Staying Ahead on Head Safety
July 6, 2015
By Rob Kaminski
MHSAA benchmarks editor
Three stacks of concussion-related material offered precious little space on MHSAA Executive Director Jack Roberts’ desk, and perhaps consumed even more room in his head as he tried to wrap his mind around the seemingly daily “latest and greatest” documents outlining signs, detection and return-to-play elements involving head trauma.
Without a doubt, the scene is quite similar on any given day in the offices of his cohorts across the country as school sports leaders are faced with the daunting, dizzying task of devising plans to address concerns aimed at the health of their games.
Lawmakers, rules makers, medical experts and the court of public opinion all want the same thing for student-athletes: a reduction in the chances of head-related injuries. And they all are perfectly willing to offer instant fixes to those in charge.
They often expect those in Roberts’ position to analyze, digest and create action plans as soon as possible without considering the research and resources it will take to get there.
“All parties involved want the same thing. We all want to provide the safest environment for educational athletics through protocols and practices that will offer the most minimal risk of injury,” Roberts said. “But, this can’t be accomplished through unfunded mandates which would stifle the already struggling athletic budgets in many schools.
“Changes have to occur through training and education, orchestrated through state offices and executed locally. And, it takes time to research the best and most effective means. There is so much information, and so many devices in the field today that those in athletic leadership roles almost have to have a medical background as well.”
For instance, there are documents which list as few as five symptoms for concussions, and those listing as many as 15. There are sideline detection methods which purport to take 20 minutes and those which claim to determine concussions in 20 seconds. There are as many return-to-play protocols as there are state associations.
Increasingly, state high school associations are seeking opinions and expertise from local medical personnel. In March, in one of many such meetings, Roberts and other MHSAA staff welcomed several from the Michigan Department of Health and Human Services to their office to discuss sideline detection methods and return-to-play issues.
“There are two areas that concerned us most,” Roberts said. “One, sideline detection of head injuries is inconsistent across the state in terms of both results and resources. Two, we need methods which generate immediate reports and permanent records.”
As the group which convened in March discussed the topic, potential hurdles and new perspectives on sideline management came to the forefront.
On the money and manpower front, who would be responsible for administering sideline tools? Most ideally they would need to be overseen by medical personnel rather than coaches or team managers.
From a perspective standpoint, an interesting view was volleyed out to the group: could sideline detection actually speed up a student’s return to play rather than slow it down? Current protocol prescribes that if competition continues while an athlete is withheld for an apparent concussion, that athlete may not be returned to competition that day but is subject to the return-to-play protocol. And, clearance may not be on the same date on which the athlete was removed from play. Only an M.D., D.O., Physician’s Assistant or Nurse Practitioner may clear the individual to return to activity. With immediate sideline detection, are parties more vulnerable should a student pass immediate tests, only to have undetected effects of the incident increase over time?
“The group shed a different light on the various scenarios, which was a primary purpose for the meeting,” Roberts said. “As one can see, there are so many variables to consider when attempting to determine the next plausible and practical steps toward minimizing and detecting head injuries.
“Further, we have to take into consideration practice sessions as well as competitions, and all sports, not just select sports.”
Adding to the challenge is simply the nature of athletics. Competitors at any level are just that: competitive. Often, students – or their parents – will attempt to hide symptoms or be reluctant to come forward with injuries, particularly head injuries which can’t be seen.
In more cases, perhaps the symptoms simply are not recognized, which is why education is paramount.
First, association leaders have to tackle the due diligence of researching issues and potential solutions to situations currently threatening the well-being of scholastic sports. Considering that some 1,620,000 results are offered when “sideline concussion detection tools” is typed into a search engine, this is a laborious and continual chore.
Such information then needs to be packaged and presented to leaders at the local levels – athletic directors – to pass on to coaches, the individuals who have as much or more influence on students that perhaps any other adults, including parents in some cases.
This is why MHSAA rules meetings, Coaches Advancement Program sessions and other statewide forums continue to bang the drum on health and safety issues; to make sure the messages and procedures reach the student-athletes.
