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.
WISL Honoree Leads by Making Connections
By
Geoff Kimmerly
MHSAA.com senior editor
January 29, 2020
Nikki Norris received her life’s education from professional educators. Her father Howes Smith served as an assistant principal and then principal at Ithaca High School, and her mother Maple was a teacher. Howes’ mom also taught.
Their influence and example certainly rubbed off on Nikki and her siblings. Norris has worked in education for more than 30 years, while her sister is a school guidance counselor and their brother a college professor.
In fact, Norris has impacted educational athletics in nearly every role possible as a teacher and athletic director at multiple schools, coach at various levels and game official. She is in her second year as athletic director at East Lansing High School after eight in that position for Corunna Public Schools. She previously taught for six years at Carson City-Crystal and then 11 at Corunna before taking over the Cavaliers’ athletic department during the summer of 2010.
She also coached volleyball at multiple levels over more than 15 years including Corunna’s varsity from 1999-2002 and 2006-09, and coached high school basketball for a combined eight years during her time at the two schools where she taught. Before and between her volleyball coaching stints, Norris also has served as an MHSAA registered volleyball official for a total of 12 years.
Norris’ many and continuing contributions will be celebrated Sunday, Feb. 2, when she receives the Michigan High School Athletic Association’s 33rd Women In Sports Leadership Award during the WISL Banquet at the Crowne Plaza Lansing West.
“I try to connect with all students, athletes or not, because there are so many kids who just need a connection," Norris said. "And if we can find it through sports, or through clubs, or teaching – I do look at them all as my own children, to a certain extent. We used to say in Corunna, 'They're all our kids.' And I want them to be successful in whatever it is they want. And if I can help them, that's what I'm there for.
“So many people did it for me. Coming from a family of educators, and my dad an administrator, I knew what that entailed as far as how they get into your heart. I want to do that for kids.”
Each year, the MHSAA Representative Council considers the achievements of women coaches, officials and athletic administrators affiliated with the MHSAA who show exemplary leadership capabilities and positive contributions to athletics.
Those who wrote letters recommending Norris for this year’s WISL Award especially noted that personal impact she has on students, staff and colleagues.
Fowlerville athletic director Brian Osborn – one of her former coaches – wrote of how Norris goes above and beyond to care for and connect with her student-athletes. Owosso athletic director Dallas Lintner wrote of Norris’ dedication to children’s safety and educational values. Fenton athletic director Mike Bakker noted how fortunate her students are that Norris made the decision to leave coaching for administration, where she can have an even larger impact.
“Someone asked me once, why do you want to be an athletic director? Well, I can go from impacting 100 kids a day, at that time (as a coach and teacher), to maybe 600 kids a day, to now 1,200 kids a day (at East Lansing),” Norris said, then quipping, “Well, maybe (not all) 1,200 every day.”
But she does continue to lead on wide-ranging levels, both at her much larger school and beyond.
While at Corunna, Norris served as master scheduler and part of the constitution committee for the Genesee Area Conference. Her schools have hosted various MHSAA Tournament events in multiple sports, in addition to local invitationals and conference meets. She’s served on every type of MHSAA Committee, providing input on a variety of sports, site selection, officials selection and the Scholar-Athlete Award. She also annually volunteers as a tournament administrator at the MHSAA’s Volleyball Finals in November and Baseball/Softball/Girls Soccer Finals in June.
A certified Red Cross instructor, Norris has provided CPR/AED training to coaches, bus drivers and staff members. Corunna in multiple years received the state’s HEARTSafe School designation recognizing preparedness to respond to cardiac emergencies.
As a member of the Michigan Interscholastic Athletic Administrators Association (MIAAA), she has facilitated sessions and presented at its conferences and served on the newsletter committee.
She was named the MIAAA’s Region 7 “Athletic Director of the Year” in 2016. She also has received “Certified Athletic Administrator” designation from the National Interscholastic Athletic Administrators Association (NIAAA).
“Nikki is one of the most genuine, caring and hard-working people I’ve ever met in athletics,” MHSAA Executive Director Mark Uyl said. “She has worked extremely hard in both Corunna and East Lansing to develop a first-class program that produced high-character people. Nikki is truly a role model to everyone in the world of athletic administration.”
A 1987 graduate of Ithaca High School, Norris received her bachelor’s degree in biology with a minor in exercise health science from Alma College – where she also competed as a runner and thrower in track & field – and then earned master’s degrees in biological sciences from Michigan State University and educational leadership from American College of Education.
Norris lives in Bancroft and is the mother to two daughters, Meredith and Elizabeth Norris. Neither is planning to go into education – but sports is a big part of both their current lives and likely futures, and no doubt the impact of growing up in a sports family has played a significant part. (Their dad, Dr. Robert Norris, played basketball at Alma College and serves as physician for the MSU hockey, volleyball and baseball programs and Lansing Lugnuts.)
Meredith was named the state’s Miss Volleyball Award winner in 2017 as a senior at Corunna and plays currently at Michigan State. Elizabeth is a senior at Corunna and was a finalist for the same award this past fall, and will continue her academic and volleyball careers at University of North Dakota. Meredith is majoring in kinesiology, and Elizabeth is planning on orthopedic surgery.
“I look at the names that are on the (WISL Award) list, and there are so many deserving women who over my career I've looked up to and aspired to be like when I 'grow up,'" Norris said. "So to even be considered in that group is amazing, humbling. It's an honor."
Past recipients of the Women In Sports Leadership Award
1990 – Carol Seavoy, L’Anse
1991 – Diane Laffey, Harper Woods
1992 – Patricia Ashby, Scotts
1993 – Jo Lake, Grosse Pointe
1994 – Brenda Gatlin, Detroit
1995 – Jane Bennett, Ann Arbor
1996 – Cheryl Amos-Helmicki, Huntington Woods
1997 – Delores L. Elswick, Detroit
1998 – Karen S. Leinaar, Delton
1999 – Kathy McGee, Flint
2000 – Pat Richardson, Grass Lake
2001 – Suzanne Martin, East Lansing
2002 – Susan Barthold, Kentwood
2003 – Nancy Clark, Flint
2004 – Kathy Vruggink Westdorp, Grand Rapids
2005 – Barbara Redding, Capac
2006 – Melanie Miller, Lansing
2007 – Jan Sander, Warren Woods
2008 – Jane Bos, Grand Rapids
2009 – Gail Ganakas, Flint; Deb VanKuiken, Holly
2010 – Gina Mazzolini, Lansing
2011 – Ellen Pugh, West Branch; Patti Tibaldi, Traverse City
2012 – Janet Gillette, Comstock Park
2013 – Barbara Beckett, Traverse City
2014 – Teri Reyburn, DeWitt
2015 – Jean LaClair, Bronson
2016 – Betty Wroubel, Pontiac
2017 – Dottie Davis, Ann Arbor
2018 – Meg Seng, Ann Arbor
2019 – Kris Isom, Adrian
PHOTOS: (Top) East Lansing athletic director Nikki Norris confers with Grand Ledge athletic director Steve Baker during a 2018 football game. (Middle) Norris with daughters Elizabeth, left, and Meredith, after Nikki presented the Cavaliers with a District championship trophy won in 2016. (Top photo courtesy of the Lansing State Journal; middle photo courtesy of Nikki Norris.)