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.
High School a Time for Plays of All Kinds
April 2, 2015
By Jack Roberts
MHSAA executive director
At end of season or school year banquets attended by student-athletes and their parents, I often tell this short story about my mother that never fails to get a good laugh, especially from mothers:
“At the end of my junior year of high school I attended the graduation ceremony for the senior class on a hot and humid early June evening in our stuffy high school gymnasium. The bleachers on each side were filled to capacity, as were several hundred folding chairs placed on the gymnasium floor.
“The public address system, which was wonderful for announcing at basketball games or wrestling meets, was awful for graduation speeches. Person after person spoke, and the huge audience wondered what they had to say.
“I was present because I was the junior class president; and as part of the ceremony, the senior class president handed me a small shovel. It had something to do with accepting responsibility or carrying on tradition.
“In any event, the senior class president spoke briefly; and then it was my turn. I stepped to the podium, pushed the microphone to the side, and spoke in a voice that was heard and understood in every corner of the gymnasium.
“Whereupon my mother, sitting in one of the folding chairs, positioned right in front of my basketball coach – who had benched me for staying out too late on the night before a game, because I had to attend a required school play rehearsal – my mother turned around, pointed her finger at the coach and said, ‘See there? That’s what he learned at play practice!’
“And she was heard in every corner of the gymnasium too.
“But my mother knew – she just knew – that for me, play practice was as important as basketball practice. And she was absolutely correct.”
This old but true story about in-season demands of school sports actually raises two of the key issues of the debate about out-of-season coaching rules.
One is that we are not talking only about sports. School policies should not only protect and promote opportunities for students to participate in more than one sport; they should also allow for opportunities for students to participate in the non-athletic activities that comprehensive, full-service schools provide.
This is because surveys consistently link student achievement in school as well as success in later life with participation in both the athletic and non-athletic activities of schools. Proper policies permit students time to study, time to practice and play sports and time to be engaged in other school activities that provide opportunities to learn and grow as human beings.
A second issue the story presents is that parents have opinions about what is best for their children. In fact, they feel even more entitled to express those opinions today than my mother did almost 50 years ago. In fact, today, parents believe they are uniquely entitled to make the decisions that affect their children. And often they take the attitude that everyone else should butt out of their business!
The MHSAA knows from direct experience that while school administrators want tighter controls on what coaches and students do out of season, and that most student-athletes and coaches will at least tolerate the imposed limits, parents will be highly and emotionally critical of rules that interfere with how they raise their children.
No matter the cost in time or money to join elite teams, take private lessons, travel to far-away practices and further-away tournaments, no matter how unlikely any of this provides the college athletic scholarship return on investment that parents foolishly pursue, those parents believe they have every right to raise their own children their own way and that it’s not the MHSAA’s business to interfere.
It is for this very reason that MHSAA rules have little to say about what students can and can’t do out of season. Instead, the rules advise member schools and their employees what schools themselves have agreed should be the limits. The rules do this to promote competitive balance. They do this in order to avoid never-ending escalating expense of time and money to keep up on the competitive playing field, court, pool, etc.
Every example we have of organized competitive sports is that, in the absence of limits, some people push the boundaries as far as they can for their advantage, which forces other people to go beyond what they believe is right in order to keep up.
If, during the discussions on out-of-season rules, someone suggests that certain policies be eliminated, thinking people will pause to ask what life would be like without those rules.
Our outcome cannot be mere elimination of regulation, which invites chaos; the objective must be shaping a different future.
A good start would be simpler, more understandable and enforceable rules. A bad ending would be if it forces more student-athletes and school coaches to focus on a single sport year-round.