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.
NFHS Voice: Thank You to All Coaches
January 29, 2021
By Karissa Niehoff
NFHS Executive Director
Earlier this week, the NFHS recognized more than 700 individuals for their efforts as high school coaches during the 2019-20 school year, including 23 as National Coaches of the Year.
The accomplishments of the national recipients are extraordinary, but comments about their roles as education-based coaches are even more telling as to why they were selected.
Mary Beth Bourgoin, field hockey coach at Winslow High School in Maine, who, although she has won 173 games, said, in an article in the Portland Press-Herald, “It’s not about winning and losing. It’s about relationships and having fun.”
Donna Moir has won three state championships as girls basketball coach at Sacred Heart Academy in Louisville, Kentucky, but is known more for her sportsmanship, humility and kindness.
Jerry Petitgoue, basketball coach at Cuba City (Wisconsin) High School, who has won 963 games in 53 years, led his team to an unblemished 25-0 record before the pandemic cancelled the state tournament.
In an article for SWNew4u.com, Petitgoue said, “I’m very proud to receive this recognition for Cuba City High School and the community. I’m happy it comes during these trying times. Every little positive thing is uplifting these days.”
Mary Jo Truesdale, softball coach at Sheldon High School in Sacramento, California, has won 759 games and eight California Interscholastic Federation-Sac Joaquin Section championships, but was unable to coach her team last spring due to the pandemic.
“I worry about the well-being of my players, especially the seniors who don’t have a next season to play in high school,” said Truesdale in an article in the Sacramento Bee. “We know there are more things going on in life that are much bigger than softball, and that’s what we’re all learning.”
Ron Murphy, baseball coach at Rio Rancho (New Mexico) High School, is second all-time in his state with 567 victories but was only able to lead his team to a few wins last spring before the coronavirus shut down the program and ended hopes for a state tournament.
Despite his own success, Murphy was more focused on his players in a recent article in the Albuquerque Journal, noting that, “The thing that gets me most excited about this award is that it brings national attention to Rio Rancho High School baseball.”
Doug Hislop, wrestling coach at Imbler (Oregon) High School, has coached for 50 years and remains active at 73 years of age, continuing to teach kids lessons on and off the mat.
David Halligan, soccer coach at Falmouth (Maine) High School, has led his teams to 12 state titles. In an article in the Portland Press Herald, Halligan said, “I’m proud that we’ve had a lot of good players and good programs for a lot of years. I find a lot of joy in coaching at the high school level. I love seeing how kids develop from freshmen to seniors and how they grow as people.”
These are but a few of the individuals selected for national honors in 2019-20 – all of whom have impacted student-athletes in positive ways for decades.
When it comes to honoring coaches for the 2020-21 school year, we should give a shout-out to every individual involved in high school education-based athletics for their tremendous efforts leading programs through the pandemic. Next to frontline health-care workers, there is no group of individuals to whom we should be more indebted than high school coaches.
Prior to the pandemic, a high school coach’s job was already a next-to-impossible 24-7 mission. In addition to preparing for the daily “Xs and Os,” interscholastic coaches spend countless hours in mentorship capacities with student-athletes off the field or court, answer tough questions from parents, teach classes during the school day and handle a number of never-ending, always-changing daily tasks.
This year, coaches are faced with other tasks related to COVID-19, which, in some cases, involve keeping team members connected and motivated in a virtual setting.
There is pressure on coaches to maintain protocols related to the pandemic and stay on course so the games can continue. The additional daily checklist is endless: sanitize equipment, remind students to wear masks and maintain social distancing, temperature and wellness checks with students, follow an endless list of protocols if a student tests positive, and the list goes on and on.
The tasks of high school coaches seem larger than life this year, and these men and women deserve our utmost respect and appreciation. In addition to parents, and perhaps in lieu of parents in some cases, high school coaches are helping student-athletes survive the pandemic and maintain a healthy outlook on life.
We salute this year’s award recipients – and all high school coaches – for their commitment to keeping our country’s future leaders – high school students – on track during one of the most trying years in our nation’s history.
Dr. Karissa L. Niehoff is starting her third year as executive director of the National Federation of State High School Associations (NFHS) in Indianapolis, Indiana. She is the first female to head the national leadership organization for high school athletics and performing arts activities and the sixth full-time executive director of the NFHS, which celebrated its 100th year of service during the 2018-19 school year. She previously was executive director of the Connecticut Association of Schools-Connecticut Interscholastic Athletic Conference for seven years.