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
Shores Star Walker Continues Drive for Hoops Greatness as College Coach
By
Scott DeCamp
Special for MHSAA.com
August 8, 2024
NORTON SHORES — Dribbling, passing, and shooting are prerequisites for basketball players, and Muskegon Mona Shores alumna Jordan Walker did them quite well.
But for Walker, determination has been perhaps her most important trait.
It helped her win the Michigan Miss Basketball Award during her senior season in 2017 after suffering an ACL injury prior to her junior year with the Sailors. It’s also allowed her to continue an ascent in the basketball world.
Time-management habits and prioritization have been instilled in all three of Jarvis and Danielle Walker’s three children.
“There’s a special drive with these (Walker) kids,” said Brad Kurth, who was Jasmyn and Jordan Walker’s basketball coach at Mona Shores.
Jordan Walker earned two master’s degrees over six years of college while juggling the demands of being a Division I basketball player at Western Michigan University and University of Tennessee. The 25-year-old’s playing days appear to be finished, but she’s still pursuing her basketball dreams as an assistant coach at the D-I level.
Walker spent the 2023-24 season as a first-year assistant at Mercer University. This March, Mercer head coach Susie Gardner announced her resignation, meaning Walker had to seek opportunities elsewhere.
In typical Walker fashion, she landed on her feet, and it didn’t take long. In May, she was hired as an assistant coach at Jacksonville University. Her responsibilities include player development with point guards, academics, community service, and housing.
“(The Mercer position) kind of fit exactly where I was at perfectly,” Walker said during a break while on the road recruiting for Jacksonville recently. “I was really thankful for that opportunity and thankful for my circle and my village thinking of me at that time and putting my name out there because it honestly was the perfect situation for me.
“At the Final Four, you meet people and you meet a lot of coaches and you network, you build relationships. There was one coach I saw on the road a ton throughout the year and I saw at the Final Four and he knew the situation. At that point, (Jacksonville) didn’t have any openings, and later on it opened up and they gave me a call. At that point, it was getting to the interview and what the position holds and what it would look like. Again, it was another situation that was perfect for where I was at in life and what I wanted to do and the path that I’m on, so it was another no-brainer for me to head to Jacksonville.”
At Mona Shores, the 5-foot-7 guard broke the school’s all-time scoring record — one that stood 22 years — with 1,365 points. During her Miss Basketball season, Walker averaged 22.1 points, 8.5 rebounds, and 5.5 assists per game.
At the collegiate level, Walker amassed more than 1,300 points, 700 rebounds, and 400 assists. In two seasons with WMU (she lost one season with another ACL injury), she started 54 of 64 games and averaged 11.8 points, 4.9 rebounds, 2.2 assists, and 1.8 steals. As a graduate transfer at Tennessee, she started 77 of 96 games and averaged 6.3 points, 4.1 rebounds, 3.0 assists, and 1.1 steals while helping the Lady Vols reach the NCAA Tournament three times.
According to Walker, the foundation for her success began in the home and in the Mona Shores school community.
“Honestly, my memories with Mona Shores I truly cherish because it’s such a special time, a special place. Playing high school ball, I tell people AAU and high school ball is some of the most fun times that you’ll have playing. Obviously, I enjoyed my college time as well — I did six years,” she quipped. “But I definitely enjoyed my time at Mona Shores. Just the people that were there because it was a truly special place.
“Again, I talk about the village a lot because it does take that and (the) Mona Shores community, they really just poured into me and supported (me) and that’s something that I was always grateful for. Especially my head coach there, Brad Kurth. He did an amazing job with us and preparing us, not only for the games in high school but for the next level as well as far as player development and scouts and going over stuff like that so when I got to college, it wasn’t my first time seeing a scout, it wasn’t my first time doing a film study. Those things I always take with me.”
Of course, with the Walker family, it’s always been books before basketball.
While at Mona Shores, Jordan Walker served on the MHSAA’s Student Advisory Council and earned one of the prestigious MHSAA/Farm Bureau Insurance Scholar-Athlete Awards as a senior; only 32 honorees are selected annually. Walker earned her bachelor’s degree in political science and minor in communications from WMU in 2020, taking only three years. At Tennessee, she completed her first master’s degree in 2022 in business administration (MBA) with a concentration in entrepreneurship and innovation; she finished her second master’s degree in 2023 in the Agricultural Leadership, Education and Communications (ALEC) Department with a concentration on name, image, and likeness (NIL) and women’s leadership.
