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.
From MSP Post to Postgame: Lieutenants Return to the (Football) Field
September 27, 2023
While fans are settling into another season, Michigan State Police Lt. Tedric Gibbs has been fully immersed in football for months.
The Jackson Post’s assistant post commander serves as assistant coach for Jackson High School’s varsity football team and for the team at Parkside Middle School.
“I started coaching when my older son was in youth sports, as a way to do something together that we both love,” Gibbs said. “My younger son followed the same path, so I joined his team too. I grew up in Jackson and am grateful to be able to serve my hometown from the sidelines and at our post.”
Some 400 miles north, Lt. Mark Giannunzio is also a familiar face in and on the field. The MSP Negaunee Post assistant post commander and Eighth District public information officer enforces the rules of the game as a high school and college football official, the latter for the Great Lakes Intercollegiate Athletic Conference.
“I started at the high school level to stay involved in athletics and make authentic connections in the community,” Giannunzio said. “It’s rewarding to help teach the game and share knowledge of the rules. I currently have a full 11-game schedule in the GLIAC Division II college conference, with high school games interspersed during the year.”
The correlation among coaching, officiating and policing translates.
“With my fellow troopers, I want to inspire, motivate and encourage to get the most out of them,” Gibbs said. “I take the same approach with my players to figure out what they need from me, as their designated leader, to be as successful as they can. In both capacities, I do the work alongside them. We do it together.”
This approach is especially important when tough times surface. Lieutenant Gibbs’ high school team experienced tragedy right before its first game when a player died in a car crash.
“We focused on adversity,” said Gibbs, who was in a unique position to talk from a police perspective too. “It’s a benefit to have that insight and background and share it with what they can control – make good decisions and wear your seatbelt.”
Lieutenant Gibbs incorporates his coworkers when he can, like during spring conditioning when fellow troopers join him and his players, helping all involved to make new connections and build strong bonds between the students and officers.
“One of the most important attributes in both careers is communication,” Giannunzio said. “Communication can make or break an official and a police officer. Much like selling a citation to a motorist, I need to be able to sell the penalty in a calm and professional manner. Demeanor and attitude go together on both the football field and when we are out patrolling in the Blue Goose.”
Treating everyone with dignity and respect is something Lieutenants Gibbs and Giannunzio commit to as members of a modern police agency and in their areas of expertise on the football field.
“Both roles afford so many opportunities to develop culture and cultivate teamwork,” Gibbs said. “The best part is watching others flourish and playing a part in their growth.”
PHOTOS (Top) Michigan State Police Lt. Tedric Gibbs, left, serves as an assistant football coach for the Jackson High varsity. (Middle) Lt. Mark Giannunzio officiates at the high school and college levels. (Below) Gibbs also coaches at Jackson Parkside Middle School. (Photos provided by the Michigan State Police.)