Making (Health) Histories Every Year

July 23, 2015

By Rob Kaminski
MHSAA benchmarks editor

Tom Minter, recently retired from the MHSAA as assistant director, wore many hats while serving the Association and donned official’s gear in numerous sports outside of business hours.

But one of his finest refereeing efforts might have come during the 2009-10 and 2010-11 school years when he guided approximately 60 individuals representing 25 medical and professional organizations through an arduous process to upgrade the antiquated Physical Form to what is the standard today: the Pre-participation Physical Examination/Health History Form.

The form highlighted Stage 1 of the MHSAA’s 4 Hs of Health and Safety – Health Histories – and the current form is much more comprehensive, answering questions previously not asked during the quicker, more brief, evaluations.

Sudden cardiac death claims the lives of more than 300 Michigan children and young adults between the ages of 1-39 years annually. Yet, many of these deaths could be prevented through screening, detection, and treatment. One such way to detect high risk conditions that predispose to SCDY is through pre-participation sports screening of student-athletes, and the current physical form provides a mechanism.

While much more detailed, schools report that parents are more than willing to take the extra time and effort to complete the lengthier version.

“When the expanded form came out, people kiddingly made comments about its length; yet in today's day and age everyone understands we need all the information we can cultivate regarding health histories of our student athletes,” said Mark Mattson, athletic director at Traverse City Central.

Down state, feelings have been similar. “We don’t have a problem at all here,” said Anna Devitt, athletic secretary at Hartland High School. “Our parents take care of it, and haven’t balked at the length at all.”

Both agree, and are joined by many others across the state, that  the next logical step is for the form to be converted to a fillable, online document so that records can be accessed by those in need via mobile, laptop or desktop.

Thus, in the “No H left behind” mantra that the MHSAA has assumed, an electronic option of the Health History form is in the early planning stages.

“As an increasing number of our schools strive to be ‘paper-free,’ or at least as much so as possible, it is time to re-invent the delivery method for perhaps our most downloaded or distributed document,” MHSAA Executive Director Jack Roberts said. “Once again, as we move forward with our ‘Heart’ initiative for the coming school year, we are also intent on bringing other projects up to speed.”

The masses are certainly enthused.

“That would be heavenly. An online version that would prevent people from submitting the forms until all the required information was in place would be fantastic,” said Mattson, who has had to turn back, or hold out students while waiting for completed forms, whether at Marquette, Maple City Glen Lake, or his current post in Traverse City. “It’s always been the same; people move too quickly and overlook required fields. It would prevent two things: one, having to hold kids out while waiting for a signature, and two, prevent parents from having to drive in to the athletic office to sign or fill in that last field. We’d know we were getting a completed form.”

At Hartland, where athletic director Jason Reck created an online emergency contact form, a system is in place which allows coaches, administrators and trainers to share necessary data for all student-athletes in addition to the MHSAA forms.

“Our parents love the online emergency contact form, and we require them to fill it out every season, not just once a year,” Devitt said. “Sometimes an athlete gets injured during one season and the next season's coach wants to know about it.”

The information on the form is populated into an Excel spreadsheet which Reck, Devitt, the school trainer and all coaches can access. They can tailor the data by sport and pull it to their mobile devices.

“We’re trying to go completely paperless, and the MHSAA physical form would be another step,” Devitt said. “Our parents and doctor’s offices would love it.”

Teaching ABC's of Pressure Situations

October 30, 2013

By Eric Martin
MSU Institute for the Study of Youth Sports

Coaches have seen the signs: Athletes having too much or not enough energy prior to a game, quickening breathing, sweating more than usual, being unable to focus on important details, and having their minds wander from the present to “what if” scenarios and past mistakes. 

Athletes deal with pressure in many ways. Although some handle it well, many do not have the tools to perform to their full abilities in these situations. Most athletes place a high importance on succeeding in sport, and when athletes reach regional, district, or state championships, the pressure they feel may become overwhelming.

How athletes handle this increased pressure can often mean the difference between winning and losing. Therefore, helping athletes deal with it is something coaches should consider prior to athletes encountering these high-stakes situations.

Unfortunately, there is no magic elixir for helping your athletes work under pressure. But if these ABC’s of pressure situations are followed, your athletes will be much better equipped to cope, and the chances of their performance levels dropping significantly will be reduced. 

1. Act the Part         

How you as coaches act influences your athletes. For better or worse, athletes notice your emotions in response to these situations and take cues from how you handle pressure.

You are a demand on your players’ attention – you can add or reduce your players’ perceived stress by how you act. Understanding the demand you place on players requires self-awareness. How do you respond when a key call goes against you? Do you have nervous habits that athletes may notice? What messages are you providing to your athletes – both verbally and non-verbally? Athletes pick up on these non-verbal cues, so you must be aware of how you respond to these situations.

It is important to remember emotions are not always negative – rather acting differently than normal can be a signal to your athletes that you are stressed. Strive to be consistent in your actions – whether you are coaching during a preseason match or championship contest. These situations are stressful for you too, but you need to be the constant your athletes look to for stability. 

2. Breathing – Remember to do it

It seems like a simple thing, but when athletes’ emotions are running high, they forget how to breathe – or, at least, forget how to breathe properly. Worse, they often think they are breathing normally but don’t notice breaths are becoming shorter and shallower. Teaching athletes to breathe properly when not in pressure situations will help them have the tools to rely on when they encounter more intense scenarios. 

For proper breathing, athletes need to do so from the belly and not the chest. The pace of this breathing should be 6-2-7; that is, have athletes take a deep breath from the abdomen for six seconds, hold for two seconds, and then finally slowly exhale completely for seven seconds. This breathing strategy is ideal for pregame situations to quiet nerves and help athletes get ready to play, but a condensed version (3-2-3) can also be used for quick breaks in the action like a timeout or court change.

3. Control the controllables

During times of high pressure, athletes sometimes feel they do not have control over their own performances. It is important to help athletes focus on things they can control and not worry about those that cannot be changed or are outside their influence. 

Instead of athletes dwelling on aspects that are out of their control like unusual game times for championship finals or a referee’s bad call, help them focus on completing their warm-up preparations and how they can respond to poor calls. Helping focus athletes’ attention on things they can control will help them better handle pressure situations and leave them feeling less helpless

Athletes’ emotions are typically out of their control, but how they view them and respond to these emotions are under their control. Author and preacher Charles R. Swindoll said, “Life is 10 percent what happens to you and 90 percent how you react to it!” Be sure your athletes know how to respond when difficult situations arise. 

Conclusion: Fearlessness is an assembly

Not all athletes react to pressure situations in the same manner, but all athletes can benefit from these simple suggestions. Remember to ACT THE PART of how you want your athletes to act, teach your athletes proper BREATHING techniques, and help athletes focus on CONTROLLING THE CONTROLLABLES

Good preparation is the key to performance. Increase self-monitoring and give athletes the tools to succeed in pressure situations; they, in turn, can be in a better position to succeed. However, like any skills, they must be practiced accordingly, and one session will not solve all issues. Devote the time to train athletes in these skills, and when the need arises they will have them ready to use. 

Good luck this season!

Martin is a third-year doctoral student in the Institute for the Study of Youth Sports at Michigan State University. His research interests include athlete motivation and development of passion in youth, sport specialization, and coaches’ perspectives on working with the millennial athlete. He has led many sessions of the MHSAA Captains Leadership Clinic and consulted with junior high, high school, and collegiate athletes. If you have questions or comments, contact him at [email protected]