PRIVIT to Assist in Health History Effort

May 16, 2016

By Geoff Kimmerly
Second Half editor

The Michigan High School Athletic Association has announced an agreement with PRIVIT to streamline the process for the management and collection of physical health history and consent forms required for participation in high school sports. The MHSAA has designated PRIVIT’s solution, called Privit Profile, as the electronic alternative to paper forms beginning with the 2016-17 school year.

Migrating the paper process to Privit Profile will help high schools better facilitate the process of collecting personal health history information from athletes, and it will save time and costs associated with managing the paper process.

Privit Profile includes the MHSAA’s health history questionnaire and is built on PRIVIT’s patented, secure, and HIPAA (Health Insurance Portability and Accountability Act) compliant technology. The additional MHSAA forms also are included in the implementation and provide MHSAA member schools the flexibility to further tailor Privit Profile to their process. Taking the paper-based process and transitioning it online will provide athletic trainers and coaches more time to focus on Michigan’s student-athletes.

Within Privit Profile, parents of student-athletes easily complete the medical history questionnaire and take printed copies to the student-athlete’s physical exam. In subsequent years, parents only will have to update the information in Privit Profile, as opposed to completing all of the paper-based forms again.

“It has become necessary for increased detail in the requirements to participate in school sports,” said MHSAA Executive Director John E. “Jack” Roberts. “We desire more comprehensive health histories for students and more education of parents and students regarding the risks of participation, as well as the intangible rewards of competing in educational athletics. Streamlining for collection and storage of documents is a priority.”

Gathering more detailed Health Histories – including an upgrade of the previous pre-participation physical form – was the first focus of the ongoing MHSAA 4 H’s of Health and Safety effort taken up before the start of the 2009-10 school year (the other three H’s stand for Heads, Heat and Hearts).

The MHSAA will begin rolling out Privit Profile throughout local high school athletic departments beginning this month. Use of Privit Profile by schools is voluntary.

“As the importance of pre-screening athletes continues to sweep the nation, more and more state high school athletic associations are adopting Privit Profile to better manage student-athlete health information,” said Jeffrey Sopp, CEO of PRIVIT. “We are excited to be partnering with MHSAA and to be able to provide Privit Profile to schools and participants in Michigan for the 2016-17 school year. We’re looking forward to helping MHSAA member high schools and improving a manual process for years to come.”

PRIVIT® was established in 2009 and provides cloud-based patented technology for the collection, distribution, and analysis of personal health information. Considered a world-class leader in electronic pre-participation evaluations, Privit Products offer clients a more secure and standard method for acquiring and sharing the personal health information required for participation in organized sports and activities. With offices in London, Ontario and Columbus, Ohio, PRIVIT® fosters lasting relationships with physicians, athletic trainers, sports medicine organizations and international sports teams. To learn more about PRIVIT® and its Products, visit www.privit.com.

Study: Single-Sport Athletes Injured More

November 3, 2016

A study conducted by the University of Wisconsin School of Medicine and Public Health and funded by the National Federation of State High School Associations (NFHS) Foundation revealed that high school athletes who specialize in a single sport sustain lower-extremity injuries at significantly higher rates than athletes who do not specialize in one sport. 

The study was conducted throughout the 2015-16 school year at 29 high schools in Wisconsin involving more than 1,500 student-athletes equally divided between male and female participants. The schools involved in the study represented a mixture of rural (14), suburban (12) and urban (3) areas, and enrollments were equally diverse with 10 small schools (less than 500 students), 10 medium schools (501-1,000 students) and nine large schools (more than 1,000 students).

Athletes who specialized in one sport were twice as likely to report previously sustaining a lower-extremity injury while participating in sports (46%) than athletes who did not specialize (24%). In addition, specialized athletes sustained 60 percent more new lower-extremity injuries during the study than athletes who did not specialize. Lower-extremity injuries were defined as any acute, gradual, recurrent or repetitive-use injury to the lower musculoskeletal system.

“While we have long believed that sport specialization by high school athletes leads to an increased risk of overuse injury, this study confirms those beliefs about the potential risks of sport specialization,” said Bob Gardner, NFHS executive director. “Coaches, parents and student-athletes need to be aware of the injury risks involved with an overemphasis in a single sport.”

Among those who reported previously sustaining a lower-extremity injury, the areas of the body injured most often were the ankle (43%) and knee (23%). The most common types of previous injuries were ligament sprains (51%) and muscle/tendon strains (20%).

New injuries during the year-long study occurred most often to the ankle (34%), knee (25%) and upper leg (13%), with the most common injuries being ligament sprains (41%), muscle/tendon strains (25%) and tendonitis (20%).

In addition, specialized athletes were twice as likely to sustain a gradual onset/repetitive-use injury than athletes who did not specialize, and those who specialized were more likely to sustain an injury even when controlling for gender, grade, previous injury status and sport.

Thirty-four (34) percent of the student-athletes involved in the Wisconsin study specialized in one sport, with females (41%) more likely to specialize than males (28%). Soccer had the highest level of specialization for both males (45%) and females (49%). After soccer, the rate of specialization for females was highest for softball (45%), volleyball (43%) and basketball (37%). The top specialization sports for males after soccer were basketball (37%), tennis (33%) and wrestling (29%).

The study, which was directed by Timothy McGuine, Ph.D., ATC, of the University of Wisconsin, also documented the effects of concurrent sport participation (participating in an interscholastic sport while simultaneously participating in an out-of-school club sport), which indicated further risk of athletes sustaining lower-extremity injuries.

Almost 50 percent of the student-athletes involved in the survey indicated they participated on a club team outside the school setting, and 15 percent of those individuals did so while simultaneously competing in a different sport within the school. Seventeen (17) percent of the student-athletes indicated that they took part in 60 or more primary sport competitions (school and club) in a single year. Among those student-athletes in this group who sustained new lower-extremity injuries during the year, 27 percent were athletes who specialized in one sport.

The student-athletes involved in the study were deemed “specialized” if they answered “yes” to at least four of the following six questions: 1) Do you train more than 75 percent of the time in your primary sport?; 2) Do you train to improve skill and miss time with friends as a result?; 3) Have you quit another sport to focus on one sport?; 4) Do you consider your primary sport more important than your other sports?; 5) Do you regularly travel out of state for your primary sport?; 6) Do you train more than eight months a year in your primary sport? 

Although some sports (field hockey, lacrosse) are not offered in Wisconsin and were not included in the study, the study concluded that since specialization increased the risk of lower-extremity injuries in sports involved in the survey it would also likely increase the risk of injuries in sports that were not a part of the study.