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.
Tomlin Sells Opportunity at Alma Mater
July 11, 2013
By Rob Kaminski
MHSAA benchmarks editor
Edward Tomlin had it all. Or, at least, everything he wanted when he left Central State University in Wilberforce, Ohio, to launch himself into the real world.
“I was in sales. My big thing in college was that I wanted a company car, and a laptop, and I wanted to travel. That was it,” Tomlin recalled on a cold February morning this winter. “Well, 25 pounds later, I realized, ‘You know what? This is not all it’s cracked up to be.’ It was a lot of fun for a guy coming right out of college, but it really wasn’t meaningful.”
The erstwhile traveler is now firmly entrenched in a first-floor office at Detroit’s Cass Technical High School, selling the most precious of all commodities: opportunity to student-athletes.
He recalls going into work one day during his prior life and thinking there must be something else to do.
A phone call to his mother was all it took.
“She said, ‘Well then, quit.’ And, I quit, that day,” Tomlin said. “It’s funny because my mom told me before I left college I should get certified to teach, and I said, ‘Nah, I’m going into sales.’”
Well, mother knows best. In Tomlin’s case, both his mother, Jacqueline, and his father, Kern, were lifetime educators.
And, now, so is he.
After beginning as a substitute teacher within a week after retiring his sales briefcase, he landed his first teaching gig at Detroit Crockett High School.
A solid golfer, Tomlin was never at a loss to find people seeking to fill out a foursome during his sales travels. So, he put that talent to use as the Crockett golf coach during that first year.
“I started to coach golf in the fall of 1994 and found that I enjoyed it,” Tomlin said. “Plus I got to hit my golf ball a little bit and show some kids that they could play.”
A year later, his coaching path took a duck-hook if ever there was one when he arrived at his alma mater, Cass Tech. It was then that one of his dad’s friends told Tomlin the Technicians needed help with girls volleyball.
“About all I knew was what I’d seen in the Olympics. So over the next three or four years I learned to coach volleyball, and we went from being a good program to a bad program,” Tomlin laughed, while adding that Cass Tech had just won an MHSAA Regional and had some solid individual talent when he stepped in.
“But, through MIVCA (the Michigan Interscholastic Volleyball Coaches Association), and some additional training and sports performance videos, I’ve turned into a better coach,” he added.
Such is Tomlin’s approach to administration. As he was trying to find his way during the early years, and continues to do to the present, he leaned on the network of people and resources available.
Tomlin had worked closely with long-time Cass Tech athletic director Robert Shannon, and early in his educational career was introduced to the Michigan Interscholastic Administrators Association by Doris Rogers, then AD at Crockett.
“I started going to MIAAA and taking leadership courses and training,” said Tomlin, now in his second year as Cass Tech’s AD. “It really opened up a side of interscholastic athletics that I had not been exposed to. Going to those conferences has really helped me to develop my philosophies and helped establish what we try to do here at Cass.”
There is so much more that he’d like to do, but like all ADs in the Detroit Public School League, there are time limitations.
“One of the things holding us back in the Detroit Public Schools is that our position has turned into a stipend position,” Tomlin said. “I’ve got five Algebra I classes, so I’m in class until 2 (p.m.) every day. The things that I really want to do with this program in terms of moving it forward by finding more sponsorships for new teams and facilities suffer a bit due to time.”
As such, much of the responsibilities placed on athletic directors at other schools statewide fall to the coaches in the PSL. Cass Tech has won two straight MHSAA Division 1 football titles, something other coaches at Cass aspire to do. But, warns Tomlin, there’s a price to pay.
“Everyone likes the end result of a state championship, but the support and the effort it takes to get there is totally on the coaches here. They deserve all the credit,” Tomlin said. “The coaches have huge tasks because, hey, your AD has five classes so you have to be really passionate about what you’re doing; if you’re not, this isn’t the job for you.”
Hiring the right coaches is paramount today, as expectations of parents and students seem to be at odds with reality.
“Parents’ and students’ expectations have changed so much. Everyone wants that scholarship, or this level of athlete, but are they willing to put in the work?” Tomlin said.
Tomlin knows a bit about parental expectations, and hopes to instill all he’s learned in daughter Montana (16) and son Chase (11) as they continue to enjoy athletic participation.
When it’s time, Tomlin might even try to sell them on a career in education, as his mother did to him years ago.
PHOTO: Detroit Cass Tech athletic director Edward Tomlin stands in his school's gymnasium. He returned to his alma mater as volleyball coach in 1995.
This is the fourth installment of a series, "Career Paths," focusing on the unsung contributions of athletic directors. See below for earlier installments.