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.
MHSA(Q&)A: Gibraltar Carlson cheer coach Christina Wilson
February 17, 2012
After cheering through middle and high school, Gibraltar Carlson competitive cheer coach Christina Wilson started coaching the Marauders’ middle school team the season after she graduated from Carlson High in 2001. She took over the varsity team in 2007 – and has accomplished in a short time what many coaches hope for over decades.
Carlson has won three of the last four MHSAA Division 2 championships – also finishing runner-up in 2010 – and is ranked No. 1 in its division heading into District competition this weekend. The Marauders have had a strong program throughout the history of competitive cheer as an MHSAA sport – they won the Class B championship in 1995 under Pat Christiansen and finished runners-up three straight seasons after that – but are on a run unequaled over the last five seasons.
Bowling Green, Eastern Michigan and Oakland’s cheer teams now boast former Carlson athletes, and all of this success could be just the start – Wilson may have accomplished a lot early in her career, but she said she hopes to keep the Marauders rolling for years to come.
What kind of things did you learn from your high school coach that you still teach today?
As soon as I started coaching middle school – we also got a new coach at the varsity level as well, so we had new coaching throughout the program at that time – I took and got the resources from our former coach in ’95 (Pat Christiansen) and started using all her resources. Everything she implemented and used for her teams, I took and continue to use today
Her daughter (Tami) coached with her in ’95 when we won the state championship, and she recently came back in 2010 as one of our assistants. She brought back that mentality of ’95 of working hard … the harder the practices the more successful you’ll be … make practices count enough so on Saturdays you can be as prepared as you can be … and the importance of making of making good decisions, in practice and outside sports as well.
Your program had success previously. But what happened to take Gibraltar Carlson to the next level?
I started coaching middle school, and by the time I moved up to varsity all (my) rules and procedures, the kids were used to it and it was (the same) throughout the program. It was becoming a program-wide thing to become excellent. It wasn’t just team by team, and I think that helped. We hold our kids to really high standards, and we’re expected to reach our goals and expectations.
What is the one big thing your athletes take away after four years of being part of your program?
We have the mementos and the championship rings and those things. But I think it’s a sense of pride. It gives them a sense of self. They know they can have goals, and if they work hard they can achieve those goals. If they put their minds to something, it’s something they can grasp if they work hard. I think that whole mentality of working hard, pursuing goals and teamwork is instilled right from the get-go, and something they take with them when they leave the program.
How do you stay ahead of the competition?
It’s not easy. We go to several camps; there’s a champion cheerleading camp we go to every summer. We work with college teams too; they come and show us things they do and teach us things. We take some kids every once in a while to out-of-state clinics (Kentucky, Bowling Green, etc.). We really try a diversity of things to get the girls out there and experiencing things. The techniques and ideas, it’s all about seeing something and then adding that to imagination to come up with whatever knows what.
Why are your teams so consistent?
We hold them to high expectations. We have gymnastics classes that they regularly attend, and on their own they go to the gymnastics facility once or twice a week extra on top of that to stay on top of their skills stay among the best athletes in state. One thing we do every year is we create a huge goal board. What we do after we start competing, is every Monday we check off what we’ve completed on the goal board. It’s not just a mental aspect, but it’s visual. Every week focus on something we try to achieve.
What do you enjoy most about coaching?
I love working with the kids. They’re funny. Practice is something new every day; you never know what you’re going to get. It’s so much fun. (And) competing is fun. I like the aspect of competition, the intensity of it. That’s lots of fun too. Winning is fun.
This is the sport Gibraltar Carlson has become known for, the one in which it’s had the most success lately.
It’s starting to grow. People look at cheerleading like, “Oh, it’s cheerleading.” We are definitely gaining the respect of other coaches and other programs, other sports and teachers and the student body. The really cool thing is when people start to look at the sport and realize how physically demanding it is. It makes us feel good to hear when other coaches say they think maybe the cheerleaders might be some of the best athletes in this school.
PHOTO from last season's MHSAA Division 2 Final at the Grand Rapids DeltaPlex.