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: Mendon football coach John Schwartz
February 2, 2012
John Schwartz didn’t really want the Mendon football head coaching job when a group of players convinced him to take it before the 1989 season. And his first contract started out on a napkin. The rest is history.
Mendon won its 11th MHSAA football championship this fall, downing Fowler 33-0 in the Division 8 Final, to tie for third-most football titles won by one program. Schwartz has coached in the program for all 11, including 10 as head coach, and his record of 236-39 gives him a winning percentage of .858, tops in the MHSAA record book. He recently was selected as this year’s recipient of the high school Duffy Daugherty Award, annually given for career contributions to the game. He follows recent winners Ralph Munger of Rockford and Herb Brogan of Jackson Lumen Christi.
His Mendon teams have had just one losing season. And although he retired a year ago after 36 teaching middle school science, and then fought off cancer over the summer, he has no plans to leave his post on the Hornets’ sideline.
How would you characterize your program?
I think we have very good coaches and I think the kids respect the coaches, and they know the coaches think more of them than just being football players. They care about them. We have their attention, and what we really try to do is form a team concept as soon as we can. We try to stay away from giving any one person too much recognition. We don't give out MVP awards at the end of the year. It's a program where we're all in it together: coaches, kids and community. We try to get the best out of the kids, give the kids the best shot we have at being the best we can be.
How does a small school continue to reload every season?
My first year there, the first thing I did as a head coach was I started the junior high program. I think that's where everything starts. We even have the younger kids called the rocket kids, and those coaches come in and talk about (football) terms so when kids move from one level to another there's no re-teaching. Everyone has an ego, coaches have egos, and they like to do some things differently. But we don't have that. They do what we do. We give them a lot of flexibility, but we have certain drills we want to run. By the time we get them, these kids are in tune with what we are doing. The summer program also is something I started my first year as head coach too. ... It means that during the season we can concentrate more on teaching than conditioning.
You went from 3-6 in 2006 to 12-0 in 2007. Explain how you bounced back.
The losing season we had, we didn't have a lot of kids, and our two best kids were hurt early in the season and couldn't play. We never did bounce back. Even in that season, we were ahead at halftime in all but one game. We just didn't have enough to come back and pull the game out, and we had some very tough games. It wasn't a good season, but I thought those kids played awfully hard for what we had. We got a lot of experience, and it paid off the following year.
Our JVs practice with the varsity. When I work with inside linebackers, I work with (grades) 9-12. Kids learn quicker from kids than from coaches, as far as I'm concerned. ... Football's really changed. It's become a lot more complex. I think we have to delegate more and more every year so we can stay with the changes. It's too much for one person. I remember my first three, four or five years it was just three of us at the varsity level. The other two, neither one taught at the school. We were pretty successful right off the bat, and we started getting more and more interest from people. Now 9-12 we have seven coaches, and we have three at the junior high, and all the coaches but two have played for me. They know what I expect, what I'm looking for, what I want. ... And they want to win. I'd be lost without those guys.
Are there certain seasons that have meant more than others?
The first year I took the job, in 1989, we went undefeated and won a state title. A lot of those kids are very good friends of mine yet, and they're pretty special to me. They were a big boost to my program. In the '95 year, my son was a sophomore on that state title team. I remember a lot about that team.
They all have something they did very well. They either threw the ball well or played great defense or had a big line. When I hear a year now, I think about those teams.
You grew up in a small town (Colon) and have taught and coached in a small town. Was that important for you to do?
I've never taught anywhere else. I never felt I really had a reason to leave. I've gone through at least six superintendents since I've been there. The fourth or fifth said to me, "The only thing that bothers me about Mendon is these people think an awful lot of winning. There are other things." He asked me, "How do you feel about it?" I said, if they didn't feel that way, I wouldn't be here.
Who was your biggest coaching influence?
I would say Morley (Fraser, Jr., under whom Schwartz was an assistant for three seasons). Years before I got there, Mendon was pretty good in the early 70s, and then in the mid 70s football wasn't very good. I was the JV coach the first year, and the second year after two games they brought me up to varsity. The best thing I did was I told them I would not take the head job, but I'll assist. I knew (Fraser) was the kind of person and personality we needed there. It wasn't necessarily all of his football knowledge, but his energy and excitement that he brought to the game.
You said during the Finals postgame press conference that you'd battled cancer during the summer. How did you come back, and did you ever think that might be time to step down?
Everything's fine. I had coaches that took over. At the same time that that happened, I was retiring. If you retire in Michigan, you can't be at the school for one month. So I couldn't be at summer weights all the way through June. So my coaches did all the summer weights. But I had no intention of stepping down. If something (bad) came down ... but once they said they got it, everything went as normal.
After a championship season, how do you ramp things back up for the next fall and a new group of players?
When we go to the playoffs, we take all the JVs unless there are couple who don't want to go. They experience that and get an extra five weeks of practice if we win a state title. And they're excited about it. They want to do that. They’ve' tasted it, and they want a part of that the next year. We remind them it's not what you did, it's what can you do for me now. ... This is your year.
We talk about winning state championships from day one. A lot of people say we shouldn't do that, but why not? Isn't that the ultimate goal? I can't imagine telling a team we think we could be 7-2 this year. We expect to be 9-0 every year. Of course, that's not going to happen. But at same time, I think the losses make you better the following week. We've won state titles where we haven't won the league title. ... You get better.
PHOTO: Mendon coach John Schwartz talks things over with his players during the Hornets' 21-14 win over Decatur in the 2002 Division 7 Final at the Pontiac Silverdome.