When Walker suffered the ACL injury at WMU, which sidelined her for a year, it allowed her to get ahead in the classroom. She had 19- and 20-credit semesters that year. In her third and final year at WMU, she was taking 21 credits in a semester.
“Academics in our house was nothing to play around with,” Walker said. “If you didn’t have your academics right — in the summer, if you didn’t finish your workbooks, if you didn’t read your books, you were not playing basketball. Academics were a big thing, and I thank my parents for that because they instilled that at a young age.
“It came down to time management, which kind of goes back to what I was saying about the foundation of your high school and what you do in high school and the habits that you form because that’s ultimately going to carry you throughout college. Of course, you can tweak it and gain new things, but I think Mona Shores did a great job of setting me up academically so that when I got to college, some of the courses that I took, I was able to comprehend at that level and take multiple classes and high-credit semesters and be able to graduate early, which led to me being able to get my (two) master’s (degrees).”
All three of the Walker siblings continue to achieve at a high level on and off the court.
Jasmyn Walker, the eldest of the siblings, was a first-team all-stater at Mona Shores and a Division I basketball player at Valparaiso and Western Michigan. She is in her first season as an assistant coach at George Washington University after previous stops at Purdue-Fort Wayne, Butler, Ferris State and Davenport.
Jarvis Walker II, the youngest of the siblings, was a first-team all-stater at Muskegon High School and is a graduate student playing basketball for Indiana University-Indianapolis after starting his collegiate career at Purdue-Fort Wayne.
The Walker siblings are each other’s biggest fans.
“I’m immensely proud of them,” Jasmyn Walker said. “Jordy and Jay have gone above and beyond to reach their goals. I’ve seen the work they’ve put in, the time invested, and sometimes the lows that come with chasing dreams. They’ve pushed themselves at every turn.”
Jarvis Walker II said that sister Jordan is somebody who will “figure it out no matter the circumstances.”
He believes that each stop along her journey has afforded her great experience and deeper knowledge that will benefit her not only in basketball but in life.
“Grind, grind, grind — she is one of the hardest-working people I know,” he said about his sister. “It has motivated me to be better in every aspect of life from school to basketball and day-to-day interactions and how I go about certain things.”
In many respects, Kurth feels like a proud papa to the Walkers as he’s coached Jasmyn and Jordan and has spent countless hours around the family.
“All three of the kids — I mean, Jarvis, Jordan, and Jasmyn — I could never be prouder of a group of kids,” Kurth said. “You talk about the full package: Basketball is one part, but every single one of them shows academic excellence, every single one of them shows extreme character. Those are things that are timeless. Basketball is a young person’s sport. Coaching you can do a long time, but your playing days are limited. I think I’ve seen a lot of kids sacrifice everything, including their character, including their academics, to do basketball and they shouldn’t. Character should be at the top. These three kids, it’s just matchless.”
Included in Jordan Walker’s long resume is her active participation in leadership programs such as “So You Want To Be a Coach” and “Above the Rim Summit.”
Walker aspires to be a collegiate head coach. She’s doing all she can to keep climbing that ladder.
With her second master’s degree specializing in NIL and that being such a large part of college athletics now, she appears to have a leg up on her competition.
“NIL can look like a bunch of different things, and I think that when choosing a school and what that looks like, make sure that outside of NIL it meets all of your expectations,” Walker said. “Money and brand deals and all of that may look enticing, but still don’t fall on your standards of what your program you want to have has.
“It’s the academics, and if they have your major, and it’s the culture and it’s your relationships with your coaches and your teammates. Make those be your tops and NIL be a plus. I think that that’s the biggest thing.”
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PHOTOS (Top) At left, Jordan Walker stands with her class on the Breslin Center floor during the 2017 MHSAA/Farm Bureau Scholar-Athlete Awards ceremony, and at right in 2023 after receiving her second master's degree from University of Tennessee. (Middle) Walker makes her move toward the basket during a game her senior season at Muskegon Mona Shores. (Below) Jordan Walker, middle, takes a photo with sister Jasmyn and brother Jarvis. (Graduation and family photos courtesy of the Walker family; Mona Shores basketball photo by Tim Reilly.)