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.
Baseball Remains Front of Tuttle's Mind, Close to Retired Coach's Heart
By
Doug Donnelly
Special for MHSAA.com
June 29, 2023
BLISSFIELD – Larry Tuttle jogged out of Tuttle Dugout onto the artificial turf at Adrian College and took his spot in the third base coach’s box, looked in at the batter as he approached the plate and clapped his hands.
It’s like he never left.
For more than 50 years, Tuttle occupied the third base coach’s box for the Blissfield Royals. He is the winningest high school baseball coach in Michigan history and one of the winningest prep baseball coaches in America. It’s been two years since Tuttle last coached the Royals, but when the Lenawee County All-Star Game came around this year, and Onsted coach Matthew Randall was named a head coach of one of the teams, one of his first calls was to Tuttle.
“To see him coach third base again for two innings of that all-star game was nothing short of amazing,” Randall said. “I love that man and everything he has taught me.”
Tuttle and Randall faced off about 40 times over the years.
“There’s a lot of respect between us,” Tuttle said. “I was happy to do it.”
Tuttle, 79, is a Morenci native who played baseball and graduated from Adrian College, coached for one year at Temperance Bedford and five decades at Blissfield. He spends a little more than half of the year in Florida these days in a house he owns in The Villages, a retirement community about an hour north of Orlando.
This past spring, Blissfield took a spring baseball trip to Florida and Tuttle was able to come out to the field and watch a few practices.
“That’s the best time,” he said. “I always enjoyed those first practices of each season. People will ask me, ‘But what about the cold? It’s always so cold in Michigan that first week.’ The first 10 days or two weeks or so inside, that’s where we formed our whole season, working on the fundaments and the strategy, getting the kids mentally ready for the season. That was a fun part of coaching.”
He returns home to Michigan each summer to spend time with his kids and grandchildren, including a freshman-aged granddaughter who is showing good things in softball. His roots are in southeast Michigan, and he has every intention of keeping it that way.
Tuttle’s career at Blissfield was nothing short of remarkable.
He coached Blissfield for 54 seasons. It would have been 55, but the 2020 season was canceled due to COVID. The Royals won 1,332 games during his career. They won 33 District titles, 23 Regional championships and seven Finals crowns. Blissfield also won 40 league titles, including in his final season of 2021. His No. 18 jersey was retired by the school district.
In 2015, Tuttle was an easy inaugural choice for the Michigan Baseball Hall of Fame.
This summer, Tuttle returned to Michigan in time to see Blissfield play a few regular-season games and was there when his beloved Royals played in the Division 3 District tournament. He wore his familiar Royals gear. When the Lenawee County All-Star game was played, Tuttle was in his full Blissfield uniform. It still fits perfectly.
“I still enjoy the game,” Tuttle said. “It’s my energy level that just isn’t what it used to be. That’s why I stepped down. I still love the strategy of the game.”
When he’s watching a game, he still goes through every play in his mind and what he would do if he was calling the shots.
“You’re always coaching even though you might a spectator,” he said. “It may not be the right way, but it’s my way. That’s baseball. I love thinking about what to do on this count or that count, to take a pitch or not.
“I see a lot of coaches these days who had played in college. Young coaches coach the college way, but you are dealing with high school kids who may not have a real firm understanding of the game itself. You have to teach high school baseball to college kids. You don’t teach college or pro ball to high school kids.”
Tuttle, who has battled some health issues the last couple of years, misses being in his role as coach.
“I miss the players and the relationships I had with umpires and the other coaches,” he said. “It’s hard to replace that.”
Tuttle is an icon in Lenawee County. When he goes to a game, people gather around him to talk. He still follows the area teams and has a relationship with several coaches and ex-players.
Tuttle enjoyed monumental success at Blissfield. The Royals’ last sub-.500 season was in 1971.
“I know that because I have the records,” Tuttle said. “The closest we came was we were 8-8 one year in the 1980s.”
Tuttle has been a stickler for stats his entire career. Some coaches have a hard time remembering how their team did two years ago. Tuttle knows. He kept intricate stats on every team he’s coached at Blissfield and to this day has them organized only a few steps away from his kitchen table at his home in Blissfield – which is just across the street from the high school and a long home run away from the baseball field that is named in his honor.
“I have a file cabinet full of files from each season and I have the scorebook from every year I coached at Blissfield, starting in 1968,” Tuttle said. “Stats were always important to me, not the wins, but the stats. Baseball stats tell you so much about the game.”
Since stepping aside, Tuttle has had time to reflect on his career.
“I would have never believed I would have coached that long,” Tuttle said. “Then, I sit back and think, ‘That was a lot of wins, wasn’t it?’ I don’t mean that in a bragging way. I think more about it when I go to a game.”
Randall recently announced his retirement from Onsted after 13 years as head coach. Onsted is in the same conference as Blissfield, the Lenawee County Athletic Association, so he had a close-up view of Tuttle in action.
He now has a memory of the last game he coached at the All-Star Game at Adrian College.
“I credit a lot of my coaching philosophy to this day to him,” Randall said. “Our relationship has really grown over the years. I wanted Coach Tuttle to be with me in my final game. That’s why I asked him.”
PHOTOS (Top) Retired Blissfield baseball coach Larry Tuttle coaches third base during the June 26 Lenawee County All-Star Game. (Middle) Tuttle’s jersey is retired during a 2021 ceremony. (Photos by Doug Donnelly.)