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.
'Always just a phone call away'
March 30, 2012
By the time Charles Schwedler joined the Bullock Creek school district nearly 19 years ago, Bill Mick had moved on to other educational roles in the Midland area.
They had never worked together. They didn’t know each other from a previous experience. Schwedler, now his district’s Superintendent, had never worked with either of Mick’s children.
The only connection they shared was an interest in the success of Bullock Creek’s students.
“Bill has always been just a phone call away for anything that I have needed from the day I arrived in Bullock Creek,” Schwedler wrote in his letter of recommendation for this year’s MHSAA Charles B. Forsythe Award. “That may not sound all that unusual except for the fact that he really has never had a reason to help me. … Bill intuitively knew that if I succeeded, kids would have a better shot at succeeding. No hidden agenda; just what’s best for kids.”
For more than four decades, Mick contributed to high school athletics as a coach, administrator and then mentor to those who followed him in those roles. That drive, which has continued after Mick’s official retirement from education, made him this year’s recipient of the MHSAA’s highest honor.
The Forsythe Award is in its 35th year and is named after former MHSAA Executive Director Charles E. Forsythe, the Association's first full-time and longest-serving chief executive. Forsythe Award recipients are selected each year by the MHSAA Representative Council, based on an individual's outstanding contribution to the interscholastic athletics community. Mick received the award during halftime of Saturday’s Class B Boys Basketball Final at Michigan State’s Breslin Center.
“I think it’s just being around athletic directors, particularly the new or younger athletic directors, that keeps the juices flowing, so to speak,” Mick said. “It goes both ways. I think I have experiences I can share with people that can help them. And it sounds trite, but it’s the truth: Their enthusiasm makes them flow faster.”
Mick began his career at Bullock Creek Public Schools from 1963-76, first as a science and physical education teacher and later as a counselor and Guidance Department head. He then moved to Midland Public Schools, serving as a counselor at Midland High and then Counseling Department Head at Midland Dow until becoming the district’s Coordinator of Health, Physical Education and Athletics from 1985-97. Mick finished his educational career as a part-time counselor at Midland’s Windover High School from 1997-2002 and then again at Bullock Creek High School from 2002-03.
Among his various contributions to athletics, Mick served on the MHSAA Representative Council for three years and in a number of roles with the Michigan Interscholastic Athletic Administrators Association (MIAAA) over 24 years. He coached cross country, track, football and basketball, and has served as an instructor in the MHSAA Coaches Advancement Program.
He remains part of the committee that organizes the MIAAA’s annual statewide conference, and also makes a trip to the MHSAA office once a year to assist in a conference for new athletic directors. He passes on lessons from the challenges he's faced over the years, with an eye on new ones that continue to crop up.
“The whole electronic media thing, things happen so much quicker. There is so much more with the Internet, and that’s probably the biggest change I can see since I got started,” Mick said. “(And) the role of the AD now is so much more complex, and we don’t see as many fulltime ADs. They have other responsibilities and obligations, so much on their plates – probably more than we had on our plates when we were ADs.”
Mick has received multiple honors from the MIAAA, including the State Award of Merit in 2002 and Distinguished Service Award in 2008. He also received the MHSAA’s Al Bush Award in 1998 for his many contributions to the association, and the Midland Area Community Foundation’s Lloyd Osborn Award in 1997 for his service to youth and athletics in that community. He was inducted into the Midland County Sports Hall of Fame in 1998.
Mick also was an MHSAA Track Finals meet manager for three years and served as executive secretary of the Mid-Michigan B league for five.
“Bill Mick contributed to high school athletics in a number of mentorship capacities during his career, and he remained engaged in that service after his retirement,” said MHSAA Executive Director John E. “Jack” Roberts. “Through his work with the MHSAA and MIAAA, Bill has provided valuable training to the next generation of leaders. We’re proud to honor Bill Mick with the Forsythe Award.”
A Tawas High School and Albion College graduate, Mick also received a master’s degree from Central Michigan University and did post-graduate work at Saginaw Valley State University.
His father and brothers all were superintendents and his mother was a teacher. His wife Mary Lou was an elementary school counselor for Midland Schools, and together they still attend a number of Battle Creek basketball games – where they now watch the children of those they taught, counseled and mentored.
They have two sons who are both doctors, one living in California and the other in Maine.
Past recipients of the Charles E. Forsythe Award are:
1978 - Brick Fowler, Port Huron; Paul Smarks, Warren
1979 - Earl Messner, Reed City; Howard Beatty, Saginaw
1980 - Max Carey, Freesoil
1981 - Steven Sluka, Grand Haven; Samuel Madden, Detroit
1982 - Ernest Buckholz, Mt. Clemens; T. Arthur Treloar, Petoskey
1983 - Leroy Dues, Detroit; Richard Maher, Sturgis
1984 - William Hart, Marquette; Donald Stamats, Caro
1985 - John Cotton, Farmington; Robert James, Warren
1986 - William Robinson, Detroit; Irving Soderland, Norway
1987 - Jack Streidl, Plainwell; Wayne Hellenga, Decatur
1988 - Jack Johnson, Dearborn; Alan Williams, North Adams
1989 - Walter Bazylewicz, Berkley; Dennis Kiley, Jackson
1990 - Webster Morrison, Pickford; Herbert Quade, Benton Harbor
1991 - Clifford Buckmaster, Petoskey; Donald Domke, Northville
1992 - William Maskill, Kalamazoo; Thomas G. McShannock, Muskegon
1993 - Roy A. Allen Jr., Detroit; John Duncan, Cedarville
1994 - Kermit Ambrose, Royal Oak
1995 - Bob Perry, Lowell
1996 - Charles H. Jones, Royal Oak
1997 - Michael A. Foster, Richland; Robert G. Grimes, Battle Creek
1998 - Lofton C. Greene, River Rouge; Joseph J. Todey, Essexville
1999 - Bernie Larson, Battle Creek
2000 - Blake Hagman, Kalamazoo; Jerry Cvengros, Escanaba
2001 - Norm Johnson, Bangor; George Lovich, Canton
2002 - John Fundukian, Novi
2003 - Ken Semelsberger, Port Huron
2004 – Marco Marcet, Frankenmuth
2005 – Jim Feldkamp, Troy
2006 – Dan McShannock, Midland; Dail Prucka, Monroe
2007 – Keith Eldred, Williamston; Tom Hickman, Spring Lake
2008 – Jamie Gent, Haslett; William Newkirk, Sanford-Meridian
2009 – Paul Ellinger, Cheboygan
2010 – Rudy Godefroidt, Hemlock; Mike Boyd, Waterford
2011 – Eric C. Federico, Trenton
PHOTO: Midland's Bill Mick (right) receives the Charles B. Forsythe Award from MHSAA Representative Council president James Derocher during halftime of the Class B Final.