Play it Safe: Basics of Proper Helmet Use

If you or your child plays sports or participates in physically risky activities, wearing a helmet could be lifesaving. While no helmet is concussion-proof, wearing one can help reduce the risk of serious head injuries.

"Helmets are made with materials that help reduce impact to the head, protecting the skull from damage," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology. "You should be wearing a helmet whether you're playing a contact sport or riding something on a hard surface, such as a bike, scooter, skateboard or rollerblades."

Head Injury Prevention 101: Helmet Buying Basics

All helmets are certified at the same level for multi-use recreational activities. So there's no need to search for a specific seal or rating. Instead, when you're purchasing a helmet — or getting one second-hand — focus on these four factors:

How you’ll use it:

Pay attention to the risks involved with the activity you're doing. If you're biking, skiing or snowboarding, for example, you're wearing a helmet in case you get hit, not because you'll get hit.

There are two types of helmets: single-impact and multiple-impact. Single-impact helmets are made with foam materials that break down when hit as part of their force mitigating strategy. These helmets work well for bicycling, skateboarding, skiing or snowboarding. Multiple-impact helmets, such as those designed for sports like football, hockey and lacrosse, can withstand many hits over an entire season. The materials in these helmets don't break down, but rather compress and regain their original form.

"A helmet may perform better in the lab — for example, the dummy brain will experience 98Gs of force instead of 100Gs — but 2Gs of force probably won't make enough of a difference with a one-time injury," Dr. Kutcher says. "But 2Gs less force per hit for a linebacker who suffers multiple blows on a daily basis for many years? That could make a big difference.”

If football is your sport, the National Football League provides a helmet rating system that assesses helmets based on their ability to mitigate force over time.

How it fits:

Helmets fit differently depending on the make, style and type of sport they’re made for. "The key is making sure the helmet covers the entire skull and doesn't move around when in use," Dr. Kutcher says. The helmet should sit on the head without falling forward or backward. If you're relying only on a chinstrap to keep it in place, you don't have the right fit.

How comfortable it is:

Not all helmet brands fit every head. Helmet designs vary just like running shoes do. When you're shopping for a helmet, make sure it's snug, but not tight or uncomfortable. Comfort is critical, especially for kids. "You don't want a child to develop a negative association with wearing a protective helmet," Dr. Kutcher says.

What condition it’s in:

To get the most protection, your helmet should be in top condition. Do not wear a cracked or broken helmet, or one that has been involved in a crash or similar event (unless it's a multiple-impact design). An impact can crush foam materials. And don't allow the helmet to get too hot or cold — that can cause the materials to break down over time.

Get the Best Helmet Fit for Your Head

Properly wearing a helmet provides the greatest defense against injury — more than any style or brand. To make sure your helmet is secure, follow these rules:

· Measure head circumference: Every helmet brand provides a size chart, along with instructions about how to select the best fit. To get the best measurement, use a cloth tape to measure your head circumference. Place the tape about an inch above the eyebrows, keeping it level from front to back. If the measurement falls between sizes, select the smaller size.

· Pay attention to hairstyles: Make sure to try the helmet on with the hairstyle you'll have during the activity. A long-haired bike rider who gets a short haircut may require a helmet adjustment.

· Watch your vision: The helmet should not block your vision. You should be able to see straight ahead and side to side.

To Wear a Helmet or Not To Wear a Helmet: When to Play It Safe

There are several sports that don't require wearing a helmet. But if you or your child is involved in rugby or soccer, or another sport where helmets are optional, that doesn’t mean you're in the clear.

"It's important to base any decision about whether or not to wear a helmet in conjunction with your sports neurologist," notes Dr. Kutcher. "Your past medical history and current health status may still warrant the use of a helmet."

Unsure whether you're at risk of sustaining a head injury? Get a brain health baseline evaluation. Proper consideration of your brain health includes a physical examination, along with a personal and family medical and neurological history. It also offers you an opportunity to learn how to best protect your head.

