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.
Catch These New Rules as Fall Kicks Off
August 7, 2014
By Geoff Kimmerly
Second Half editor
The first practices of 2014-15 begin next week for approximately 110,000 student-athletes taking part in eight sports in which the Michigan High School Athletic Association sponsors postseason tournaments, with nearly 41,000 football players practicing under a new policy in that sport aimed at continuing to improve player safety.
The new practice policy was proposed by a Football Task Force made up of coaches, administrators and MHSAA staff which met during 2012 and 2013, and approved by the MHSAA’s Representative Council at its Winter Meeting on March 21.
The modifications are meant to promote heat acclimatization and limit helmet-to-helmet contact during practices. They include:
- During the first week of practice, only helmets are allowed the first two days, only shoulder pads may be added on the third and fourth days, and full pads may not be worn until the fifth day of team practice.
- Before the first regular-season game, schools may not schedule more than one “collision” practice in a day. A collision practice is defined as one in which there is live, game-speed, player-versus-player contact in pads involving any number of players.
- After the first regular-season game, teams may conduct no more than two collision practice days in any week, Monday through Sunday.
- No single football practice may exceed three hours, and the total practice time for days with multiple practice sessions may not exceed five hours. Neither strength/weight training activities nor video/classroom sessions are considered practice for the purposes of the three or five-hour limits.
Previously, schools were required to conduct at least three days of practice without pads before beginning contact. The change to four days for gradual addition of pads was added to assist athletes in acclimating to being physically active in hot weather. Guidelines reducing the amount of collision practice go hand in hand with rules changes that have been made to reduce helmet-to-helmet contact in game situations. The policies in detail can be found on the Football page of the MHSAA Website.
“We think these new policies, with respect to the number of collision practices there can be before the first game, and after the first game, really are where 85 to 90 percent of our coaches already were,” said John E. “Jack” Roberts, executive director of the MHSAA. “This new policy sends a signal to that 10 to 15 percent to get on board with the rest of us to make football just as safe as it can possibly be.”
Practice in football must begin on August 11 for all schools wishing to begin regular-season games the weekend of August 28-30. Schools must have 12 days of preseason practice at all levels before their first game, and those 12 days of practice may not occur before 16 calendar days.
Practice sessions for all other sports begin on Wednesday (August 13). In golf and tennis, competition may commence no earlier than after three separate days of team practice, and not before seven calendar days. The first day competition may take place in golf and tennis is August 20. In all other fall sports, contests can take place after seven days of practice for the team and not before nine calendar days. The first day competition may take place in cross country, tennis, soccer, swimming and diving, and volleyball is August 22.
Only one football date precedes Labor Day, and most varsity games will take place on Thursday, August 28, that week. Subvarsity competition may begin on Wednesday, August 27. In Week 1, 255 games will be played on Thursday, 53 contests will be played on Friday, and five games will be played on Saturday.
Continuing the focus on player safety, a number of rules changes were made in football for 2014:
- Rules were added restricting targeting of opponent and illegal helmet contact with defenseless players, with both resulting in 15-yard penalties. Targeting is defined as taking aim at an opponent with the helmet, forearm, hand, fist, elbow or shoulder to initiate contact above the shoulders and with an intent beyond making a legal tackle or block, or playing the ball. A defenseless player can be considered one no longer involved in a play, a runner whose progress has been stopped, a player focused on receiving a kick or a receiver who has given up on an errant pass, or a player already on the ground.
- Illegal contact to a quarterback now will be considered roughing the passer, and the offense will receive an automatic first down in addition to the previous 15 yards from the penalty.
- On kickoffs, the kicking team must have at least four players on either side of the kicker, and no kicking team players except for the kicker may line up more than five yards behind the free-kick line. These changes were made to improve safety by balancing the kicking formation and shortening the potential run-up by kicking team players heading down the field to tackle the ball carrier.
A number of significant rules changes will go into effect for other fall sports:
- In cross country, the ban on wearing jewelry has been lifted (and also for track and field in the spring). The National Federation of State High School Associations deemed the ban unnecessary in these two sports because there is little risk of injury with minimal contact between competitors. Elimination of the rule will allow officials to further focus on the competition.
- In soccer, Michigan has adopted the National Federation rule stating home teams must wear solid white jerseys and socks, with visiting teams in dark jerseys and socks (dark defined as any color contrasting white). Also, officials may now wear green and blue shirts in addition to red and black as alternates to the primary yellow shirt with black pinstripes.
- Also for soccer, both field players and goalkeepers must now leave the field when injured and the referee has stopped the clock. Previously, an injured goalkeeper was not required to leave the game when the referee stopped the clock; going forward, the keeper must be replaced.
- In swimming and diving, one change affects the beginning of races and another impacts a specific event. The use of starter’s pistols is now prohibited; starters must use an alternative sounding device to start races. Additionally, in the backstroke, a swimmer may not submerge his or her entire body after the start except for during turns. The swimmer must remain on or above the water surface on the finish, eliminating the abuse of submerging well before touching the wall. This change also applies to the finish of the backstroke leg of the individual medley.
The 2014 Fall campaign culminates with postseason tournaments beginning with the Upper Peninsula Girls Tennis Finals the week of Sept. 29, and wraps up with the 11-Player Football Playoff Finals on Nov. 28-29. Here is a complete list of fall tournament dates:
Cross Country:
U.P. Finals – Oct. 18
L.P. Regionals – Oct. 24 or 25
L.P. Finals – Nov. 1
11-Player Football:
Selection Sunday – Oct. 26
Pre-Districts – Oct. 31 or Nov. 1
District Finals – Nov. 7 or 8
Regional Finals – Nov. 14 or 15
Semifinals – Nov. 22
Finals – Nov. 28-29
8-Player Football:
Selection Sunday – Oct. 26
Regional Semifinals – Oct. 31 or Nov. 1
Regional Finals – Nov. 7 or 8
Semifinals – Nov. 15
Finals – Nov. 21
L.P. Girls Golf:
Regionals – Oct. 8 or 9 or 10 or 11
Finals – Oct. 17-18
Soccer:
Boys L.P. Districts – Oct. 13-18
Boys L.P. Regionals – Oct. 21-25
Boys L.P. Semifinals – Oct. 29
Boys L.P. Finals – Nov. 1
L.P. Girls Swimming & Diving
Diving Regionals – Nov. 13
Swimming/Diving Finals – Nov. 21-22
Tennis:
U.P. Girls Finals – Oct. 1 or 2 or 3 or 4
L.P. Boys Regionals – Oct. 9 or 10 or 11
L.P. Finals – Oct. 17-18
Girls Volleyball:
Districts – Nov. 3-8
Regionals – Nov. 11 & 13
Quarterfinals – Nov. 18
Semifinals – Nov. 20-21
Finals – Nov. 22
The MHSAA is a private, not-for-profit corporation of voluntary membership by more than 1,500 public and private senior high schools and junior high/middle schools which exists to develop common rules for athletic eligibility and competition. No government funds or tax dollars support the MHSAA, which was the first such association nationally to not accept membership dues or tournament entry fees from schools. Member schools which enforce these rules are permitted to participate in MHSAA tournaments, which attract more than 1.4 million spectators each year.