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.
Building Beginning as Okemos Follows 1st-Year Coach Scott-Emuakpor
By
Geoff Kimmerly
MHSAA.com senior editor
August 9, 2022
OKEMOS – The football lay on the turf, landing there before the play had really begun, and the most booming voice from the tallest man on the field yelled a reassuring, “It’s OK. Let’s go,” followed the next play by “Go again,” and then “Figure it out.”
An hour earlier, first-year Okemos varsity football coach Efe Scott-Emuakpor had been on the phone asking a parent to bring the helmet and practice jersey one of his players had left at home. Nearby, another small group also stood helmetless as they hadn’t yet gotten the pre-participation physical required to join their friends on the field.
Those are typical first-day glitches no matter the school, and fall practices for all sports began Monday at 750 high schools across the state.
But those relatively minor symptoms are what Scott-Emuakpor is focused on treating in the immediate term as he takes on one of the most serious rebuilding efforts in Michigan high school football.
“This is progress,” Scott-Emuakpor said halfway through his team’s first practice, looking out at 39 players on Okemos’ game field – 33 more than showed up for his first offseason workout.
“We’d like to have everything right now. But it’s growing. It’s slowly growing.”
And after Monday, Okemos is one step closer to what would be an incredible turnaround story.
The Wolves have not won since Week 2 of the 2019 season, a stretch of 23 games. After scoring on an 84-yard run during the first quarter of last fall’s opener against Mason, Okemos didn’t score again the rest of the season.
Standing 6-foot-3, and still only a few years from his last college game as a receiver at Ball State University, Scott-Emuakpor looks capable of stepping back into a huddle at a moment’s notice. A little more than a decade ago, in 2011, he was beginning a senior season at East Lansing that would see him cap his varsity career in the MHSAA record book with 134 catches, gaining 1,624 yards, over three seasons. He also was an all-leaguer in basketball and Finals placer in high jump before joining the Cardinals.
After graduating from Ball State with a computer science bachelor’s degree, and on the way to earning his master’s in business from Saginaw Valley State University, Scott-Emuakpor came home and has worked nearly six years as a business systems analyst with Red Cedar Solutions Group on efforts including the MI School Data website.
But that’s just his fulltime job. Scott-Emuakpor also co-founded a clothing line, Live For Today, and over the last five seasons served as a volunteer assistant coach with his hometown Trojans – who have made the MHSAA Playoffs six seasons running.
He'd never applied for a head coaching job. He’d never really considered coaching at that level. In fact, he was pretty happy with how assisting at East Lansing for longtime coach Bill Feraco fit into his schedule and other pursuits.
But Scott-Emuakpor also is a studier. And as a past rival and co-member of the Capital Area Activities Conference Blue, he and East Lansing saw Okemos plenty.
The Wolves had made the playoffs as recently as 2018, and won their first playoff game that season since 2011. Scott-Emuakpor had played against Okemos’ Taylor Moton, now considered one of the NFL’s top offensive tackles. And the school has had loads of success in other sports, annually ranking among the Lansing area’s best in just about all of them and coming off a statewide Division 1 championship in boys soccer from last fall.
“I paid attention to how things have been around here. And I know what they could be capable of,” Scott-Emuakpor said. “This program was once a good program that was very well-respected; I respected them playing against them in high school. They had great athletes. I think my senior year we beat them by one point (20-19 in 2011). So we had good battles.
“I just saw where they’re at. … We have some good kids around here, and I know there’s more in the school not playing. Maybe when they’re sophomores, juniors, they’ll come out. I think I’m capable of getting that interest up, getting them out on the field and just building something.”
Raj Singh is a senior this fall, one of only five or so Scott-Emuakpor is expecting to come out this week. He’s also a near all-A student, will play some quarterback and safety along with his receiver spot, and was the guy bringing carloads of classmates to workouts over the summer as he joined his coach in recruiting prospective players.