And, it’s why the MHSAA is asking coaches and ADs to be accountable in verifying that the plans in place are being carried out.
Less Could Mean Less
There are times when it’s good to say, “less means more,” but in the case of contact sports, practices and competitions, the idea is for less to mean less. As in less time for collisions to occur yielding fewer injures.
It’s early yet, and one year does not constitute a large sample size, but the MHSAA Football Practice Policy instituted last August could be one step toward reducing head injuries.
Beginning this past football season, the number of practices with helmets, shoulder pads and full pads were limited to start the season, and preseason “collision” sessions were limited to one per day. During the season, such practices were limited to two per week, while the length of practices was also regulated.
Dr. Steven Broglio of the University of Michigan Neurosport department is conducting a three-year study of the Ann Arbor Gabriel Richard football program with the assistance of Richelle Williams to determine the “Effects of Concussion and Sub-Concussion.” The study began in 2013, one year prior to the new MHSAA guidelines.
Research in 2013 showed approximately 650 “impacts” per player. In 2014, the number dropped to approximately 500 impacts per player. Impacts are defined as greater than 10 gs of acceleration. Williams stated that a slap on the back is 4 g, coughing is 3.5 g. On average, a helmet hit is 25-45 g. Concussions usually happen (roughly) between 80-150g.
An encoder is embedded into each football athlete’s helmet which monitors head impacts and exactly where the impact is located. Williams sits at each practice and game and through a pager identifies the player’s number and impact from a hit of 90g or more.
They are also looking at those who do not sustain an impact concussion, but rather sustain multiple head impacts and whether those multiple head impacts lead up to brain changes (measured through EEG).
The initial findings, as submitted by the study team, indicated two reasons why there were fewer overall impacts from 2013 to 2014:
Primary reason: The MHSAA adoption that became effective in August 2014 with new limitations that were placed on “collision practices” and conditions that full pads could not be worn until the fifth day of team practice.
Secondary reason: Fewer players evaluated in 2014 than 2013.
Fit for a King?
Editor’s Note: There are many sideline detection tools on the market, as a quick Google on the topic will reveal. The following, the King-Devick test, is among the highly recommended tests, summarized here simply to provide an idea of the types of systems available and how they operate. The following is from King-Devick’s website.
The King-Devick Test is an objective remove-from-play sideline concussion screening test that can be administered by parents and coaches in minutes. The King-Devick Test is an accurate and reliable method for identifying athletes with head trauma and has particular relevance to: Football, Hockey, Soccer, Basketball, Lacrosse, Rugby, Baseball, Softball and Other Collision Activities.
King-Devick Test is an easy-to-administer test which is given on the sidelines of sporting events to aid in the detection of concussions in athletes. King-Devick Test (K-D Test) can help to objectively determine whether players should be removed from games. As a result, King-Devick Test can help prevent the serious consequences of repetitive concussions resulting from an athlete returning to play after a head injury.
How King-Devick Test Works
Concussions are a complex type of brain injury that is not visible on routine scans of the brain, yet are detectable when important aspects of brain function are measured. King-Devick Test (K-D Test) is a two-minute test that requires an athlete to read single digit numbers displayed on cards or on an iPad. After suspected head trauma, the athlete is given the test and if the time needed to complete the test is any longer than the athlete’s baseline test time, the athlete should be removed from play and should be evaluated by a licensed professional.
Remove-From-Play vs. Return-To-Play
Both remove-from-play and return-to-play decisions are crucial in concussion recovery. It is critical to remove a concussed athlete from play in order to prevent further damage. It is also extremely important to keep the athlete from returning to play until they have made a full recovery. There are tools to assist in making both remove-from-play and return-to-play decisions.
