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. 

Valued Leaders Talk Sportsmanship

April 12, 2013

By Rob Kaminski
MHSAA benchmarks editor

Anyone who has attended an MHSAA sporting event has undoubtedly heard the public address announcements touting sportsmanship.

Sportsmanship is one of many lessons taught through school sports. But are today’s student-athletes the willing pupils in the subject? Or are too many kids opting for elective courses in showmanship offered via YouTube and cable networks?

While many involved in high school athletics have noticed a decline in sportsmanship, it’s not too late to inject this valuable ingredient back into our games. But efforts need to begin at the local level, and the scholastic environment needs to supplant community venues where poor sportsmanship often flourishes.

Seventeen coaches from all over the state chipped in to a benchmarks town hall discussion on sportsmanship. 

East Kentwood’s Dave Emeott: “I think it is easy to see that sportsmanship is at least diminished. I think sportsmanship starts in the home, but we cannot always depend on the household to teach these lessons. As we sit in the stands, we realize that if this is where they learn it, then we need to get to work. I think we need to teach parents what a good sport looks like, as well as students. It is apparent that students will be the kind of sports they are permitted to be. Most coaches want good sportsmanship, but struggle with the balance of teaching character and winning or losing.”

Middleville Thornapple-Kellogg’s Tamara Benjamin: “Sportsmanship could be endangered. If a parent is allowed to sit in the stands and berate coaches, officials, and other athletes, it’s difficult for our students to see that this behavior is wrong because it is being tolerated. My expectations for our girls’ behavior are made clear the first day of practice. I hold them accountable for themselves, and we go forward each day.”

Holland’s Don Kimble: “I believe that it starts at home; always looking for a reason for failure opens the door to unsportsmanlike behavior. On our team, sportsmanship is stressed within the team first; if you cannot be a sportsman to your teammates, then you cannot be to others.”

Grand Haven’s Kimberly Vincent: “We’re all about sportsmanship and work with students and parents to set expectations. There are too many people pointing fingers at other people about this subject, and I think coaches have to set the example.”

Battle Creek Pennfield’s Mike Roach: “Youth sports programs need to concentrate on sportsmanship and the fact that there are winners and losers in sports. By not keeping score, the kids do not learn how to win, nor do they learn how to handle losing. Keep score. Teach kids that it is not the end of the world to lose, but be gracious in winning and losing.”

***

It could be true that much of the focus on poor sportsmanship is a result of just that: the spotlight on poor sportsmanship, rather than the good.

Thornapple-Kellogg’s Abby Kanitz: “I think that too much focus is put on the unsportsmanlike situations.  There is much more good out there than bad; it just doesn't make for great stories. It does not take much more than one bad situation to ruin a game, competition or meet. I think sportsmanship comes from the coach. If your athletes know you have high expectations in this area, then their parents will know, too.”

Allegan’s Gary Ellis: “Sportsmanship is alive and well, though it is under attack. Students are exposed to so many examples of poor to horrendous sportsmanship on TV, that it seems to be the norm.” 

Bloomfield Hills Andover’s David Zulkiewski: “I see positive sportsmanship every day with my athletes, and that’s because we focus on it and make it part of our daily practice and competition. Our team is much more than swimming or diving; it’s about excelling at life. So many of our kids will not compete in athletics after high school, so we try to give them skills they can use in the real world. Being a good sport is one of those skills.”

Grand Haven’s James Richardson: “Kids want and need structure, and will uphold the guidelines as long as they are clearly defined and enforced consistently. As coaches we need to build relationships with the kids and teach them proper behavior, and serve as models for them.”

Holt’s Mike Van Antwerp: “Sportsmanship is still around. If kids respect their opponents as individuals, they are good sports. Most of them would get along well if they were on the same team, so it’s important they realize that. The kids they play against are no different from them. If they respect the game, respecting their opponent follows.”

***

To be sure, no coach worth his or her clipboard sets out to allow poor sportsmanship. But emphasizing proper conduct early and often should be as essential as conducting tryouts.

Munising’s Cathy Mutter: “Sportsmanship is an important part of high school sports and life in general. I always tell my athletes, ‘You do not deserve; you earn. You have to work hard, be positive and be fair.’ I teach them to strive to be the best they can be on the team, in the classroom, at the jobs they have, and at home in their family life. Many programs struggle due to the fact they do not work together as a unit. You are only as strong as your weakest link.”

Rockford’s Ed Van Portfliet: “The O-K Conference and the member schools have done a great job of promoting sportsmanship, and I think it’s alive and well in our area. We teach our players it’s important to play hard, but they also have to respect their opponent and the game. We don’t tolerate actions or play from our players that would be considered disrespectful or detrimental to the game.”

