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. 

UP Schools Big & Small Find Multi-Sport Success

January 10, 2020

By Dennis Grall
For the Second Half
 

ESCANABA – It should not come as a surprise that the Class A school with the highest percentage of multi-sport athletes has an athletic director who lived that life.

Alex Tiseo, athletic director at Marquette High School, received 15 varsity letters while he was a student at the school, including as a three-sport participant for two years in the fall alone. Tiseo played soccer for four years while running cross country for three years and playing football for two. He also played basketball and ran track.

He is not taking any credit for the excess of multi-sport athletes at his alma mater. "It is the foundation of the thing, the culture of the coaches," Tiseo said of all the school's coaches supporting and encouraging all-around athletic participation.

"It is the benefit and mentality of getting away from (athletic) specialization," Tiseo said, noting an athlete may be "a leader in one sport and just a role player" in another.

He also pointed out athletes are not penalized when they have to miss practices or events because of their heavy extracurricular participation.

According to the most recent multi-sport participation survey conducted by the Michigan High School Athletic Association, Marquette had the highest percentage of multi-sport athletes among all Class A schools in 2018-19 with a whopping 85.9 percent. Grand Rapids Northview, at 83.1 percent, was the only other large school above 80 percent.

Four Class B schools and six Class C schools topped the 80-percent mark while 14 Class D schools surpassed 80 percent, including three topping 90 percent, led by Gaylord St. Mary (93.2).

Marquette, unlike many larger schools, does allow students to participate in more than one sport in the same season. Many small schools, simply because of the lower enrollment, also allow students to compete in more than one sport during the same season.

"It is near and dear to my heart," Tiseo said of seeing multi-sport participation. Students must pick a priority sport if practices or games would conflict on the same date. "For me, it was cross country," Tiseo said, noting his soccer and football coaches knew he was getting plenty of running in that primary sport. In football, he was a place-kicker, which made it easier if he had to miss a practice. 

He would often kick with his dad, he said, agreeing that a primary position player may have found it harder to miss a practice or game.

He also pointed out that in fall sports, "one-third of the season comes before school starts" and fall sports ended in mid to late October, reducing the number of potential conflicts.

Tiseo said multi-sport athletes work closely with their coaches to arrange practice schedules: "If coaches have difficulty with the kids in putting the schedule together, there is a caveat there where I can help." To date he has not needed to assist.

Students and coaches alike "reinforce the importance of academics," Tiseo said. "Multi-sport athletes are definitely among our highest academic achievers."

Athletes realize, he said, the importance of staying academically eligible so they can compete in their athletic endeavors.

Tiseo also has noticed student-athletes in general maintain better attitudes, which permeates the hallways and classrooms and benefits the general student body.

Success in athletics can generally bolster improved spirit and attitude in school. He said there is a general attitude of wanting to participate in something "when you see your peers having fun." The long Upper Peninsula winters also help encourage students to participate in athletics to help the time speed along. "It also correlates with the success of the teams," he said.

Two other Upper Peninsula schools have also found outstanding multi-sport participation, with Class B Gladstone at 86.7 percent and Class D Watersmeet with 90.3 percent during 2018-19.

First-year Gladstone athletic director Dave Lindbeck said "I strongly promote for kids to go to the next level. When I hire a new coach, I ask them how they feel about (multi-sport participation)."

Like Tiseo, Lindbeck also encourages athletes to get involved in programs for lifting weights and nutritional growth. Tiseo said proper conditioning and nutrition "help lessen the risk of injury" and playing multiple sports allows students to use different sets of muscles in those various activities. "You don't see over-use injuries" he said.

Lindbeck said "a good strength and conditioning program involves everything, including in-season and off-season workouts and help them maintain strength. We're not asking kids to bulk up. There is a lot of strength and flexibility (training), working (various) muscle groups, strengthen(ing) ligaments."

Lindbeck said the Braves' coaches are encouraged to attend games in the wide selection of activities, which shows students they care.

He also said it is easy to see how students grow in athletics and socially as they raise their participation levels. "You see how they communicate, you see it in the hallways," he said.

He also noted it has a big impact on their classroom work. "Those who don't participate don't do as well," he said, noting B-C students tend to improve their grade-point averages as they increase their involvement. "Kids seldom have issues with their grades.

"It is so crucial to be involved with sports," Lindbeck added. "The ones who do it really value it. We use it as a carrot, a motivator. It also keeps the structure and holds each other accountable."

Watersmeet has only 44 students this school year – up from 36 last year – but the Nimrods definitely are a school and community-oriented program.

Pizza parties, camping trips and cook-outs are among projects to encourage students to participate in sports, and fund-raisers are used to buy warm-ups for players in grades 6-12. "We dress them up so they look special," said long-time administrator-coach George Peterson.

"We work hard to get them to enjoy all the sports."

The board of education uses the Nimrod Fund to help students "dress up and be a part of it," said Peterson, who indicated much of that financial opportunity comes from the memorable 2003-04 season when ESPN coined the "Nimrod Nation" program.

That spring the boys basketball team appeared on The Tonight Show, and the Sundance Channel did a series on the school/town in 2006.

Peterson said the school realized $500,000 in gross revenue as a result of that national exposure and still averages $10-13,000 a year in profits. "I still pinch myself. I still can't believe it happened," Peterson said of that exposure and financial benefit.

Watersmeet has girls volleyball and offers cross country country, basketball, track and golf for boys and girls. "They are proud to be out there," said Peterson. "They have to conduct themselves in a respectful manner.”

The MHSAA study revealed nearly 43 percent of state prep athletes participated in two or more sports in 2018-19. It also indicated "early and intense sport specialization has become one of the most serious issues related to health and safety at all levels of youth sports, with overuse injuries and burnout among athletes tied to chronic injuries and health-related problems later in life."

The survey found 45.1 percent of boys and 40.4 percent of girls participated in more than one sport.

Denny Grall retired in 2012 after 39 years at the Escanaba Daily Press and four at the Green Bay Press-Gazette, plus 15 months for WLST radio in Escanaba; he served as the Daily Press sports editor from 1970-80 and again from 1984-2012 and currently is in a second stint as the interim in that position. Grall was inducted into the Upper Peninsula Sports Hall of Fame in 2002 and serves as its executive secretary. E-mail him at [email protected] with story ideas for the Upper Peninsula.

PHOTOS: (Top) Marquette's Maria Millado (40) works to get a pass past a Traverse City West defender last season; Millado also runs track for the Redettes. (Middle) Gladstone's Luke Van Brocklin crosses the finish line to finish second in the 400 meters at last spring's Upper Peninsula Division 1 Track & Field Finals; he played football this fall. (Photos by Cara Kamps.)