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: March Madness Begins Again

March 4, 2020

By Karissa Niehoff
NFHS Executive Director

The calendar has turned to March, which in the world of high school sports can only mean one thing – Basketball. It is time for state tournaments, March Madness and, yes, the annual rhetoric about the merits of the shot clock.

For the almost one million boys and girls who participate in high school basketball, there is nothing quite like the state tournament. Although there are great memories from the one-class days, led by Carr Creek’s almost upset of powerhouse Ashland in Kentucky in 1928 and Milan’s Cinderella victory in Indiana in 1954, today, basketball provides more opportunities for girls and boys teams to be crowned state champion than any other sport.

This month, about 450 girls and boys teams will earn state basketball titles in championships conducted by NFHS member state associations. Multiple team champions are crowned for both boys and girls in all states but two, with the majority of states sponsoring tournaments in 4-6 classifications for each, and four states conducting state championships in seven classes.

That is truly March Madness, which is appropriate since the term was first used in connection with high school basketball. Although the tag line became familiar to millions on a national scale in relation to the NCAA Division I Men’s Basketball Championship, the NCAA shares a dual-use trademark with the Illinois High School Association (IHSA), thanks to H. V. Porter, the first full-time executive director of the NFHS.

In his final year as IHSA executive director in 1939, Porter published his “March Madness” essay in reference to the mania surrounding the IHSA’s annual state basketball tournament. Eight years later, in a 1947 Associated Press article, Porter said, “Naturally, we think basketball has done a lot for high school kids, but it’s done something for the older people, too. It has made community life in general a lot more fun each winter.”

While many things have changed in the past 73 years, the value of high school sports – and especially state basketball tournaments – remains as strong as ever today. In some states, seemingly the entire community will travel to the site of the state tournament in support of the high school team.

As a footnote to the use of March Madness, Scott Johnson – recently retired assistant executive director of the IHSA in his book Association Work” – discovered through research that the first recorded mention of March Madness in relation to basketball occurred in 1931 by Bob Stranahan, sports editor of the New Castle Courier-Times in Indiana. 

While the sport remains strong and March Madness is set to begin in earnest across the nation, there is a belief by some that the addition of a shot clock would make the game even better.

Although there are some arguments for implementing the shot clock, the 

NFHS Basketball Rules Committee, similar to the other 14 NFHS rules committees, must make decisions based on what is best for the masses – the small schools with less than 100 students as well as large urban schools with 3,000-plus students. Rules changes will always be made with considerations for minimizing risks, containing costs and developing rules that are best for high school athletes. 

Nine of our member state associations have elected to use a shot clock in their states, which certainly adds to the clamor for its implementation nationally. And, we at the NFHS have read the headlines, seen the social media posts and received the phone calls advocating for the shot clock’s adoption. However, the Basketball Rules Committee will continue to assess the shot clock based on the aforementioned considerations, as well its members representing all areas of the country.

We encourage everyone to support their local high school teams by attending this year’s exciting state basketball tournaments.

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.