Cohen Champions Treatment, Technology
By
Geoff Kimmerly
MHSAA.com senior editor
March 10, 2014
By Geoff Kimmerly
Second Half editor
Abby Cohen was looking for a problem to solve.
Two years later, she’s potentially only one more year from helping relieve a medical dilemma faced by 25 million Americans.
And the most impressive part might be that she graduated from high school a mere five years ago and is 23 years old.
Cohen, a 2009 MHSAA Scholar-Athlete Award winner as a senior at Bloomfield Hills Cranbrook-Kingswood, certainly could be called proactive, going back to her days as a volleyball, basketball and soccer standout for the Cranes. Less than a year after graduating from Washington University in St. Louis, Mo., she’s co-founder and co-CEO of Sparo Labs, which seeks to provide asthma sufferers with a proactive way of monitoring their symptoms and improving their treatments.
“Everyone has a different perspective on how to go about doing things,” Cohen said. “For me, growing up trying to improve in sports, I’d write down a list of things to do every day and actually do them, follow through. That aspect of always wanting to get better, and improve, is something that’s carried through to the rest of what we do at Sparo and in general how I approach things.”
On March 22, the MHSAA and Farm Bureau Insurance will recognize a 25th class of Scholar-Athlete Award winners. In advance of the celebration, Second Half has caught up with some of the hundreds who have been recognized (see additional links at the bottom of this page).
Cohen, who also served on the MHSAA Student Advisory Council from 2007-09, chose Washington based on its strong engineering problem and successful women’s basketball program. She studied bio-medical engineering and was a freshman on the Bears team that defeated Hope College for the Division III national championship in 2010.
But that first season was followed by a series of ankle injuries that required reconstructive surgery – and, effectively, ended her collegiate sports career. She still can play pick-up games, but four-hour daily practices and the other commitments of a varsity program would've been too much.
She missed basketball. But the end of her competitive career on the court, as it turned out, allowed more time to dive into a new pursuit – and, in her words, “work with another kind of team.”
“I’m a big believer in everything happens for a reason,” Cohen said. “It was disappointing having to have surgery to make everything feel better, for the long term, not just basketball. For me at that time, I didn't appreciate that with the extra time I could have, I could take the time to try new things, make the world a better place.”
Cohen planned at first to eventually become a physician. She shadowed a number of doctors, but decided that in the long run she could have a greater impact as an engineer designing products physicians could use.
In addition to her classwork, she helped form an extracurricular entrepreneurial group – and set out for an issue in need of repair. She and her now-business partner Andrew Brimer didn't realize how many Americans are affected by asthma, “that respiratory diseases are the only ones getting worse over time rather than getting better. That although technology is improving, why it’s not making a dent.”
They set out find out and make that dent themselves.
Through a series of interviews with patients, doctors, respiratory therapists and others in the field, Cohen and Brimer got an idea what could help – an affordable, easy-to-use device to allow patients to monitor on their own their symptoms so they can better manage them and the treatments to help. Cohen and Brimer designed a device that plugs into a smart phone and allows patients to blow into it like a whistle and register lung function readings – while also collecting data on medications, pollen counts, and other variables that affect lung function. Their device also should dent the health care costs that go with current testing, which generally requires an office visit.
Sparo will work over the next six months to improve its app interface and user experience, and then submit for Food and Drug Administration approval at the end of this year or the beginning of 2015 – with the hope it will then become available to patients later next spring.
Cohen is based in St. Louis, where she and Brimer have been able to work with three large local hospitals and within a nurturing entrepreneurial community. Brimer's brother owns a tech education company in New York which has provided additional support as she and Brimer discussed what was possible. “We were talking to patients and physicians, and it just seemed like the right thing to do,” Cohen said. “If we weren’t going to do this, who was?”
Cohen and Brimer have won 9 of 11 entrepreneurship grant competitions they've entered, netting more than $300,000 to get their lab rolling and allow them to hire two more engineers. Long-term, today’s work could just be the start of what Cohen hopes eventually will reach into developing countries as well.
