5 Concussion Myths Debunked
February 28, 2020
Henry Ford Health System
Awareness about the dangers of concussions is at an all-time high. In response, athletic organizations — from Pop Warner football (a nonprofit program for kids 5 to 16) to USA Hockey — have safe-play protocols in place. But misconceptions about injury — prevention, management and return to play — are still all too common.
"It's great that parents, coaches and athletes are focused on the potential for concussions, but they also need to be aware of the complexities involved in evaluating, diagnosing and managing concussion," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology.
The best way to get the knowledge you need? Learn how to separate fact from fiction.
Separating Concussion Fact From Fiction
Here’s the truth behind five common concussion myths:
Myth #1: Concussions are only caused by blows to the head.
Concussions happen in response to force. While they often result from a blow to the head, they can also occur after a hit to the neck, shoulders or anywhere else on the body. To cause brain injury, the force of the impact only needs to cause the head to move rapidly back and forth (think whiplash from a car crash or a spill down the stairs).
Myth #2: Concussions always involve a loss of consciousness.
A very small percentage of all concussions, 10 percent or less, result in a loss of consciousness. For the remaining injuries, parents, coaches and medical providers should watch for additional symptoms such as:
· Confusion
· Balance problems
· Slurred speech
· Physical complaints including headache, nausea and vomiting.
Myth #3: You should keep a person awake overnight after a concussion has occurred.
It's important to observe and interact with a recently concussed person for the first few hours to recognize the potential signs of a more serious injury. However, if they are interacting normally after four hours, it’s okay to let them sleep. If you have any doubts or questions, always err on the side of caution and seek medical attention.
Myth #4: After a concussion, kids should avoid digital media until they feel better.
Unless digital activities or screen time significantly worsen symptoms, there's no reason to avoid them. "You shouldn't force people who have suffered a concussion to rest too much — or deprive them of sensory input — if they are comfortable engaging in activity," Dr. Kutcher says. What’s more, taking away activities that bring a person joy or keep them socially connected could end up prolonging their recovery by creating additional symptoms.
Myth #5: All physical activity should be avoided after a concussion.
It’s important to rest for the first two to three days after a concussion. However, you need to be careful not to rest too much or avoid all activity for too long.
Engaging in physical, mental and social activities can be beneficial. But knowing how much to do and when to take it easy can be difficult. If you have any questions, consult a sports neurologist for specific recommendations.
Ground Rules for Concussion Prevention and Management
When it comes to preventing concussion, common sense offers the greatest impact, Dr. Kutcher notes. He recommends starting with these four tenets:
- Whenever possible, limit the amount of contact in practices and games.
- Wear proper fitting and certified helmets or other head protection whenever appropriate.
- Spread contact drills out over time as much as possible.
- Practice good technique and play by the rules.
Athletes — especially those who play contact sports — should undergo an annual neurological evaluation that includes a comprehensive, focused neurological history and examination. This information provides a critical point of reference for medical professionals.
Knowing the truth about concussions — including what to watch for and what to do if one occurs — is really the best game plan.
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.
Century of School Sports: Why Does the MHSAA Have These Rules?
By
Geoff Kimmerly
MHSAA.com senior editor
September 18, 2024
MHSAA administrators are two trips into their annual seven-stop fall tour that has become a tradition during nearly half of the Association’s “Century of School Sports” – and this year, a focus has been on answering a key question at the heart of educational athletics since long before the MHSAA was formed during the 1924-25 school year.
The MHSAA’s Update meeting series is in its 47th year and includes half-day conferences in seven locations – generally in the Kalamazoo, Metro Detroit, Grand Rapids, Saginaw, northern Lower Peninsula and mid-Michigan areas, and at Northern Michigan University in Marquette. The six Lower Peninsula sessions begin with an athletic director in-service during which MHSAA assistant directors explain recent rules changes and discuss challenges our administrators face on a daily basis (with Upper Peninsula athletic directors participating in a similar in-service during the spring).
Those in-services are followed by a session with executive director Mark Uyl, who speaks to athletic directors, superintendents, principals and school board members on a variety of topics including the MHSAA’s current objectives and ideas for the future, while also reinforcing the longstanding values that remain the bedrock of our daily work.
And that leads to the question he’s presenting across the state this fall:
Why does the MHSAA have these rules?
Frankly, the answer goes back to the beginning of school sports in Michigan – all the way back to 1895, when the first MHSAA predecessor organization was formed.
The first MHSAA Representative Council president Lewis L. Forsythe explained in his book “Athletics in Michigan High Schools – The First Hundred Years” how regulations always have been necessary:
“Eligibility rules are a necessity in interscholastic competition. It was common acknowledgement of this fact that led to the first State inter-school organization in 1895. The rules at first were few, simple and liberal. But with the passing of the years they came to be more numerous, more complex, and more restrictive, again through common acknowledgment of desirability if not of necessity.”
That necessity – and the reasoning behind it – has not changed.
Two main points explain why rules are absolutely imperative for educational athletics to thrive.
► 1. Participation – through providing as many opportunities as possible for students to play – has been the mission of school sports since their start. Rules contribute to the value of participation.
If there are requirements for children to participate in athletics – for example, an academic standard or rules that dissuade students from switching schools every year – then school sports programs mean more to all involved.
If we raise the bar, raise the standards of eligibility and conduct, we raise the value of our school sports programs. If we lower the bar, we lower the value of being part of school sports – because without rules, contest results are meaningless, and the value of participating is diminished.
► 2. We have rules where the stakes are higher, and agreement is lower – because where the stakes are highest, there is the greatest tendency for some people to try to gain an unfair advantage, and the greatest need for rules to curb possible dishonest activity.
This statement goes to the heart of the history, rationale and application of MHSAA rules. Obviously and simply put, school sports mean a lot to those who take part, and that significance is high enough to stoke disagreement – and we need rules to govern those disagreements. We have the most rules for high school sports, where championships are at stake and the possibility of disagreement is greatest.
***
Finally – and perhaps providing the strongest reinforcement of the two points above – is this:
Schools choose to make MHSAA rules their own.
Quite literally, school districts vote annually to be part of the MHSAA – and confirming this voluntary membership comes with the requirement to follow all MHSAA rules.
When schools challenge our rules, they literally are seeking to break the rules they already have committed to uphold.
These rules, and this commitment, are the strength of our organization across 752 member high schools and several hundred more middle schools and junior high schools. They have been constructed on a century of precedents and after considerations by representatives of those same member schools – representatives those schools have voted to elect every school year during the MHSAA’s history.
Previous "Century of School Sports" Spotlights
Sept. 10: Special Medals, Patches to Commemorate Special Year - Read
Sept. 4: Fall to Finish with 50th Football Championships - Read
Aug. 28: Let the Celebration Begin - Read