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.
Answers from the Athletes
By
Rob Kaminski
MHSAA benchmarks editor
May 22, 2014
By Rob Kaminski
MHSAA benchmarks editor
MHSAA Student Advisory Council members were asked their opinions on several of the current issues facing the MHSAA Junior High/Middle School Committee and the MHSAA JH/MS Task Force. Students also shared experiences from their junior high/middle school days and from participation with non-school teams. Following is a sampling of responses:
Length of Contests and Seasons
Based on your junior high/middle school experiences, would you favor an increase in the number of contests/events that a junior high/middle school is allowed to play? Would you favor longer game times?
Kiersten Mead, Saginaw Swan Valley: “I personally don't believe that longer seasons are necessary. In middle school, student athletes are just starting to learn how to balance sports and school, so I think that the season time is already pretty reasonable.
“I do, however, believe that longer games would be really beneficial to all ages. It would allow more students to play and participate.”
Jonathan Perry, McBain Northern Michigan Christian: “When I was playing, I wish my season would have been longer, but it is at a reasonable length. It would be harder on parents having a middle school player and a high school player, but it would get you more ready for a high school-length schedule.
“The games are at a reasonable length also. The one benefit of having more games and longer games is that more kids get to play who otherwise might not if they had a shorter game or season.”
Connor Thomas, Marlette: “As a player, I would be totally in favor. If I were an adult, I would say no because of the traveling. As for the lengths of games, again, I’d favor it as a player. But with schools that have A and B teams for both grades, that could be a late night.”
Kristen Law, Bloomfield Hills Andover: “I really enjoyed playing in middle school, and I would have loved to be able to play more. Increasing the length of games might depend on the sport. For tennis, from what I remember, the matches were a shortened version of what we play in high school, and I thought they were appropriate given the level of the majority of the players that were competing.”
Zack Nine, Pinconning: “Based on my middle school sports experience, I would favor an increase in the number of contests and a longer game time. These changes would give athletes who do not get much playing time a chance to gain more experience. I also believe that more games and a longer game length would keep our youth in better shape and better prepare them for high school athletics through an easier transition.”
Mandy Paull, Cheboygan: “I think that middle school sports should be allowed to play more games, but I do not think that the length of games should be increased.”
Coby Ryan Manistique: “I would favor an increase in the number of contests. The seasons are quite short and go by too quickly, in my opinion.
“I would also favor longer game times. With this, more kids will get the opportunity to play, and it will also make the travel and the time invested more worthwhile.”
6th-Grade Participation
Is it time to also include 6th-graders at junior high/middle schools under MHSAA guidelines? Consider enrollments, sports and participation with 7th- and 8th-graders.
Eliza Beird, Holland Black River: “I would favor the addition of 6th-graders in all sports. This would allow for the possibility of two teams in some sports and it gets the kids playing with people they might be playing with for the rest of their high school careers.
“It is definitely easier to put 6th-graders with 7th- and 8th-graders at a smaller school because one grade usually won’t out-number another grade. In a big school, a bunch of 8th-graders will try out for the team because more go to a school. In larger schools, 6th-graders would have a chance to make only a 6th-grade team.
Hayden Smith, Hamilton: “I think it’s time for 6th-graders to be included, but not in all sports; just the non-contact ones. The various sizes of schools would make it easier for some to compete and harder for others, but it shouldn’t matter overall. All schools’ 6th-graders should be able to play. I think that would be a great experience for them.”
Mandy Paull, Cheboygan: “I think that 6th-grade students should be able to play middle school sports. Sports are a good way to initiate incoming elementary students to the middle school as well as provide a fun, constructive activity that they can participate in with their friends, and a way to make new ones as well.
“The 6th-grade athletes should only be mixed with the 7th and 8th grade in cross country and track, and have their own teams for sports like volleyball and basketball, just as the 7th- and 8th- graders do. Only non-contact sports should mix all grades.”
Connor Thomas, Marlette: “Coming from a smaller community, I think the MHSAA should include 6th-graders in only the schools that need them, such as small Class D schools. They should be allowed to play with 7th- and 8th-graders as long as the schools need them, and aren't bringing them up to have a ‘dream team.’ Enrollment has to be a factor; the schools should be struggling for numbers in order to have a 6th-grader on a team.”
Zack Nine, Pinconning: “I believe that 6th- graders should not be held accountable to MHSAA regulations. My opinion largely stems from the fact that not every school includes 6th grade as part of its middle school. I know mine does not. It would be difficult to regulate the participation of 6th-graders in some schools (because they're considered middle schoolers) while other schools cannot let their 6th-grade elementary students compete.”
