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.
Koehler Gives State Power Rochester Another Championship-Caliber Leader
By
Keith Dunlap
Special for MHSAA.com
December 8, 2022
ROCHESTER HILLS – Understandably, Rochester competitive cheer head coach Samantha Koehler might not know exactly the emotions she will feel Friday.
After all, the occasion will mark a first in more than four decades with a Rochester program that’s historically been considered the gold standard in the state.
When the Falcons compete at their first competition of the season at Troy, it will be the first time since 1981 that somebody other than the legendary Susan Wood will be at the helm of the program.
“Even with a change in leadership, we’re eager to show the world that Rochester cheer is back and better than ever,” Koehler said.
While there will probably be some nervousness, it also might be a relief to actually get into competition mode after an offseason of transition.
Following Rochester’s fifth-place finish in March at the Division 1 Final, Wood announced her retirement after 41 years as head coach.
All Wood (formerly Susan McVeigh) did during her tenure was lead Rochester to 14 MHSAA Finals championships and three runner-up finishes between 1994 and 2017.
She also led Rochester to five Michigan Cheerleading Coaches Association state titles and three runner-up finishes before competitive cheerleading became an MHSAA-sponsored sport in 1994.
In 36 out of 41 years with Wood in charge, Rochester competed in Finals of either MHSAA or MCCA state tournaments.
But rather than look at this as having to replace an irreplaceable legend, Koehler is looking at it as a chance to continue Rochester’s rich tradition – and such an opportunity was simply too good to pass up.
“Yes, this position comes with a lot of high expectations and pressure,” Koehler admitted, while also praising the parents and team members who have helped make the transition easier. “But like George S. Patton, Jr. once said, pressure makes diamonds.”
Koehler has had plenty of success as well, having spent the last seven years as head coach at Plymouth High School, where she was named Michigan cheer Coach of the Year in 2020 after leading Plymouth to a runner-up finish in Division 1.
She also has served as the head cheerleading coach at Wayne State University and on the board for the state coaches association.
“We wanted somebody with experience that coached at a high level and had success at a high level, because that’s where we are,” Rochester athletic director Dean Allen said. “The bar is high, and keep it there. Just keep Rochester cheer as the preeminent program in the state of Michigan. That was our goal.”
Allen said the biggest challenge has been for Koehler to balance out bringing in her own ideas, but also maintaining traditions that have made the program what it is.
So far, so good.
“She’s been able to do that,” Allen said.
While the last few months have been all about getting to know her new team and community, the coming winter will be about trying to get Rochester back on top at the Finals in March.
The Falcons haven’t won Division 1 since 2017, and have seen city rivals Stoney Creek (in 2019) and Rochester Adams (2020 and 2021) claim the last three championships between them.
“We are fortunate enough to compete against two of the best teams in the state frequently throughout the season,” Koehler said. “Competing against Adams and Stoney betters our program by motivating athletes and coaches to be the best we can be each and every day. With such a talented and dedicated group of athletes, we are excited and eager to challenge our city rivals for that state championship.”
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) Samantha Koehler, middle, is taking over the Rochester High competitive cheer program this season. (Middle) Koehler, with her Plymouth assistants, coach their team during the 2020 Division 1 Final. (Top photo courtesy of Dean Allen/Rochester Athletics. Middle photo by Hockey Weekly Action Photos.)