She remains in touch with a number of teachers at Cranbrook-Kingswood – also, her mother Sheila Cohen teaches sixth-grade math at the school – and she spoke there at the end of 2013 as part of a TEDx event.
As she continues to build her team, Cohen is reminded of additional lessons she learned on the courts and soccer field – including a major one that will continue to pay as Sparo expands.
“Learning how to work on a team, with really different personalities, different people who all play different roles,” Cohen said. “That really came from sports – the ability to work with people and reach one common goal.”
Click to read the series' first installments:
- 25 Years Later, Scholar Athletes Shine On
- On Call as Doctor, Director, Mom
- "Mailloux Management" Goes Global
- Goorhouse Gives Back at Home
PHOTO: Abby Cohen (10) helps her teammates hoist a trophy while a player at Bloomfield Hills Cranbrook-Kingswood in 2009. (Photo courtesy of Cranbrook-Kingswood.)
2017-18 Report Shows Fewer Concussions
August 8, 2018
By Geoff Kimmerly
Second Half editor
Concussions are down, according to data compiled by the Michigan High School Athletic Association during its third year of collecting head injury reports from member high schools.
The work is not done – but this year’s data reinforces trends that emerged during the first two years of reporting and will assist the MHSAA as it explores solutions to continue reducing the incidence of head injuries in school sports.
The 2017-18 concussion report found a 9.6-percent decrease in the number of confirmed concussions from the previous year. Student-athletes at MHSAA member high schools encountered during 2017-18 a total of 3,580 head injuries – or 4.8 per member school, compared to the 2016-17 average of 5.2. Total participation in MHSAA sports for 2017-18 was 284,920 – with students counted once for each sport he or she played – and only 1.3 percent of participants experienced a head injury, down from 1.4 in 2016-17 and 1.6 percent the first year of the study.
As first mandated in 2015-16, member schools are required to report head injuries to the MHSAA identifying the sport that each student-athlete was participating in and whether the injury was sustained during practice or competition. Schools also are required to designate at which level – varsity, junior varsity or freshman – the injury occurred.
The full report of all head injuries experienced during 2017-18 by student-athletes at MHSAA member high schools – including percentages by sport (per 1,000 participants), gender and team level, as well as data tracking when athletes returned to play – is available by clicking here.
Consistent with the first two years of the study, the MHSAA received data from more than 99 percent of its member high schools after the fall, winter and spring seasons and continued to track each injury report through its conclusion this summer. Member junior high and middle schools also were allowed, although not mandated, to report their potential head injuries; and those findings are not part of the published report.
The decrease in overall head injury reports collected for 2017-18 follows a similar reduction from 2015-16 to 2016-17 – and brings the total decrease to 19.6 percent fewer reports since the first year of the study.
MHSAA Executive Director John E. “Jack” Roberts noted that the decreases in reports, both year to year and since the first year of the survey, likely have some relation to year-to-year fluctuation, refinement of the follow-up reporting process and a better understanding by schools of what is not to be included for the survey – including head injuries not diagnosed as concussions and head injuries that did not take place during MHSAA-sponsored activities.
However, the findings of this year’s study – and their similarities to the findings from the first two surveys – has begun to clarify the identification and understanding of trends. Continuing to emerge perhaps most prominently is the higher incidence of concussion reports from girls sports – and pertinent questions about physiological and social causes behind those results.
“With three years of reporting by virtually 100 percent of our high schools, what we’re learning is no longer anecdotal; the results are beginning to identify valid trends and genuine issues that need to be addressed,” Roberts said. “For example, it’s even clearer than before that girls are reporting three times the number of concussions as boys when comparing similar sports – soccer, basketball and baseball versus softball. As a result, we’ve already begun to incorporate these gender differences into our coaches education, and the writers of high school playing rules are obligated to focus on these gender differences as well.”
Although the total number of confirmed concussions was significantly lower again in 2017-18, a number of findings detailing those injuries fell in line with results of the first two surveys.
Boys experienced 2,373– or 66 percent – of those injuries, the same ratio as 2016-17, and not surprisingly as boys have a much higher participation in contact sports. More than half of head injuries – 56 percent – were experienced by varsity athletes, which for the second year also fell within a percent difference of the previous year’s findings.
