Be Proactive with Concussions

October 22, 2019

Henry Ford Health System

Most people have seen the headlines about concussions as a common sports injury, and it's natural that parents may be concerned for their young athlete. 

A large misconception in sports is that previous concussions are to be blamed for ongoing headaches, blurred visions and memory loss, among other symptoms.

“It’s really important to think about concussions in concert with overall brain health,” says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Concussion and Sports Neurology Clinic. “Concussions can be concerning, but they shouldn’t be looked at in a vacuum. The best way to prevent brain injury begins before the injury occurs.”

One way to do that is to consult with your child’s doctor or a sports neurologist for an annual evaluation. A sports neurologist focuses on managing sports-related brain and nervous system injuries and conditions in athletes, such as concussions, post-concussion syndrome, peripheral nerve injuries, migraines, epilepsy, and more.

“Having an annual evaluation of your athlete’s brain function when they are healthy and uninjured can help diagnose and treat issues when they arise,” says Dr. Kutcher.

Results from the baseline test can be used as an important tool for comparison by a qualified healthcare professional later if an athlete has a suspected concussion.

 

Best Practices to Ensure Your Athlete Stays Safe

Dr. Kutcher shares these tips for parents to make sure you’re keeping your child’s brain health and safety – not just their athletic performance – at the forefront:

• Get a brain health baseline. A proper baseline test should include a personal and family neurological history, with a focus on any active issues. It is important to note any neurological conditions that may influence concussion recovery, such as ADHD, depression, anxiety, or migraine headaches.

• Teach your kid to listen to her or his body. With any sport, there is a calculated risk to play. Teaching kids to listen to and be honest about how their body is feeling is the best way to prevent and treat injuries.

• In the event of an injury, look for the signs. Within 24 hours after an injury, an athlete should be evaluated if they are experiencing:
· Headaches
· Fatigue
· Dizziness and nausea
· Changes in sleep habits
· Trouble with memory
· Confusion
· Irritability and anxiety
· Light sensitivity

• Brain injuries don’t just occur with a blow to the head. They can also occur from falls, car accidents, or even through whiplash. If your child is experiencing any symptoms, be sure to consult your physician.

• Brain health is more than just concussions. If your athlete is complaining of chronic headaches, migraines, dizziness, memory or mood issues, there may be an underlying issue.

“There is no magic number of concussions a brain can sustain. Each individual is different,” Dr. Kutcher explains. “The impact severity and recovery time can greatly affect an athlete’s brain. By getting a baseline before the injury, we can establish a goal to work towards in recovery.”

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.

NFHS Voice: 'New Normal' Sportsmanship

May 20, 2020

By Karissa Niehoff
NFHS Executive Director

The “new normal” is one of the many terms we hear repeatedly as the country begins its return to normal activities from the COVID-19 pandemic. Keeping six feet apart from other people, wearing a mask and frequent washing of hands are three of those important warnings.

And then there is the new “no-no” that cuts at the heart of high school sports – the handshake. Shaking hands has been a part of our culture for centuries and a mainstream of high school sports forever. It is hard to imagine high school sports without handshakes.

In addition to emotional displays among team members involving handshakes, high-fives and hugs, the handshake has been a way of demonstrating good sportsmanship toward the opponent.

In wrestling, for instance, shaking hands before a match is actually a part of the rules, which, of course, will have to be relaxed for the coming season. There are handshakes at the coin toss in football and before the opening jump ball in basketball.

After a hard-fought, back-and-forth tennis match, players meet at the net to shake hands – congratulating each other for their efforts. The actions are the same after golfers battle each other for 18 holes – removing the cap and shaking hands. 

These age-old practices demonstrate respect for the opponent, and in the case of post-game handshakes, graciousness in victory or defeat. 

The emotions in high school sports are often off the chart, with end-of-game celebrations by players, coaches and fans involving handshakes, high-fives and hugs. So, as the early phases of return to sports occur this fall, how do we meet social distance guidelines and continue to exhibit emotions and emphasize sportsmanship, which typically have involved touching between individuals?

While the social-distancing and no-contact guidelines are necessary – at least for the short term – to diminish the spread of the virus, they should not dampen the enthusiasm and emotion by everyone involved with high school sports. We hope these types of restrictions will be lifted at some point down the road, but for now, this is our “new normal.” 

The absence of these time-honored ways to express respect for the opponent does not diminish the importance of displaying sportsmanship in high school sports. In fact, we believe concern for fairness and displays of kindness, respect and graciousness will be more pronounced once high school sports resume; however, the methods of sharing these feelings will be different. 

Although perhaps not as endearing as a handshake, high-five or hug, there are other ways to express these feelings and emotions – for the opponent as well as teammates.

Some alternatives to consider are a slight bow with the palms pressed together, an air high-five, a smile and quick wave, a double-tap of the right hand across the heart and a wink with the thumbs up. Certainly, there are other possibilities – in fact, teams could develop their own methods for demonstrating sportsmanship to their opponents and celebrating big plays or victories with teammates. Through their resilience and great spirit, we look forward to how the millions of participants in high school sports and activities will accept this challenge.

There will be many concessions necessary to resume athletic competition, and shaking hands is one that must cease – at least for now. However, let’s view this change as an opportunity to find new ways to showcase sportsmanship in high school sports.

Dr. Karissa L. Niehoff is in her second year as executive director of the National Federation of State High School Associations (NFHS) in Indianapolis, Indiana. She is the first female to head the national leadership organization for high school athletics and performing arts activities and the sixth full-time executive director of the NFHS, which celebrated its 100th year of service during the 2018-19 school year. She previously was executive director of the Connecticut Association of Schools-Connecticut Interscholastic Athletic Conference for seven years.