Singh is following his older brother Joe Singh, an admittedly “smaller than everyone” offensive lineman who earned all-league honors as a senior in 2017. When Joe Singh told his younger brother that playing under the lights on a Friday night is a feeling unlike any other, the idea stuck – which is why it made sense when Raj Singh fractured his wrist in Week 2 last season but was back by Week 7 despite a cast covering one hand.
Watching Singh catch passes one-handed last season during East Lansing’s 49-0 win over Okemos stuck with Scott-Emuakpor. Joe Singh had told his little bother that all that matters is having more heart than his opponent and a fighting spirit – in other words, being the type of player Scott-Emuakpor will rely on to get Okemos up and succeeding again.
“I’ve been playing football since I was 6 years old. It’s just been a dream of mine to be at this moment,” Raj Singh said.
“Coach Efe is bringing in a lot of new aspects, and that’s been very helpful to make it different than last year – make us feel a little more at home this year. Compared to last year, he’s brought a lot of structure. We’ve been really coming together as a family … and it just shows Coach Efe wants to build a community around here.”
The process is about more than building stronger, faster bodies and learning football skills and technique. The Wolves aren’t talking a lot about last year, but there’s something there to overcome – and Scott-Emuakpor started working on that soon after he was hired at the end of March.
“In the springtime, we were fortunate enough to get in the weight room and I was able to see kids put up good weight and do some things. I’d tell them, ‘You’re actually strong. You’re actually a fast kid,’” Scott-Emuakpor said. “But when you’re not successful for so long, and the way they were losing last year, it was easy for them to not feel confident, not feel they were able to ultimately get the job done. And so I was just there working on minds.”
Last season was going to be uphill for Okemos no matter what. A mid-summer coaching change brought on by a major fulltime job promotion for the former coach led to an interim staff, players leaving the program, and an applaudable effort to just keep teams on the field.
Scott-Emuakpor has surrounded himself with a staff that includes a pair of his past coaches growing up in East Lansing, past players from when he was coaching there and others with winning experience playing at DeWitt and Williamston.
In addition to what he learned playing and coaching under Feraco, Scott-Emuakpor brings a ton of insight from his experiences at Ball State; he had only one catch during his college career while battling injuries, but he spent that time on the sideline observing his coaches and taking mental notes. Just Sunday, he was pulling from the 2012-13 Ball State football handbook a few details to incorporate into his work in progress with the Wolves.
Okemos will have varsity and freshman teams this fall, and the majority of players at Monday’s combined practice were juniors and sophomores – so recruiting remains ongoing. But Singh said the number of classmates who did come out Monday exceeded his expectations – and that just added to the excitement of starting again.
“If you walk through the school, you’ll see some guys, you’ll (say), ‘OK, what does that guy do?’ You find out he plays (only) lacrosse, or only wrestles, where in other areas, other schools, they might do everything because that’s what they do, what they’ve grown up doing” Scott-Emuakpor said. “I’ve been trying to rebuild that connection, that love for football. A lot of them are very intrigued; I feel like some of them are kinda peeking and saying, ‘What’s going on? This new coach seems to be young and interesting.’ And I’ve just been trying to stay focused on the process and not get too far ahead of myself.”
Geoff Kimmerly joined the MHSAA as its Media & Content Coordinator in Sept. 2011 after 12 years as Prep Sports Editor of the Lansing State Journal. He has served as Editor of Second Half since its creation in January 2012, and MHSAA Communications Director since January 2021. Contact him at [email protected] with story ideas for the Barry, Eaton, Ingham, Livingston, Ionia, Clinton, Shiawassee, Gratiot, Isabella, Clare and Montcalm counties.
PHOTOS (Top) First-year Okemos varsity football coach Efe Scott-Emuakpor, middle, huddles up his players during Monday's first day of practice. (2) Scott-Emuakpor confers with senior Raj Singh on blocking from his receiver position. (3) The Wolves work on offense during the first part of their Monday session. (4) Scott-Emuakpor speaks with his team at the start of the workout. (Photos by Geoff Kimmerly.)