King-Devick Test for Remove-From-Play Decisions
- Quick, objective sideline testing
- Measures impairments of speech, language and other correlates of suboptimal brain function
- Instant screening feedback in minutes
- Administered by parents, coaches, athletic trainers and medical professionals in remove-from-play decisions
- Neurocognitive Testing for Return-To-Play Decisions
- Computerized concussion evaluation system (in the computer lab)
- Measures verbal and visual memory, processing speed and reaction
- Tracks recovery of cognitive processes following concussion
- Assists clinicians in making return-to-play decisions
Forsythe Honorees Give All to Educational Athletics
By
Geoff Kimmerly
MHSAA.com senior editor
April 6, 2021
At one time during his four tenures as a Michigan high school athletic director, Leroy Hackley Jr. hosted MHSAA Finals in tennis and track & field and Districts in baseball, softball and soccer – all on the same day.
Another time, a neighboring athletic director hosting a Regional basketball game called because a dunk had just broken a backboard. An hour after Hackley took the call, the entire game had been moved to his school and play resumed.
Patti Tibaldi moved to Traverse City in 1995 already a high school and college basketball coaching legend and with district-wide administrative duties her next mission after also having served as a college assistant athletic director.
But with West High School set to open for the 1997-98 school year, and the most experienced applicant for the girls basketball varsity job having no more than seventh-grade experience, she stepped in again to build another program and make sure that generation of students received a great experience as well.
For nearly the entirety of their careers, and in multiple roles, Hackley and Tibaldi have been immersed in improving educational athletics. To celebrate their continued dedication and contributions over the years, they have been named honorees for the Michigan High School Athletic Association’s Charles E. Forsythe Award for 2021.
The annual award is in its 44th year and named after former MHSAA Executive Director Charles E. Forsythe, the Association's first full-time and longest-serving chief executive. Forsythe Award recipients are selected each year by the MHSAA Representative Council, based on an individual's outstanding contributions to the interscholastic athletics community.
Tibaldi spent 40 years in educational athletics at Comstock Park, Grand Rapids West Catholic and Traverse City West and also Aquinas College in Grand Rapids, serving as a coach, athletic director and physical education specialist. Hackley has spent the last 22 years of more than 40 in sports as an athletic director at Byron Center, Jenison, Grant and currently Muskegon Orchard View, as well as serving as an MHSAA-registered game official for 37 years. Both are recognized statewide among the best in their various fields.
“Patti Tibaldi has given more to athletics in our state at the small college and high school levels than perhaps anyone over the last 40 years,” MHSAA Executive Director Mark Uyl said. “She was a pioneer in small-school college basketball at Aquinas College, and my wife Marcy played against her there, and 30 years ago you could see that passion for women's sports that was unmatched. During her time at Traverse City West, her passion for kids was unchanged, and most of her students had no idea she had been that pioneer. She was a trailblazer for women in leadership positions in coaching and administration.
“Leroy and I were first-year athletic directors together in the same conference in 1999, and it's been a pleasure to watch him grow into one of the most respected voices over the last 22 years,” Uyl said. “At its core, athletics is a people business, and Leroy is all about those relationships. He's a guy who genuinely enjoys going to work every day.
Hackley has served as an athletic director first at Byron Center for five years, then Jenison for seven, Grant for three and Muskegon Orchard View for the last seven. Before those stops he served as director of health, recreation & wellness at Grand Valley State University for 14 years after serving as assistant director of recreation/intramurals for four years at Eastern Michigan University. His first administrative experience came while as a graduate assistant at the University of Iowa serving as supervisor of officials for the recreational services department. He’s also served as an adjunct professor in physical education at GVSU, Aquinas College and Muskegon Community College.
As well as hosting numerous postseason events, Hackley has served on eight MHSAA committees over the years and four years on its Representative Council. He’s been a registered MHSAA official in boys and girls basketball, softball, baseball, swimming & diving, volleyball, cross country and track & field over 37 years and has officiated every collegiate level of women’s basketball including Division I in the Mid-American Conference. He has officiated three MHSAA Basketball Finals and NCAA Division III and NAIA national championship games.
Just this week he changed his spring break plans to step in and host a Boys Basketball Quarterfinal and serve as a manager at MHSAA Semifinals on Wednesday and Thursday at Van Andel Arena in Grand Rapids.
