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.

Expert Teammates Fill Health Roster

January 2, 2020

By Rob Kaminski
MHSAA benchmarks editor

Teamwork is a necessity in athletics. The MHSAA has put together the beginnings of a solid roster to combat mental health ailments throughout schools in the state.

Among the experts listed on the MHSAA Mental Health Speakers Bureau are Christy Buck, executive director, and Cat Lanting, program coordinator at the Mental Health Foundation of West Michigan; and Brooke Buys, mental and behavioral health specialist and founder of BLND Health. They already are serving MHSAA schools in various capacities.

Through personal appearances, promotional videos and staff availability, both organizations emphasize the same strategy when tackling mental health issues: recognition and treatment from within the school buildings and districts.

“We wanted to create self-starting kits that anyone in the district can implement,” said Lanting. “We have in-person trainings and opportunities for students to get together – students talking to students – for high schools and for middle schools.”

Lanting coordinates the be nice.® Action Plan, founded by Buck. The plan calls for people to “notice, invite, challenge and empower” when recognizing changes in those close to them.

“It’s an attractive statement, but the key to the action plan is that it’s transferable. It can work from the pre-K level to senior citizens,” she said. “We want people to notice change, invite people into the conversation, challenge stigmas, and empower themselves with knowledge surrounding mental health.”

Buys, meanwhile, is one of a team of behavioral health specialists delivering messages to student-athletes around the state. Many of her associates in BLND (pronounced “blend”) not only talk the talk, but have walked the walk as collegiate athletes.

“The best course of action for administrators, teachers, coaches is to strive to build and maintain trust with the student-athlete; have genuine, non-judgmental conversations to include open-ended questions and authentic concern,” said Buys, who played soccer at Kalamazoo College.

Both be nice.® and BLND staff members made appearances at schools this year to assist in promoting recognition. A 90-second video produced by be nice.® was included in all MHSAA online rules meetings this year, featuring endorsements from University of Michigan coaches Jim Harbaugh and Carol Hutchins and Michigan State University coaches Mark Dantonio and Tom Izzo.

“When our team met with Mark (Uyl) and some athletic directors in Spring 2019, the room was filled with people who have just started to recognize mental health as an issue. The challenge was to deliver a 90-second video promoting the be nice.® Action Plan with a quick turnaround so it was ready for the fall rules meetings,” said Lanting.

She encourages people to visit be nice.org and “take the be nice.® pledge.”

“be nice.® started in 2010, and when people first see it they think, ‘bullying prevention,’ but really it is an action plan that is evidence-based,” Lanting said. “The be nice.® Action Plan can be used anywhere – in the workplace, community organizations – but schools is where we started and where we are currently having the most impact.”

Connecting with the most people possible is the goal across the board. Buys encourages schools to utilize the “one-stop shopping method” in the BLND programming.

“An external referral service that is qualified, efficient, dynamic, and integrated in nature – like BLND – helps provide a one-stop shop for student-athletes and parents to receive the support they need,” said Buys.

Lanting agrees, stating, “The more students and parents become familiar with some of the signs and symptoms, the better. Coaches and teammates might be the first to notice a change in someone’s behavior whether through daily interaction or social media activity.”

Buys and company have noticed a few recent trends leading to school-aged anxiety and stress, and have people in place to visit groups and lead discussions.

“The signs and symptoms can be very individualized, but some general factors may include isolation, irritability, drastic changes to an individual’s common mood or behavior,” noted Buys. “Students can also be affected by major life changes such as parent divorce, break-up with significant other, changing schools, things of that nature.”

When Lanting receives inquiries from individual coaches regarding the be nice.® program, she encourages them to get entire teams or districts involved, because, “it’s a K-12 initiative, and sports is really a great place to start.”

Sport participation offers a different set of variables. Student-athletes enjoy additional support and guidance, but there is a flip side.

“Student-athletes do have access to more adult guidance through coaches, and certainly enjoy inclusion as part of a team, but they also tend to be more at risk for anxiety,” Lanting said.

Buys points out several reasons for this, including added expectations – whether from within or from peers, parents and coaches. They are also busier than many others.

“Time management is an issue for all of us, but student-athletes can have difficulties finding that rhythm,” Buys said. “This can cause a lot of anxiety if an area of the athlete’s life that they value is perceived as not getting the attention it needs.”

Another source of stress more likely to affect athletes is injuries.

“One of the biggest challenges in the athlete population dealing with stress and anxiety is the strong relationship between stress and injury,” said Buys. “Susceptibility to injury as well as the length of time for recovery are affected by stress.”

Identifying physical conditions is much simpler than recognizing behavioral ailments. That’s why it’s important for groups like BLND and be nice.® to teach the school population to self-diagnose.

Lanting coordinated a be nice.® football game between Holland/Zeeland-area high schools last fall, and is planning a similar event during a Fennville-Saugatuck boys basketball game this winter.

“We see all the ‘pink-out’ games and events for other causes, and that’s great,” Lanting said. “But a person in high school is so much more likely to be affected by mental health than suffer a physical ailment. That’s why the student-led part of this is so important; they tell us when things happen that might trigger certain behaviors.”

PHOTOS: (Top) be nice. founder Christy Buck (left) and program coordinator Cat Lanting pose with MSU men’s basketball coach Tom Izzo during production of a promotional video this summer. (Middle) The BLND Health Detroit Metro Team, including founder Brooke Buys (seated middle, second row from bottom.)