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. 

Lessons Passed Down the Coaching Tree

July 18, 2013

By Geoff Kimmerly
Second Half editor

Lessons, like legends, are meant to be passed from generation to generation.

And just as parents hand them down to their children who then do the same, coaches teach athletes the best of what they learned as athletes themselves. Some of those athletes then become coaches as well, and in turn, educate a next group of teenagers growing up in part through their participation in sports.

As we begin to turn our eyes toward another school year beginning next month, here are a few favorite lessons taught by four recent participants of the MHSAA’s Coaches Advancement Program – with back stories on how they learned those lessons themselves and explanations of why passing them on continues to be important.

We are family

Steve Brooks
Ypsilanti boys basketball

Bio: Brooks led the Ypsilanti High School program the last 10 seasons, guiding the Phoenix last winter to its first Regional championship since 1981. He has been selected as the first boys basketball coach for the newly-formed Ypsilanti Community Schools, a merger of the former Ypsilanti and Willow Run districts. Previously, he coached three seasons at Inkster and also led that program to the Quarterfinals.

Lesson learned: Brooks was in fourth grade when he and a friend happened to ride their bike past Flint Northern’s football practice field during one of coach Fred Crawford’s training sessions. The noise and excitement and especially the defensive coaches yelling first caught the kids’ attention; Brooks and his friend ended up watching through the fence until Crawford approached and asked if they’d like a closer look. “He said, ‘Hey, you’re going to be a Viking one day, aren’t ya?’ It was so simple. But it made an impression on me as a young man, the pride and tradition of going there,” Brooks said.

Brooks’ family later moved to a neighborhood in Flint Northwestern’s district. But when the school boundary was redrawn before his junior year – and he had his choice of staying or attending Northern – Brooks remembered saying he would be a Viking one day and made the switch. Building togetherness remains a major focus of Brooks’ Ypsilanti program today, 49 years after Crawford first invited him into Northern’s football family. 

Lesson taught: “At any time, our players can come in and talk about personal things and feel like they can let stuff out and it won’t go further than the people it’s entrusted to,” Brooks said. Making a connection to players begins early through his middle school coaches and remains key to building that familial trust.

It’s a philosophy that goes to Brooks’ core. “When you’re starting to coach nephews and younger brothers of players you’ve had, it’s that same type of feeling and promoting of family,” Brooks said.

Do the right thing

Heather Prentice
Portage Northern competitive cheer

Bio: Prentice has coached Portage Northern the last eight seasons and guided the 2007 and 2008 teams to the MHSAA Finals. Total, she’s coached cheer since 1986, including previous tenures at Climax-Scotts and Laingsburg.

Lesson learned: Prentice learned more from what she felt her high school experience lacked. She loved cheering – but decided as a coach to take an active role in the lives of her athletes. “I’ve matured the older I’ve gotten, and I think what’s become more important the older I’ve gotten is putting more of the focus on what I want my kids to leave with,” Prentice said.

“I’m not a parent, and I’m a person in their lives for a very short time,” she added. “But it’s a very significant period in life, and I try to carry myself as I would want them to remember me.”

Lesson taught: To that end, Prentice focuses on mixing plenty of fun with the hard work and lessons she teaches. Integrity ranks high on that list.

She’ll point out during workouts that if an athlete does 23 jumping jacks instead of 25, only that girl will know. But cutting corners, if it continues, tends to catch up with a person.

The payoff is finding out those lessons have paid off.

“The great thing about coaching for so long is you get letters or emails back from kids; ‘I thought of you today when I was disciplining my 3-year-old child,’ things like that. Or, ‘I went in for a job interview and they asked for one of my qualities. And I said I have integrity. I do have integrity, and you taught me that.’ Those are the cool moments,” Prentice said. “They really did hear me; they did hear what I am saying.

Accept responsibility

Duane Enderle
Birch Run girls and boys soccer

Bio: Enderle has coached Birch Run’s girls program since its start, and this spring led the Panthers girls to the District Final for the second time during the program’s six-season history. He also coached the boys for four seasons before taking the last two off, but will return to their sideline this fall.

Lesson learned: Enderle was a sophomore starter on his South Hagerstown, Md., team during one of the first seasons under eventual longtime coach Mike Tesla. At one point that season, Enderle didn’t make a Saturday practice – and during the next Monday’s game never left the bench.

“I learned at an early age it doesn’t matter how good you are. There’s always a consequence,” Enderle said.

Lesson taught: He’s noticed the last few seasons, both on the high school and club soccer fields, a growing number of players unable to control their emotions. “They get yellow cards and come out of a game for 10 minutes, and if it’s one of the good players it ends up hurting the team,” Enderle said.

He said this year’s Birch Run team saw a different side of him as he pushed accountability a little bit harder. It’s a lesson that doesn’t lose significance, even as athletes change over the years and push boundaries in different ways.

“That’s the biggest thing I try to pass on to them, their own self-responsibility and accounting for all of their actions,” Enderle said. “Everything they do always has consequences.”

One for all

Kim Crum
Mattawan girls lacrosse

Bio: Crum is a 2002 Mattawan graduate and played three seasons for the highly-successful softball program led by coach Alicia Smith. Crum just finished her third season coaching the school’s girls lacrosse team after previously coaching the Kalamazoo United team for three seasons.

Lesson learned: Being part of a team is a full commitment to those teammates, something Crum works to instill in her players each spring. She learned that in part as an athlete under Smith – who last season led Mattawan to its second MHSAA championship in three seasons. “With a group of teenage girls, a group of any teenagers for that matter, they form cliques and opinions of people before they get (on a team),” Crum said. “When we were on that team, there were people that didn’t agree, didn’t get along. But when we set foot in practice, for a game, we were part of a team and it didn’t matter what happened outside of there during the day. I try to tell the kids that now.”

Lesson taught: Instead of finishing practices with “1-2-3-Wildcats,” the team’s mascot, Mattawan closes with “1-2-3-Family!” Crum’s emphasis on “team commitment” also has grown through working with her assistant Matt Stephens, the school’s football coach during the fall.

Playing a high school sport often means seeing those coaches and teammates as much or more than family during that three or fourth-month span. Some of Crum’s lacrosse players have played together in the past or together on other sports teams. But she and Stephens are quick to remind them that each team, each season, is a new group with new dynamics to learn.

“Every time we do something, we look at it as how it affects the group,” Crum said. “We have to figure out how each other work. ... Be patient. By the end, we’ll figure things out.”

PHOTO: Ypsilanti boys basketball coach Steve Brooks (far right) celebrates with his team this March after leading the Phoenix to its first Regional title since 1981. (Photo courtesy of Randy Castro, Ann Arbor Journal.)