“I’ve always wanted to step in because I know what it’s like when you need help. I’m one of those guys who doesn’t like to say no. I try to find a way to lend a hand wherever I can,” Hackley said. “I’ve always enjoyed sports; all my free times has been spent watching sports or playing sports, and I’ve been fortunate enough to have a wife who enjoys watching sports. Pretty much my whole live has been centered around recreation and athletics. Coming from a big family (as one of 13 children), that’s one of the things we always did.”
Tibaldi spent 40 years in education and athletics at the high school and college levels, beginning first at Comstock Park from 1973-75 before spending the next six years at Grand Rapids West Catholic where she led the girls basketball team to the Class B championship in 1979 and the softball team to four league titles.
Simultaneously for the final three years at West Catholic, Tibaldi also served as women’s basketball coach, then also softball coach at Aquinas College, where she also became assistant athletic director in 1981. While at Aquinas she led the Saints to a 340-136 record on the court and the National Catholic Basketball Championship in 1984.
Tibaldi then moved to Traverse City Area Public Schools, first as the district’s K-12 physical education coordinator but eventually in multiple physical education specialist roles. She also was named the first varsity girls basketball coach at the new Traverse City West High School from 1997-2011 and served as West’s athletic director from 2004 until retiring in December 2014. As coach, she led the Titans to multiple league and District championships and the final few hundred wins of more than 800 total on high school and college basketball courts.
She’s also played a prevalent role in helping make MHSAA policy over her decades. She’s served on a variety of MHSAA committees, including the Basketball Committee, and served in multiple roles with the Basketball Coaches Association of Michigan including as president. She also served at the collegiate level on the NAIA Executive Committee, the Wolverine-Hoosier Athletic Conference (WHAC) Executive Council and as part of NAIA Women in Sports Leadership program and the Michigan Women’s Foundation Tribute to Women Athletes Committee.
Tibaldi has received various honors for her coaching and administrative contributions, including the MHSAA’s Women In Sports Leadership Award in 2011. She was The Associated Press’ Class B Coach of the Year in 1981 and twice earned special mention, and she’s a member of the BCAM Hall of Fame. She also was named state Coach of the Year for basketball by the National Federation of State High School Associations (NFHS) in 2004, and named Regional Athletic Director of the Year by the Michigan Interscholastic Athletic Administrators Association (MIAAA) in 2011. She also was named BCAM’s College Coach of the Year in 1988 and is a member of the NAIA’s National Coaches Hall of Fame. She earned multiple NAIA District Coach of the Year awards for both basketball and softball and was the WHAC Coach of the Year four times.
“To me, teaching life lessons is everything,” Tibaldi said. “I had great kids, and it makes me proud to see where they’re at – the things they’re doing are mind-boggling, and it makes me really proud. The thing they all tell me is they learned what hard work was, about teamwork and persistence, and resilience. That to me is what’s valuable.”
Tibaldi also co-authored and was granted a $1 million federal grant as part of the Every Step Counts program to provide the Traverse City community with funds to fight obesity, and wrote and coordinated a USDA-funded Michigan Fitness Foundation grant for promotion of healthy school environments in five high-needs schools. She’s been an active volunteer with the Boys and Girls Club and presented at the annual Girl-Tech Conference to encourage young women to choose non-traditional careers. She continues to do work with the Michigan Fitness Foundation.
Tibaldi is a graduate of the former Redford St. Mary’s High School in Detroit and earned her bachelor’s degrees in English and physical education from Aquinas in 1973. She was named Aquinas’ Outstanding Alumni of the Year in 1995 and is a member of that school’s Hall of Fame as well as Grand Rapids West Catholic’s and the Grand Rapids Sports Hall of Fame.
Hackley is a graduate of Culpeper County High School, located southwest of Washington, D.C. He earned his bachelor’s degree in recreation administration from Bethany College in Kansas and his master’s in recreation education from Iowa.
