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.
Coaches Return With College Knowledge
By
Tom Markowski
Special for Second Half
February 24, 2016
North Farmington boys basketball coach Todd Negoshian is not so vain to believe he’s at the top of his profession.
After all, he’s nearing just his fifth season running what is considered one of the top programs in the Oakland Activities Association.
What Negoshian is certain of is that he is a better coach now than he was during the early 2000s when he entered the profession as an assistant at North Farmington under his father, Tom Negoshian.
In addition to Todd Negoshian’s years as a high school coach, he spent three seasons (2004-07) as an assistant coach at Oakland University under coach Greg Kampe. Having worked at the college level has not only added to his knowledge as a coach but also given him an opportunity to work with different people under different circumstances but with similar goals.
“I learned a lot from Kampe,” Negoshian said. “I learned a lot about relationships. He has the uncanny ability to (scold) a kid and then 30 seconds later have your arms around him. It’s about building relationships.
“It’s his approach to coaching. There’s so many things you learned outside of coaching.”
This brief stint at the collegiate level gave Negoshian, 35, a whole new perspective on how to coach and how to be a coach. Building relationships takes time, and to those committed to being a coach who cares about his or her players, it’s paramount to allow for that time.
Some coaches, like John Beilein at University of Michigan, start out coaching at the high school level, move on to college and remain there. A number of others statewide have taken paths similar to that of Negoshian.
LaMonta Stone at River Rouge and Steve Hall at Detroit Cass Tech started coaching at the high school level and have recently returned to their roots after each spent several years as a college coach.
Stone played for the legendary Lofton Greene at River Rouge and then coached the Panthers to a Class B title in 1999. Stone ambitiously sought a position at the next level and was quite successful. He spent two seasons at Eastern Michigan, two at Ohio State and 10 at Bowling Green before returning to River Rouge last season as head coach.
And he has no regrets.
“At that point, I had goals,” Stone said of making the jump to college. “There were things I wanted to do. I still have goals. People ask me, would I go back to college? I don’t know. If the situation was right, I might.”
Stone, 49, returned for two reasons: family and community. Last season he was able to coach his oldest son, LaMonta, Jr., his senior year. Stone also has two other sons, ages 6 and 9.
Basketball is king in River Rouge. Greene won a record 12 MHSAA titles and the program has won two more since his departure. But the Panthers relinquished their claim as a state power soon after Stone left and haven’t been much of a factor in the tournament since. Stone intends on changing that.
“It’s a situation where, I’d been (coaching in college) for 14 years,” he said. “I’d reached all my goals. The only one I didn’t was to become a head coach. But you’re an assistant in the Big Ten. You can’t get much higher than that.
“The opportunity to come back to that community, I just couldn’t pass up. I get to be more of a part of my sons’ lives.”
In addition to the high school season, Stone said he enjoys coaching during the summer, in camps and individually.
“I can, within the (Michigan High School Athletic Association) rules, work with kids outside of Rouge,” he said. “I get calls all the time saying can you work with my son. I work with them but they can’t come to Rouge. I like it that way. There’s no pressure on me or them.”
Hall, 45, was one of the state’s top players when he graduated from Cass Tech in 1988. He played four years in college (Washington, Virginia Tech) before playing professionally overseas. In 1996 he became the head coach at Detroit Rogers, an all-boys school in the Detroit Public School League. Hall spent nine seasons there and won three MHSAA titles before the school closed.
Hall went to Detroit Northwestern in 2005 and spent three seasons there, winning one PSL title, before accepting a position as an assistant coach at Duquesne University in Pittsburgh. He spent four seasons there before becoming an assistant coach at Youngstown State. On Aug. 25, Hall officially came back to Detroit as athletic director and boys basketball coach at Cass Tech.
Like Stone, Hall was looking for a more stable lifestyle. Family came first, and the opportunity to coach his alma mater was too good to pass up.
“A lot had to do with my life at this stage,” he said. “I have two young boys (ages 7 and 4) and to be more a part of their lives is important. If I wanted to spend time with them, we’d go to a game where I was recruiting a kid and that would be our time together on that given day.
“And I have a passion for this school. This whole year has been learning on the fly. At Rogers there was a lack of numbers. Here football is huge. We didn’t have a football team at Rogers. And here I have a surplus of numbers. It’s a different dynamic. Rogers was the smallest school in the PSL by enrollment. Cass is the biggest.”
Hall said he doesn’t miss the hours of travelling on the road, going into countless gymnasiums recruiting players and trying to convince them and their coaches that his university was the right one. It’s not that his responsibilities as athletic director and coach are less demanding. But being able to go home every night and see his children and sleep in his bed has its rewards.
Hall said he had more than a few conversations with Stone on returning home.
All three coaches agree that experience has its benefits. It’s not that coaching is any easier at this time. The challenges are still there and in many ways demand different approaches.
“Every stop makes you better,” Negoshian said. “Anytime you coach kids, the more you are around them, it helps.
“The game has changed. Society changed. Kids don’t want to fight through tough times. That’s why you see so many transfers. Everybody wants to be the hero. They want the focus on them. And it’s just not them. It’s the family. I’m not sure all of the parents are committed. They don’t want to go to A, B and C to get to D.”
Hall said the expectations for incoming freshmen and their parents are so different than it was when he was in high school. Then students went to a certain school, whether it was a power like Detroit Southwestern or a neighborhood school like Detroit Mumford, to be a part of an established program.
“It’s a trickle down from college,” Hall said. “It’s not, ‘I want to send my kid to a great program.’ There’s the attitude that if my son isn’t a part of it as a freshman, I’ll go somewhere else instead of being part of the process.”
Tom Markowski is a columnist and directs website coverage for the State Champs! Sports Network. He previously covered primarily high school sports for the The Detroit News from 1984-2014, focusing on the Detroit area and contributing to statewide coverage of football and basketball. Contact him at [email protected] with story ideas for Oakland, Macomb and Wayne counties.
PHOTOS: (Top) Current River Rouge boys basketball coach LaMonta Stone returned to his alma mater after serving as a college assistant including at Bowling Green. (Middle) Todd Negoshian, LaMonta Stone, Steve Hall. (Top photo courtesy of LaMonta Stone.)