MHSAA Provides Heat Management Reminders in Advance of 2023 Fall Practices

By Geoff Kimmerly
MHSAA.com senior editor

August 1, 2023

Temperatures reached record highs in some parts of Michigan at the start of this summer, and heat waves have made headlines nationally over the last month. Although the state didn’t experience similar extremes during July, the beginning of August always is a pertinent time for reminders that more hot weather is likely in many areas and should be prepared for as Michigan High School Athletic Association practices are set to begin Monday, Aug. 7.

Each year, the MHSAA provides information to its member schools to help them prepare for hot weather practice and game conditions during the late summer and early fall. Practices for all Fall 2023 sports – cross country, football, Lower Peninsula girls golf, boys soccer, Lower Peninsula girls swimming & diving, Lower Peninsula boys and Upper Peninsula girls tennis, and volleyball – may begin Monday, Aug. 7.

The “Health & Safety” page of the MHSAA Website has links to several information sources, including the MHSAA preseason publication Heat Ways, which is available for download and includes valuable information on heat management in addition to requirements and resources regarding head injuries and sudden cardiac arrest.

The first days of formal practices in hot weather should be more for heat acclimatization than the conditioning of athletes, and practices in such conditions need planning to become longer and more strenuous over a gradual progression of time. Schools also must consider moving practices to different locations or different times of day, or change practice plans to include different activities depending on the conditions. Furthermore, football practice rules allow for only helmets to be worn during the first two days, only shoulder pads to be added on the third and fourth days, and full pads to not be worn until the fifth day of team practice.

The MHSAA advises student-athletes to make sure to hydrate all day long – beginning before practice, continuing during and also after practice is done. Water and properly-formulated sports drinks are the best choices for hydration.

A number of member schools follow the MHSAA’s Model Policy for Managing Heat & Humidity, which while not mandated for member schools was adopted as a rule for MHSAA postseason competition in 2013. The plan directs schools to begin monitoring the heat index at the activity site once the air temperature reaches 80 degrees, and provides recommendations when the heat index reaches certain points, including ceasing activities when it rises above 104 degrees. (When the temperature is below 80 degrees, there is no combination of heat and humidity that will result in a need to curtail activity.) The model heat & humidity policy is outlined in a number of places on the MHSAA Website, including as part of Heat Ways.

Can A Sports Physical Replace A Wellness Exam?

August 8, 2023

Before your child can take the field or hit the courts, their doctor must give the all-clear for them to play.

Henry Ford HealthSince the sports physical is a pre-requisite to organized activity, you may be tempted to skip your child’s annual well-visit. After all, do you really need to go to the doctor’s office twice if they’re healthy enough to play sports?

Of course, the answer is yes! Each type of visit to your pediatrician serves a different purpose, and one cannot replace the other.

Shoshana Gordon, D.O., a pediatrician for Henry Ford Health, explains the differences between the sports physical and regular wellness examination.

What Happens at a Wellness Exam

An annual wellness exam is a comprehensive visit that allows your child’s pediatrician to monitor all aspects of your child’s development. These appointments can vary quite a bit, depending on your child’s age.

“Your child grows so much early in life that we need to see them several times before their first birthday,” says Dr. Gordon. “As they get older, the conversations at these appointments evolve and expand to include topics like mental health and what to expect from puberty.”

Generally, many aspects of your child’s wellness exam will stay the same over time. Regardless of age, this appointment will include:

  • Checking vitals (heart rate, blood pressure)
  • A physical exam (to monitor physical growth)
  • Discussing developmental milestones
  • Developmental and emotional/behavioral screenings
  • Conversations about nutrition and any physical activities your child is involved in
  • Conversations about how your child is getting on at school
  • An opportunity to discuss questions or concerns you or your child may have

One crucial part of the wellness exam is immunization. This appointment is the best time for you to talk with your child’s pediatrician to make sure that your child is up to date on necessary vaccines.

Additionally, wellness exams are the best way for you and your child to develop a relationship with their pediatrician. When you only take your child to the doctor when they are sick, it is harder for your pediatrician to set a baseline for their health.

“Regular wellness visits allow you and your child to get comfortable with asking your doctor questions,” says Dr. Gordon. “Once we develop a good patient-provider relationship, your child’s pediatrician will have an easier time recognizing when your child isn’t feeling like themselves and can better offer alternate approaches to care that best suit your child’s unique needs."

What Happens at a Sports Physical

Sports physicals are used to determine if your child is healthy enough to participate in organized sports. During this appointment, your child’s doctor will screen them for different sports-specific health concerns. They will be evaluating several things including:

  • Heart function
  • Lung function
  • Mobility
  • Reflexes
  • Endurance

“During a sports physical, we’ll look at both your child’s and your family’s health history to make sure there aren’t any indicators that could impact your child’s ability to play,” says Dr. Gordon. “For example, if your child had COVID or if you have a family history of cardiovascular complications, additional tests may be necessary to make sure this isn’t affecting your child’s health.”

The biggest difference from a wellness exam? Sports physicals don’t include developmental screeners that are essential to your child’s growth.

“At the end of the day, a sports physical cannot take the place of your child’s annual wellness exam,” says Dr. Gordon. “However, when you go for your child’s wellness exam, talk to your child’s pediatrician about including a sports physical as part of the appointment.”

In addition to the developmental, social and emotional evaluations that take place at your child’s annual wellness exam, this is the best time for you and your child to get to know your pediatrician. Establishing yourself with your child’s doctor will make it easier to treat and care for your child as they continue to grow.

To find a pediatrician or make an appointment online, visit henryford.com or call 1-800-436-7936.

Dr. Shoshana Gordon is a pediatrician who sees patients at Henry Ford Medical Center-Royal Oak and Henry Ford Medical Center-Sterling Heights.