. He’s had a lot of patience throughout the years. That tells you that he enjoys coaching these varsity athletes. It takes a tremendous person these days to stick with it. Over 40 years, the generations have changed, and he’s had to change the way he does things. It shows his love for the game of hockey, it shows his love for the community and his commitment to the Genesee County area.”

Paul CostanzoPaul Costanzo served as a sportswriter at The Port Huron Times Herald from 2006-15, including three years as lead sportswriter, and prior to that as sports editor at the Hillsdale Daily News from 2005-06. He can be reached at [email protected] with story ideas for Genesee, Lapeer, St. Clair, Sanilac, Huron, Tuscola, Saginaw, Bay, Arenac, Midland and Gladwin counties.

PHOTO (Top) Genesee Generals hockey coach Doug Towler, far right, celebrates his record 630th win with family Dec. 23. (Photo courtesy of the Davison athletic department.) VIDEO Towler addresses his team after a 2020 win over Flint Powers Catholic.