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.
'Hearts' Focus Includes Action Planning
November 12, 2015
By Geoff Kimmerly
Second Half editor
As most of Michigan’s high school athletes move inside this month for the start of winter sports, many will take part in a program introduced to Michigan High School Athletic Association member schools this fall that assists coaches and students in preparing for the possibility of a health emergency during their after-school practices and events.
Prior to the start of this 2015-16 school year, the MHSAA sent every member school the “Anyone Can Save a Life” emergency action plan authored by the Minnesota State High School League and the Medtronic Foundation. The program instructs schools to assemble teams made up of coaches and their students that will act in the event someone suffers sudden cardiac arrest or another emergency medical situation.
“Anyone Can Save a Life” suggests a game plan that establishes four teams on every level of every sport in a school – a 911 Team, CPR (cardiopulmonary resuscitation) Team, AED (automated external defibrillator) Team and Heat Stroke Team. The groups are made up of coaches and their students who will be in close proximity to all after-school activities.
It’s another valuable tool as the MHSAA begins work on the fourth piece of its eight-year “4 H’s” health and safety emphasis. The next two school years focus on Hearts to go with efforts over the last six years centered on Health Histories, Heads and Heat issues faced by MHSAA athletes. This fall, for the first time, all varsity head coaches at MHSAA member schools were required to have CPR certification – another means by which athletic personnel can work to counter the random, unpredictable nature of sudden cardiac arrest.
“There is something we can do. We can be prepared. We can develop emergency plans, display AEDs and deliver CPR. And, like any good sports teams, we need to practice our preparations,” MHSAA Executive Director John E. “Jack” Roberts said. “’Anyone Can Save a Life’ can help schools revise or revitalize their existing emergency plans in ways that engage team members in planning, practice and execution. This could help save lives now and also convey important lifelong life-saving lessons to students involved on these teams.”
Students are a vital component to having a successful emergency action plan. They will be put in position to call 911, meet the ambulance at a pre-determined access point, locate the nearest AED, make sure immersion tubs are filled for hot-weather practices, and for those who are trained, to assist with CPR. Coaches identify students at the beginning of the season and prior to an emergency taking place, and provide them with the details of the job they are assigned so they will be ready to assist in the event of an emergency.
The “Anyone Can Save a Life” plan was sent to schools nationwide with assistance from the National Federation of State High School Associations and the NFHS Foundation. Click for information on "Anyone Can Save a Life."
“The ‘Anyone Can Save a Life’ initiative promotes the need to have and to practice planning for different kinds of emergencies,” Roberts said. “The result can be a fresh, comprehensive emphasis on preparing for emergencies well before they occur and then responding with more confidence when those emergencies inevitably happen. It is the perfect link between the last two years when we focused on heat illness and the next two years when we focus on sudden cardiac arrest.”
This fall’s focus on “Hearts” began in the wake of 122 Michigan schools receiving recognition this spring as HEARTSafe by the Michigan Department of Health and Human Services, Michigan Department of Education, American Heart Association, Michigan Alliance for Prevention of Sudden Cardiac Death of the Young and the MHSAA.
Public Act 12 of 2014 requires all schools (grades kindergarten to 12) to have a cardiac emergency response plan in place. This MI HEARTSafe School designation recognizes 122 schools that have taken steps above and beyond to prepare to respond in the event of a cardiac emergency, and is awarded for a period of three years.
In order for a school to receive MI HEARTSafe designation, it must perform at least one cardiac emergency response drill per year, have a written medical emergency response plan and team, have current CPR/AED certification of at least 10 percent of staff, have accessible, properly maintained and inspected AEDs with signs identifying their location, and ensure pre-participation sports screening of all student-athletes using the current physical and history form endorsed by the MHSAA.
Schools that meet all requirements are able to apply for the MI HEARTSafe School designation each year. Click for information and for a list of designated schools.