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.
Multi-Sport Experience 'Special' for Bronson
By
Wes Morgan
Special for MHSAA.com
February 2, 2016
An increasing number of high-profile athletes and coaches are becoming more vocal about the importance of a well-rounded adolescent athletic experience. More and more parents and athletes, so it seems, are heeding that advice.
That’s the case in Bronson, a town of fewer than 2,500 residents that manages to keep rolling out successful varsity sports programs. Or perhaps it’s that athletes in Bronson never bought into sports specialization as much as other communities in the first place.
Bronson athletic director and Vikings varsity volleyball coach Jean LaClair, who received the Michigan High School Athletic Association’s 2015 Women in Sports Leadership Award, said it’s critical at a smaller school such as Bronson to emphasize participation in more than one sport.
But, through decades of coaching, she’s seen the effects of athletes choosing a narrow focus.
“I think for most schools and most sports, we’re seeing our numbers dwindle,” she said. “I believe that a lot of parents take their kids to travel ball, and it’s taking them out of high school sports. I think club sports are kind of hindering our high school athletics.”
The National Collegiate Athletic Association reports that six percent of high school athletes go on to play in NCAA programs, and as of 2012 fewer than two percent of high school athletes earned an NCAA Division I scholarship (of any amount), according to a CBS MoneyWatch report. Fewer than eight percent ever play a varsity sport at any collegiate level, according to a study by ScholarshipStats.com.
It’s an admirable dream, but an unlikely one. And along with that gamble comes the great possibility of burnout. Some studies have also suggested that young athletes competing in only one sport year-round are at a higher risk of injury. On top of that, specialization doesn’t seem to improve those odds.
“If you want a (college) coach to know about you, just do some work and they’ll know about you,” LaClair said. “That’s how I look at it. If you’re good enough, a coach is going to see you. You don’t have to go to a club tournament to be seen.”
Though participation in multiple sports is commonplace amongst both genders at Bronson, girls sports in particular have reaped the rewards of such commitment.
Look no further than the Vikings’ Division 3 runner-up performance in softball last spring (they lost to Monroe St. Mary Catholic Central in the Final), which seemed to fire up the volleyball squad this past fall.
Bronson’s netters tore through the postseason en route to a Class C volleyball championship, earning some revenge by beating Monroe St. Mary Catholic Central in three games.
It was the Vikings second MHSAA title since 2009.
Four athletes who competed on both teams are currently playing basketball: senior Kelsey Robinson, sophomore Adyson Lasky, sophomore Kiana Mayer, and sophomore Payton Robinson. Senior Alexa Ratkowski, an all-state selection in volleyball, also is on the basketball team.
Of the 13 volleyball players who hoisted a trophy at Kellogg Arena in November, six are two-sport athletes and seven are three-sport athletes.
And of the 11 varsity basketball players currently on the Vikings’ girls roster, eight played volleyball and a total of 10 participated in a fall sport.
As Kelsey Robinson’s prep career winds down, she believes playing several sports has made her better at each one. Not to mention she and her classmates find joy in the memories created through a variety of competitive situations.
“It’s just really fun to do different things,” said Robinson, a defensive specialist in volleyball, a former cross country runner, a guard in basketball and a third baseman and centerfielder in softball. “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.”
Some do take part in the club scene on a smaller, more local level. Most take advantage of the coaches at Bronson who are generous with their time.
“I’ll get into the gym with any kid any time they want to,” LaClair said.
Wes Morgan has reported for the Kalamazoo Gazette, ESPN and ESPNChicago.com, 247Sports and Blue & Gold Illustrated over the last 12 years and is the publisher of JoeInsider.com. He can be reached at [email protected] with story ideas for Berrien, Cass, St. Joseph and Branch counties.
PHOTOS: (Top) Bronson volleyball players celebrate clinching the Class C championship at Kellogg Arena in the fall. (Middle) Then-freshman catcher Payton Robinson prepares to catch a pop fly during last season's Softball Finals weekend at Secchia Stadium.