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.
Olympic Run Leads to Northern Michigan
July 8, 2013
By Rob Kaminski
MHSAA benchmarks editor
To a generation of sports fans, Lake Placid, NY, will always conjure images of the “Miracle on Ice” orchestrated by the 1980 US Olympic Hockey Team and the voice of Al Michaels counting down the seconds and asking, “Do you believe in miracles?”
Maureen Whidden grew up a sports fan in a sports household. She, too, has a memory of Lake Placid, but it’s unlike those of most other people in the world, let alone this country.
“Right from college I went to Lake Placid, NY, and was an intern for the Olympic Training Center, working operations and events,” she said. “I got to go down the bobsled run, which was awesome. We started from about halfway up and I clocked about 45 miles per hour. It was just cool.”
Now beginning her fourth year as athletic director at Houghton Lake High School, Whidden maintains a pace which on most days during the school year must feel like twice her speed down the icy track in Lake Placid.
A self-proclaimed gym rat, she wouldn’t have it any other way. Her father, Rick Radulski, was the varsity boys basketball coach at Utica High School. When she was not in the gym, she was, “watching game film with the guys. That’s how I grew up.”
After earning a master’s degree in sport administration from Central Michigan University, it was off to Lake Placid, and on the fast track – literally – to launching her career.
The unexpected bobsled run opened Whidden’s eyes in more ways than the obvious thrill of the moment.
“It was my introduction to non-traditional sports such as luge, skeleton; just awesome sports. Those athletes are so strong. Real power and strength athletes,” Whidden said.
Following her internship, Whidden was hired by USA Taekwondo in Colorado Springs, where she worked for a year and a half while in the process being exposed to yet another sport.
Her path then led to operations with the US Olympic Committee, working at the headquarters for three years. Whidden was involved with National Governing Bodies, coordinating events and processing athletes’ stays at the headquarters from start to finish.
Though vastly different than the sports she followed growing up, she could easily see a common thread in the people who participated.
“All athletes have the same goals and the same values; the same drive,” Whidden said. “Not all of them get the same publicity. Taekwondo, for instance, didn’t get the publicity that basketball or soccer got.”
It was that type of experience that helped in her transition to heading up a high school program of 15 sports, a couple of which were in their infancy for the 2012-13 school year. Whidden called upon her USOC experience as she welcomed bowling and cross country to Houghton Lake.
“Bringing new students into the athletic world, or exposing others to a new sport, really opened my eyes,” Whidden said. “On the bowling team we have 12 kids who may have never played another sport in their lives, and they just went to the Regionals. It’s not just mainstream sports – football, basketball, baseball – that can succeed .”
The two additional sports were a welcome addition to Whidden’s workload, at a school where 23 percent of the student body participates in at least one sport, and only 11.5 percent suit up in two different uniforms.
She wishes the numbers were higher, but several factors are at play for the Class B school of 468 students in one of Michigan’s prime resort towns – with the economy and funding posing the highest hurdles.
“We’re one of the poorest counties in the state of Michigan, based on average income,” Whidden said. “Our student count has dropped in recent years. People come here during peak seasons and support our businesses, and that’s great, but people aren’t moving here.”
Some, in fact, are moving away, which has left Whidden looking for football and boys basketball coaches in each of her three years.
Yet, if there’s one thing clear when meeting Whidden, the challenge is not too daunting. It is worth noting that the recent additions of bowling and cross country came to fruition through old school dedication and heart; the programs are self-funded, and the coaches are not paid.
Whidden knows all about paying dues. This is just her first year as a fulltime staffer at the high school, after starting as a half-time employee and then moving to three-quarters-time.
“Our community support has been the most amazing aspect of this job,” Whidden said. “We don’t have the budget to pay our event workers: ticket takers, announcers, scorebook ... anybody. But, I’m never scrambling to find workers. That’s amazing to me.”
Whidden often brings extra “volunteers” along – twin 5-year-olds, Troy and Blake – to afford them the same opportunities she had as a child and start them down the right track.
PHOTO: Houghton Lake athletic director Maureen Whidden stands in front of the press box at her school's football stadium. This fall, she'll begin her fourth year guiding the athletic programs.
This is the third installment of a series, "Career Paths," focusing on the unsung contributions of athletic directors. See below for earlier installments.