Warren Regina’s Diane Laffey: “We always talk sportsmanship at our team meetings, our parent meetings and our coaches meetings. I guess it is an endangered species in some areas – but I do not feel it has gotten anywhere near that point at our school. I make every effort to make sure that our athletes, teams, coaches and parents keep sportsmanship at the top of our list.”

Allegan’s Ellis: “Leagues have a responsibility to educate their students about proper behavior at high school athletic events and how to treat their opponents. Schools need to develop leaders – on teams and in the stands – who set the tone at contests. The biggest trophy given out at our year-end awards night is the sportsmanship trophy.”

Marshall’s Sue Hutchings: “Sportsmanship starts with the coaching staff respecting the players and hammering the philosophy home. If one of our players exhibits bad sportsmanship, they are taken out of the competition and made to apologize. And trust me, it has happened. Our conference coaches are all pretty tight and have worked together for a number of years. We all share the same philosophy and have very, very little trouble with bad sportsmanship.”

***

Sometimes, proper sportsmanship is simply woven into the fabric of a given sport.

Grand Rapids Forest Hills Northern/Forest Hills Eastern’s Brian Telzerow: “Sportsmanship in golf is the leader in integrity. There is no other sport that is as self-policing as is golf. The young men and women must play with honor and integrity, calling penalties on themselves with no referees present. There is no entitlement here. After we play, players shake hands with all other competitors in their groups. We also make it a practice to say thanks to the host team and to the host course personnel. This is intentional to instill gratitude for the privilege of playing this sport.”

Portland’s Jim Niebling: “Sportsmanship may very well be endangered, but not in high school tennis and certainly not on our teams in Portland. Just this season my No. 1 singles player was playing his arch rival in the league championship match. They had gone back and forth for years and both knew the implication of winning the match for the upcoming Regional and Final tournaments where they were surely going to have to play again. The loser would be seeded lower and would have decidedly more difficult draws. But when the other player, up a set, began to cramp in the second set, looking like he may not be able to finish the match, my player walked to his cooler, pulled out a Gatorade and handed it to his opponent.

“My player ended up losing that match, and he knew that was a possibility when he handed his opponent that Gatorade. If that’s not sportsmanship, I don’t know what is.”

Grand Haven’s Richardson: “Sportsmanship is promoted on our team because in wrestling we are only in charge of ourselves and our actions. It’s a sport that holds individuals accountable. It is difficult in our sport to place blame on others.”

Grand Rapids Kenowa Hills/Grandville’s Brenda McDonald: “I always have my girls practice good sportsmanship. They always thank the home team or say, ‘Good job,’ to the opposing team. Many of the girls know the girls on other teams from previous gymnastics classes, so they enjoy seeing them again.”

High School Coaches Survey Identifies Parental Concerns

More than 3,000 high school coaches and athletic directors responded to a nationwide survey conducted by Growing Great Relationships (GGR) in cooperation with the National High School Coaches Association (NHSCA). The purpose of the survey was to understand what coaches and athletic directors see as their greatest needs concerning coach-parent and coach-athlete communication and relationships. GGR and NHSCA will use the results to design training and programs that address the identified needs.

The first section of the survey addressed issues surrounding parents of athletes. The first question asked coaches about their greatest concerns dealing with parents. More than 50 percent indicated over-involved parents as their No. 1 concern.

The second question asked coaches what they think parents are most concerned about. Overwhelmingly, nearly 80 percent reported the child’s amount of playing time as their perception of a parent’s biggest issue.

The next question asked coaches who are the most difficult parents. Athlete “wanna bes” were identified by 55 percent of the respondents.

Coaches then were asked what parents should do to support them. More than 70 percent indicated keeping them informed of personal difficulties their child was having at home. This was followed by 63 percent asking parents not to use social media regarding the team, or to gossip about the team or the coach’s expertise. Athletic directors’ responses were similar but with different percentages. Nearly 73 percent ranked not using social media or gossip about the team as the most important.

The second section of the survey asked coaches about their greatest concerns regarding relationships with their athletes. The first question asked coaches about the challenges they face communicating with student-athletes. Nearly 58 percent indicated an athlete receiving contradictory advice from parents and other coaches/advisers. This was followed closely with 55 percent stating an athlete’s inflated belief about his or her ability. Athletic director responses were similar but with somewhat different percentages. The greatest response, 70 percent, was the athlete receiving contradictory advice.

The second question asked the coaches for other factors interfering with their relationships with their student-athletes. The factor indicated by 58 percent of coaches was an athlete over-burdened with competing school demands (clubs, academics). For this particular question, the response from the athletic directors closely matched the coaches.

Athletic directors were asked that in their role what are their greatest concerns dealing with parents and athletes. The most frequent answer by 76 percent of athletic directors was parents bypassing coaches to complain directly to them.

In addition, nearly 500 coaches and athletic directors wrote in additional concerns that they have in their ability to communicate and work with athletes and their parents.

– Richard & Jane: Relationship Coaching