A total of 2,330 head injuries – or 65 percent – came in competition as opposed to practice. More than half took place during either the middle of practice or middle of competition as opposed to the start or end, and 52 percent of injuries were a result of person-to-person contact. The MHSAA also asked schools to report the number of days between the head injury and the athlete’s return to activity – and the two largest groups, both at 24 percent, returned to activity after either 6 to 10 days of rest or 11 to 15. All of these findings were within 1-3 percent of those discovered from the 2016-17 data.
Contact sports again revealed the most head injuries. Ranking first was football, 11 and 8-player combined, with 41 head injuries per 1,000 participants – a decrease for the second straight year, this time from 44 head injuries per 1,000 participants in 2016-17 and down from 49 head injuries per 1,000 football participants shown by the first study in 2015-16.
Ice hockey repeated with the second-most injuries per 1,000, with 32 (down from 36 injuries per 1,000 from 2016-17 and 38 per 1,000 in 2015-16), and girls soccer and wrestling tied for third with 25 head injuries per 1,000 participants – girls soccer down from 28 head injuries per 1,000 participants and wrestling down from 26 per 1,000 in 2016-17.
Also consistent with 2016-17, the next five sports (after football and hockey) to show the highest incidences of head injuries were girls sports – girls soccer followed by girls basketball (22 per 1,000), girls competitive cheer (20) and girls lacrosse (20). Boys lacrosse (17), girls gymnastics (16) and boys soccer (12) were the only other sports to show double-digit head injuries per 1,000 participants.
Females again reported significantly more concussions than males playing the same or similar sports – soccer, basketball and baseball/softball. Female soccer players reported more than double the concussions per 1,000 participants as male soccer players (25 to 12), while female basketball players also reported more than double the number of concussions per 1,000 participants (22 to 9). Softball players reported seven concussions per 1,000 participants, and baseball players reported three per 1,000. Although the percentage differences vary from year to year, the results of all three comparisons remained consistent with what the survey found in 2015-16 and 2016-17.
The MHSAA in 2018-19 is directing its sport committees to focus on a pair of questions – how to increase participation and how to make their specific sports safer – the latter aiming to put some of what has been learned from concussion reporting into practice. The MHSAA also is continuing to invite Michigan’s universities, health care systems and the National Federation of State High School Associations (NFHS) to take part in analyzing the data and resulting questions that have arisen during the past three years.
“Regrettably, I do not see a nationwide head injury reporting effort likely,” Roberts said. “First, it’s hard to coordinate 50 states’ efforts. And second, if left to medical professionals, the survey tool might become so cumbersome that schools would be reluctant to participate – and certainly, it would not get the 99.9 percent cooperation that we’ve enjoyed from schools over these three years.”
Schools report possible concussions online via the MHSAA Website. Reports are then examined by members of the MHSAA staff, who follow up with school administrators as those student-athletes continue to receive care and eventually return to play. Student privacy is protected.
The reporting of possible concussions is part of a three-pronged advance by the MHSAA in concussion care begun during the 2015-16 school year. The MHSAA completed in spring 2017 the largest-ever state high school association sideline concussion testing pilot program, with a sample of schools from across the state over two years using one of two screening tests designed to detect concussions. The MHSAA also was the first state association to provide all participants at every 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 head injuries sustained during school practices or competitions and at no cost to either schools or families.
Previously, the MHSAA also was among the first state associations to adopt a return-to-play protocol that keeps an athlete out of activity until at least the next day after a suspected concussion, and allows that athlete to return to play only after he or she has been cleared unconditionally for activity by a doctor (M.D. or D.O.), physician’s assistant or nurse practitioner.
In addition, the MHSAA’s Coaches Advancement Program – which includes courses that must be completed by all varsity head coaches hired for the first time at a member school – provides substantial instruction on concussion care. Separately, rules meetings that are required viewing for high school varsity and subvarsity head and assistant coaches at the start of each season include detailed training on caring for athletes with possible head injuries.