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.
Bush Legacy: Culture of Opportunity
By
Doug Donnelly
Special for MHSAA.com
April 6, 2018
By Doug Donnelly
Special for Second Half
CHELSEA – For the first time as Chelsea High School athletic director, Brad Bush has to hire a football coach.
What’s more, he has the unenviable task of replacing himself.
“I would say that nobody cares more about Chelsea football than I do,” Bush said. “It’s important to me that we find the very best person we can.”
Bush has coached the Bulldogs for 21 seasons. But, his coaching background goes much deeper than that.
He played at Ypsilanti High School for Hall of Fame coach Bill Giarmo, graduating in 1988. After playing quarterback at Cornell University in the Ivy League, he returned to Michigan, graduating from Eastern Michigan University, and started coaching for Bill Kohn, another inductee to the Michigan High School Football Coaches Association Hall of Fame. Bush then went to East Kentwood to coach with Giarmo.
Through his own playing days, coaching with those legends of the game and absorbing everything he could from afar, Bush has developed an impressive culture at Chelsea.
“Friday nights in Chelsea are a big deal,” he said. “We want to keep that tradition.”
Bush became the varsity head coach at Chelsea in 1997. At the time, Chelsea had only two playoff appearances. Bush’s Bulldogs went 3-6 that first season. After that, Chelsea didn’t have a sub-.500 finish for 15 years. The Bulldogs have been kept out of the playoffs only once since 1998.
Chelsea has had only three head coaches since 1965.
“I’m fortunate,” Bush said. “I went for a few more years than the other guys. It’s a great place to coach.”
Temperance Bedford head coach Jeff Wood was an assistant with Bush at Ypsilanti during the 1990s and said he thought then that Bush was going to develop into a great head coach.
“We knew he was going to accomplish greatness, not only as a football coach, but as a father, husband and professional in education,” Wood said. “Brad has always won and lost with great class and dignity. He’s a true Hall of Famer.”
If Bush never coaches at Chelsea again, his lasting legacy might be that culture surrounding the Bulldogs program. It’s known for its large number of football players, from middle school through the varsity, and a system that ensures every student athlete on every team leading to the varsity will play in every game. Teams at the middle school, freshman and junior varsity levels all start 22 players each game – with no two-way starters. For a Class B/Division 3 school, that isn’t the norm.
“We’ve had the same philosophy for 20 years,” he said. “Everybody plays in every middle school, freshman and junior varsity game. That’s how we do it. We start 22 kids on every level. Our kids know they will have the opportunity to play.
“Every kid on every level is going to play in every game. On most nights, we play more kids than the other team has players.”
While every school loses some athletes, or potential athletes, along the way, Bush said this system helps maintain a student’s interest in the sport. Often, he said, a player who may not necessarily be a starter as a freshman will learn the game, develop and turn into a starter by senior year.
“We feel that, over time, with repetition and practice, a kid will become an expert at his position,” he said. “For us, this is a big piece. … That was my thing here. I didn’t invent it. I absorbed it, watched it at other places.”
It’s tough to argue with the results. Chelsea won or shared Southeastern Conference championships in 1999, 2000, 2001, 2003, 2004, 2006, 2007, 2008, 2011, 2012, 2015, 2016 and 2017. The Bulldogs won seven District championships during the Bush era and played in the 2015 Division 3 championship game, falling to Orchard Lake St. Mary’s at Ford Field
He said he learned how to build a program from Giarmo and how to coach a football team under Kohn. Bush was quick to credit his assistant coaches who have remained with the program for years and helped build the culture. He said the program has sacrificed win-at-all-cost at the lower levels with the goal of developing varsity football players.
“You have to manage it,” he said. “That’s why you need a great staff. We have been lucky here with a great, dedicated group of guys. They always have the ultimate goal in mind.”
Bush said he won’t hamstring the next coach into running his system, but anticipates whoever is hired will buy into the culture after seeing what it’s about.
“The next coach has to run it the way he wants to run it, but I do believe we have created a culture here and we’d like to maintain that. You want to hire the right person who is going to handle the kids the right way.”
In addition to coaching at Chelsea and leading the entire athletic program, Bush also is heavily involved in the Michigan High School Football Coaches Association as a past president, serves on the Michigan High School Athletic Association football committee and has served on the National Federation football rules committee. He’s coached in all-star games and is a true believer in high school sports.
His record at Chelsea is 169-60.
“I have great energy,” Bush said. “I love coaching. I have a great passion for it, but I also know when you need to do certain things. I felt this was just the right time for the athletic department and the football team. It wasn’t one thing that led me to this.
“I love the game. I’m going to be very much involved.”
Doug Donnelly has served as a sports and news reporter and city editor over 25 years, writing for the Daily Chief-Union in Upper Sandusky, Ohio from 1992-1995, the Monroe Evening News from 1995-2012 and the Adrian Daily Telegram since 2013. He's also written a book on high school basketball in Monroe County and compiles record books for various schools in southeast Michigan. E-mail him at [email protected] with story ideas for Jackson, Washtenaw, Hillsdale, Lenawee and Monroe counties.
PHOTO: Chelsea's Brad Bush coaches his team during the 2015 Division 3 Final at Ford Field.