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.
Bluhm Continues Building on Trenton Tradition in 5th Decade as Coach
By
Keith Dunlap
Special for MHSAA.com
December 22, 2022
TRENTON – What Tom Bluhm likes about wrestling also happens to correlate perfectly into what his program at Trenton has been about as of late.
“It’s one-on-one,” Bluhm said. “You can’t hide and you can’t make excuses. That’s what I’ve always liked about it.”
Excuses aren’t in the vocabulary of the Trenton program that’s been presided by Bluhm for going on 46 seasons.
Last season, the Trojans went 22-9, solid on the surface but incredible when considering Trenton had only 14 wrestlers on the team and forfeited just one weight class.
Again, Bluhm and his group weren’t interested in excuses. They just forged ahead with what they had.
“There’s no planning for it,” he said. “It’s just something that happens. It makes it tough to run practices. It’s not like you have a room of 30 or 40 guys where you can group them into three based on weight and get after it.”
Numbers haven’t traditionally been a problem for Trenton under Bluhm, who said his 1978 team had 100 wrestlers competing for spots on varsity and 50 freshmen.
In recent years, the lack of a program at the middle school level has negated opportunities to develop a feeder system, so Bluhm just hopes for the best when tryouts come around in November.
Bluhm said it’s become an increasing scenario where athletes come out for the wrestling team who have never before wrestled in their lives.
Bluhm said one example was a sophomore who came out for the team last year, quickly learned the sport and ended up winning 36 matches.
“His mother supposedly called the AD last year saying he needed something to do because he was driving her crazy,” Bluhm said. “So he came out for wrestling.”
Nolan Diroff, a senior who primarily wrestles in the 189-pound weight class, but has also wrestled at higher weights, said the limited number of wrestlers on the team rarely comes up as a topic.
“I can’t really say that anybody has complained about not having a lot of people,” he said. “Nobody on the team complains when they get moved around in the lineup. We wrestle where Coach needs us to wrestle. We do whatever he says to try and win matches.”
Diroff said in a strange way, having a limited roster has made who is on the team better wrestlers because it has forced them to be versatile athletes who can compete at multiple weights.
“He’s kind of built us up to realize that and wrestle wherever he needs us,” he said. “He tries to get us as many matches as possible. It makes us better wrestlers and makes the team better.”
This year, there is a slight increase in the numbers.
Bluhm said there are 17 out for the team, including the first girl wrestler during his tenure.
“She fits right in,” Bluhm said. “She gets in there and does everything the boys do.”
Bluhm entered this season fourth on the MHSAA all-time coaching wins list for wrestling, carrying an 812-416-2 record with five seasons at Taylor Center before taking over at Trenton beginning with that 1977-78 winter.
Despite the struggles with numbers, Bluhm still very much gets a lot out of coaching after more than five decades.
He drives a little less than an hour to Trenton and back every day from his home in Northville, and said he’s stayed at Trenton out of his love and respect not only for the kids, but their parents.
“He tells a bunch of other stuff and random stories,” Diroff said. “Never ones that you really roll your eyes at. They are always enjoyable and shows you how long he’s been around.”
And when Trenton wrestles this season, the Trojans will do what they always do: Fight on with no excuses.
“I enjoy coaching,” Bluhm said. “I’ve always said show me some rules, and I’ll play.”
Keith Dunlap has served in Detroit-area sports media for more than two decades, including as a sportswriter at the Oakland Press from 2001-16 primarily covering high school sports but also college and professional teams. His bylines also have appeared in USA Today, the Washington Post, the Detroit Free Press, the Houston Chronicle and the Boston Globe. He served as the administrator for the Oakland Activities Association’s website from 2017-2020. Contact him at [email protected] with story ideas for Oakland, Macomb and Wayne counties.
PHOTOS (Top) Trenton wrestling coach Tom Bluhm coaches Connor Charping during the 2016 Individual Finals. (Middle) Bluhm and current wrestler Nolan Diroff stand in front of the program's record board. (Top photo by High School Sports Scene; middle photo courtesy of Nolan Diroff.)