A member of the West Michigan Officials Association (WMOA) and National Association of Sports Officials (NASO), Hackley was co-founder and has been co-director of the Michigan Intramural and Recreation Sports Association (MIRSA) basketball officials camp and served on six committees as part of the National Intramural and Recreation Sports Association (NIRSA). He also was appointed to the Board of Directors of the West Michigan Sports Commission.
He’s also volunteered with Michigan Special Olympics, Georgetown Little League, National Kidney Foundation and Habitat for Humanity, served three years on the Board of Directors for the Downtown Metro YMCA in Grand Rapids and nine years on the Board of Directors at Bethany College.
Hackley was named WMOA Athletic Director of the Year in 2011 and an MIAAA Regional Athletic Director of the Year in 2018. He also has received MIRSA’s Tom Jones Service Award.
Past recipients of the Charles E. Forsythe Award
1978 - Brick Fowler, Port Huron; Paul Smarks, Warren
1979 - Earl Messner, Reed City; Howard Beatty, Saginaw
1980 - Max Carey, Freesoil
1981 - Steven Sluka, Grand Haven; Samuel Madden, Detroit
1982 - Ernest Buckholz, Mt. Clemens; T. Arthur Treloar, Petoskey
1983 - Leroy Dues, Detroit; Richard Maher, Sturgis
1984 - William Hart, Marquette; Donald Stamats, Caro
1985 - John Cotton, Farmington; Robert James, Warren
1986 - William Robinson, Detroit; Irving Soderland, Norway
1987 - Jack Streidl, Plainwell; Wayne Hellenga, Decatur
1988 - Jack Johnson, Dearborn; Alan Williams, North Adams
1989 - Walter Bazylewicz, Berkley; Dennis Kiley, Jackson
1990 - Webster Morrison, Pickford; Herbert Quade, Benton Harbor
1991 - Clifford Buckmaster, Petoskey; Donald Domke, Northville
1992 - William Maskill, Kalamazoo; Thomas G. McShannock, Muskegon
1993 - Roy A. Allen Jr., Detroit; John Duncan, Cedarville
1994 - Kermit Ambrose, Royal Oak
1995 - Bob Perry, Lowell
1996 - Charles H. Jones, Royal Oak
1997 - Michael A. Foster, Richland; Robert G. Grimes, Battle Creek
1998 - Lofton C. Greene, River Rouge; Joseph J. Todey, Essexville
1999 - Bernie Larson, Battle Creek
2000 - Blake Hagman, Kalamazoo; Jerry Cvengros, Escanaba
2001 - Norm Johnson, Bangor; George Lovich, Canton
2002 - John Fundukian, Novi
2003 - Ken Semelsberger, Port Huron
2004 - Marco Marcet, Frankenmuth
2005 - Jim Feldkamp, Troy
2006 - Dan McShannock, Midland; Dail Prucka, Monroe
2007 - Keith Eldred, Williamston; Tom Hickman, Spring Lake
2008 - Jamie Gent, Haslett; William Newkirk, Sanford Meridian
2009 - Paul Ellinger, Cheboygan
2010 - Rudy Godefroidt, Hemlock; Mike Boyd, Waterford
2011 - Eric C. Federico, Trenton
2012 - Bill Mick, Midland
2013 - Jim Gilmore, Tecumseh; Dave Hutton, Grandville
2014 - Dan Flynn, Escanaba
2015 - Hugh Matson, Saginaw
2016 - Gary Hice, Petoskey; Gina Mazzolini, Lansing
2017 - Chuck Nurek, Rochester Hills
2018 - Gary Ellis, Allegan
2019 - Jim Derocher, Negaunee; Fredrick J. Smith, Stevensville
2020 - Michael Garvey, Lawton
PHOTOS: Muskegon Orchard View athletic director Leroy Hackley Jr., left during his time at Jenison High, and retired Traverse City West athletic director and basketball coach Patti Tibaldi are the 2021 Charles E. Forsythe Award honorees. (Hackley photo by Rob Kaminski; Tibaldi photo courtesy of Traverse City Record-Eagle.)