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. 

Jack Roberts, on Tom Rashid: One More Call

By John E. (Jack) Roberts
MHSAA Executive Director, 1986-2018

December 9, 2021

More than a decade ago, with his knowledge, I placed in my “Will & Instructions Upon Death” that Tom Rashid was to be the one and only person to speak at my funeral or memorial service. A short number of years later, Tom told me that I was to do the same for him. Obviously, we knew that we could not both keep our promise to the other. But I must say, if Tom does not actually show up for my funeral, that will be the first time he has not kept a promise to me.

I understand there will be a time in the future, when the weather warms and COVID wanes, when school administrators across Michigan can gather in force to show their respects to Tom, and when I will provide the eulogy that Tom asked of me. But Tom’s recent death reminds us how uncertain life can be and suggests that I say some things now, before it’s too late.

Tom was the unparalleled master of award presentations; and for more than a dozen years he wrote and delivered polished praise on award recipients at the annual conference of the Michigan Interscholastic Athletic Administrators Association. My tribute now isn’t an awards presentation or hall-of-fame induction, so I won’t recount the particulars of Tom’s career; but what you will see here is the importance of Tom’s life … the themes that distinguish him from any other person I’ve known.

Tom comes from a large, complicated and compassionate family of parents, aunts, uncles, brothers, sisters, nephews and nieces who mourn his loss at levels few of us can fathom. Over the years, and for many years, he was the caretaker for several family members; and he was generous with all of them. My hope for each family member now – and for many days, weeks and months to come – is that you are at peace. Tom’s pain is over; and his place in eternity is secure. Tom purchased a reserved seat.

Tom often joked that his only good habit was prayer. That’s not really true, of course. But for as long as I’ve known Tom, he talked to God many times a day; and I’ve always had the feeling that he talked to God the same way he talked to us: bluntly, forcefully, passionately, honestly, loudly, making very plain what he had on his mind.

Tom was a rigorous practitioner of his devout Catholic faith; and, the God whom Tom believed in is a big God … the president, general manager and head coach of a huge, diverse team whose game plan is a large, loving Gospel of limitless parameters and possibilities. I have no doubt that, both in times of need and not, members of the Roberts family – including both my parents, my sister, my wife and our children and grandchildren – have been specific in his petitions to God. I have no doubt that Tom’s daily prayers included many of you, and your loved ones as well.

In addition to Tom’s immediate family is the even larger and even more complicated family Tom developed through a long, illustrious career in Michigan school sports administration: a full 25 years with the Archdiocese of Detroit, until 2003, when I invited him to join me at the MHSAA office in East Lansing.

During my 32 years as the executive director of the MHSAA, I never saw another like Tom … never, anywhere. He talked to anybody, anytime of the day or night, about any question or problem they might have. Usually, Tom didn’t need to give me notes reviewing his telephone conversations. From my adjacent office, and given his forceful voice, I could hear Tom’s every word, very clearly.

Tom had the ability to anticipate what I might need and take care of it without my asking. It is no exaggeration to say that Tom would do anything for me. For example, Tom’s reluctance to travel and his fear of flying are well known to many of you. I believe the one and only time that Tom flew in an airplane was in 2003, when I ordered him to fly to Texas so that he might receive the highest award of the National High School Coaches Association. He had never flown before; he has never flown since.

Most remarkable was not merely Tom’s unselfish, unlimited, legendary availability to athletic administrators at any hour of the day or night, nor his experienced, learned grasp of the subject matter in answering their calls. What was more remarkable was his effort to help school administrators through their hard times. On many occasions these callers had made an error of commission or omission. They had made a mistake or an oversight; and Tom was supremely compassionate in guiding them through the local fallout from disappointed athletes and disgruntled adults. Secure in himself and our mission to be servant-leaders, Tom very often shared or completely shouldered unjustified blame so others would not. He gave cover to countless local school administrators every year of his MHSAA career so that those administrators might survive and even thrive in their careers.

Among my remarkably loyal MHSAA staff, Tom still stands out. And he earned the enduring loyalty of those with whom he worked. I think especially of his successor at the Archdiocese of Detroit, Vic Michaels: I doubt that more than two days ever passed between their almost daily telephone conversations … usually in the morning … for the full 15 years that my office was next to Tom’s at the MHSAA. I have never, ever been witness to anything like that; and I know there is no one in our good work who misses our dear colleague more than Vic.

But most remarkable of all was Tom’s ability to turn an adversary into an ally. He could have a knock-down, drag-out argument with a person one day, and by the next day, and for years to come, that person was Tom’s greatest advocate and admirer.

Well … maybe second-greatest advocate and admirer. Because no one in athletic administration – no one – loved Tom more than I. And no one in our work told him this more than I did.

I have written often about my admiration and affection for Tom. I have spoken both publicly and privately of it, on many occasions. But let me say it one more time, here, as we celebrate his life, and mourn our loss …

Tom and I provide proof that opposites attract, and we tag-teamed MHSAA’s leadership. One of us was very outgoing and vocal, the other more reserved and reticent. One of us was loud, the other more subdued. One of us was more comfortable on the phone, the other with the pen. One of us had no idea what to do with apostrophes, while the other would put them in the correct places. One of us was more spontaneous and extemporaneous, the other a more detailed planner and measurer of consequences. One of us hated to travel, the other sent messages to him from distant oceans and continents every year on Christmas or New Year’s Day to thank him for his life and service. But in our hearts, where one’s core values are harbored, we were almost identical twins.

I doubt that any two people who were side-by-side in the workplace for 15 years expressed their gratitude for each other more than we did, nor any two co-workers who said “I love you” to one another as often as we did. We each felt in deep debt to the other for myriad gifts and gestures that improved our careers and our lives.

Over the years, Tom and I developed the strategy of making one more telephone call before we made a final decision in a difficult matter … making one more call that sometimes made a difference in the controversial decision we had to make or in how that decision was accepted by those it affected. Tom loved to be the one to make those calls. And, sometimes, that “one more call” made all the difference.

Throughout my adult life, whenever I’ve attended a funeral or memorial service, I’ve found myself asking what it is I should learn and try to emulate from the life of the deceased. If you should find your mind and heart doing anything like that now, may I suggest these two answers.

First, Tom’s life and death remind us that we should not delay a single day in telling those with whom we work that we appreciate them and are grateful for what they do. And, if it is true and you are able, say you love them. Tom did this more often than anyone I’ve known.

And the second message is this. Tom’s life stands for faithfulness … faithfulness to his God, faithfulness to his family, faithfulness to his colleagues and friends, and faithfulness to his work and the mission of not just amateur athletics, but particularly school-operated, educational athletics. His was a steadfast faithfulness, never-a-day-off faithfulness, you-come-first faithfulness. 

So Tom, my dear friend, once again I say, “I love you.”

And, “Rest in peace, Tom. God knows, you rarely rested in life.”

I would give anything for just one more call.