Jonathan Perry, McBain Northern Michigan Christian: “I think all sports should be included if 6th-graders were allowed to play. I think it’s more helpful to small schools, but wouldn’t limit it based on enrollment. I go to a small school; last year my school did not have enough kids for a 7th-grade team.”
Kiersten Mead, Saginaw Swan Valley: “I understand the monetary considerations schools may have with 6th-grade teams through the MHSAA, but I do believe that the MHSAA should start setting guidelines for the schools which see it as feasible. Middle schools don't have to go through the MHSAA, but I believe that by including 6th-graders, it may generate a positive reaction from member schools.
“I feel like as long as the coaches don't see a major physical disadvantage to it, then it would be okay for 6th-graders to participate with the 7th and 8th grade in all sports. Non-contact sports would most definitely be alright, because in high school, you compete against all ages anyways.
Coby Ryan Manistique: “I believe that it is time for 6th-graders to get the chance to participate in athletics, regardless of school size. By choice, a child should always be given the opportunity to be active, stay out of trouble, learn about teamwork and leadership, and build a foundation for fundamentals that will be used for the rest of their athletic careers. Many schools do not have locally run programs, and the MHSAA running it would give thousands more kids a chance to play.”
Kristen Law, Bloomfield Hills Andover: “When I was in 6th grade, I was competing against 7th- and 8th-graders (on community teams), and I probably would have been upset if I couldn't compete against them. Sixth-grade participation should definitely be allowed in non-contact sports, but I don't know too much about contact sports and the risk of injury to 6th-graders if it were to be allowed.
“I don't think the size of the school should determine whether or not 6th-graders can compete against 7th- and 8th-graders.”
Community and Club Sports
If you played community sports during your JH/MS years, how did the experience compare with school sports? If you could have played MHSAA-based sports in 6th grade, would you have done so?
Emileigh Ferguson, Bear Lake: “I played little league softball prior to middle school, until 5th grade. I prefer MHSAA sports over other kinds because they are more serious and organized. My school has basketball for 5th and 6th grade so we don’t play with middle school.”
Eliza Beird, Holland Black River: “I played soccer and basketball from Kindergarten through 6th grade and still play club sports. My outside-of-school sports tended to be a bit better.
“If there were MHSAA sports in 6th grade, I would have definitely played basketball. I already played with a bunch of girls from school so playing for my school would not have been much different. Plus it’s fun to play for my school. I probably would not have played soccer because the club team I was on at the time was quite a bit better than the school team.”
Hayden Smith, Hamilton: “In my experience (community sports) was somewhat similar, but still different. School sports weren't coached by parents anymore; the best players got to start. Also, it was different in that a lot of kids stopped playing; only the ones who really liked it kept playing. However, it was similar because there were always people (parents and kids) complaining about playing time. It was similar in that there was always a strong community at your back.
“If I could have played school sports earlier, I would have done so because of the aspect of representing my community and school. I think I still would have done the travel baseball stuff, but that is always in the summer.”
Mandy Paull, Cheboygan: “I played girls little league softball from 3rd to 5th grade, and house hockey from 1st grade to 9th. In middle school the sports were more serious and I enjoyed them much more. As a team we would dress up for our games, and we got to travel on a bus to away games. There was a much stronger bond and all the players were more serious. The teams were also better in middle school due to tryouts.
“I definitely would have played middle school sports in 6th grade as opposed to community teams.”
Jonathan Perry, McBain Northern Michigan Christian: “I did not notice a huge difference between community sports and school sports. The big difference in community sports is that you get a wide range of kids, not just the kids in your school. I like playing the school sports better because I knew that the kids I was playing with were who I would play high school sports with.
“I would have played school sports in 6th-grade or earlier if the option was there. A lot of community sports I played on (were) all about winning. The school team sports provide learning sessions for both sports and life. It's an extension of the classroom. I saw that more with school sports than community sports.”
Kiersten Mead, Saginaw Swan Valley: “I did not play anything prior to middle school, but in 6th grade I was a part of an AAU volleyball team since my school did not offer a 6th-grade team. I also bowled in leagues at a few different bowling alleys.
“I definitely would have played with my school versus community. We really didn't have a solid AAU program in our area so the school team was much more organized. I found that the volleyball teams through my school were much more beneficial to me. We practiced on a regular basis, and it was nice to play with girls that I was already friends with. We were able to grow more as a team and gain a greater sense of unity. I believe that my school team made me a better athlete as well.”
Kristen Law, Bloomfield Hills Andover: “I enjoyed being able to play sports with my friends in middle school, but I also liked the competitiveness of the community- based sports I participated in. The middle school sports atmosphere didn't feel as competitive.
“When I was in 6th grade, I played tennis on the middle school team, but it was not affiliated with the MHSAA.”