Dr. Jeffrey Kutcher is a sports neurologist at the Henry Ford Concussion and Sports Neurology Clinic and the global director of the Kutcher Clinic.

Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan.

Visit henryford.com/sports or call (313) 972-4216 for an appointment within 24 business hours.

Why Spring Sports Injuries Are Common & How To Prevent Them

April 11, 2023

When spring is in the air, athletes of all ages head outdoors to play their favorite sports, including softball, baseball, tennis, lacrosse and track & field.

Henry Ford HealthUnfortunately, the change of season also ushers in injuries, says Joseph Medellin, M.D., a primary care sports medicine doctor at Henry Ford Medical Center-Jackson. A variety of factors can cause spring sports injuries, including:

► Too much or too little winter activity: With shorter days and colder temperatures, some athletes aren’t as active in winter. Even if you are going to the gym regularly, sport-specific muscles ­– like muscles in the chest and shoulder that help you throw a baseball – may weaken.  

At the start of a new sports season, a sudden increase in the demand on these muscles can lead to injury. Taking steps to get ready for spring sports before the season starts can lower this risk. It’s also not uncommon for multi-sport athletes to have games and practices year-round with multiple practices in one day. Not allowing yourself enough downtime can lead to overuse injuries, including strains and sprains.

► Transitioning outdoors: Winter sports often take place on hard surfaces, like wood basketball courts, gyms and treadmills. These surfaces are flat, making it easier to maintain your footing. Spring sports involve soft running surfaces like grass and turf that are uneven. They can also be wet, muddy or icy due to spring weather. All these circumstances increase the risk of injury due to falls.

Cold weather can also be a factor. Early spring temperatures can still be quite cold. It takes longer for muscles to warm up, and they might not work as efficiently. This can be especially troublesome with sports like softball where there are lulls in activity between innings. Playing with cold muscles can increase the risk of sprains and strains.

► Sport-specific movements: Throwing, sprinting and kicking are moves that most people don’t do on a daily basis. They require powerful motions that can stress unconditioned muscles and joints. This is especially true if you haven’t been cross-training to strengthen supporting muscles or haven’t gradually increased your intensity.

A sprinter may experience hip pain from running at full speed around the curve of a track. Rotator cuff injuries can occur in sports that involve throwing, like the javelin, shot put, and baseball and softball. Soccer players can pull their groin from repeatedly taking long kicks.

If You Suspect A Sports Injury, Don’t Put Off Care

A doctor’s office is often the last place eager athletes want to be at the start of the season. But pain should not be a regular part of your training program. If you think you’ve sustained an injury, trying to push through often makes it worse.

Making time to see the doctor can be challenging, especially if you have to miss a practice or game for your appointment. But it’s worth it. “The sooner you get evaluated, the sooner we can get you on the path to recovery,” Dr. Medellin says.

The opposite can be said when treatments are delayed. “The longer you’ve had an injury, the longer it may take to heal,” explains Dr. Medellin. “And first-line treatments aren’t as likely to be successful, which can mean more time away from your sport.”

Sports Injury Treatments That Keep You In The Game

Seeing a doctor doesn’t always mean you’ll have to sit out the season. Treatment may include intermittent rest, as long as you don’t have a severe injury like a stress fracture or tendon tear. “We may recommend a return to sport at a lower intensity or with additional rest days to see if the pain goes away,” says Dr. Medellin.

Patients with minor injuries might also benefit from physical therapy between practices. Physical therapists can correct poor form. They can also help you safely stretch and strengthen injured muscles to promote healing. Conditioning through Henry Ford Health's sports performance program can also speed recovery and prevent injury.

“A sports medicine doctor’s goal is to keep athletes active and involved in the sport they love,” says Dr. Medellin. “That’s what I want for my patients.”

To find a sports medicine provider at Henry Ford Health, visit henryford.com/sportsmedicine or call 313-651-1969.

Joseph Medellin, M.D., is a primary care sports medicine doctor at Henry Ford Medical Center-Jackson.