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.

Speakers Bureau Helps Generate Conversation

December 30, 2019

By Rob Kaminski
MHSAA benchmarks editor

As student mental health climbs the list of health and safety concerns, the MHSAA and state associations across the country are taking measures to provide resources and guidance aimed to keep school sports an enjoyable and valuable experience.

In sports, coaches and athletes learn to expect the unexpected. It’s the nature of competition; constructing gameplans tailored to utilize team strengths and expose opponents’ weaknesses. Often times this entails doing things that opponents won’t expect. Participants then learn and prepare for the next time; it’s one of the ways athletics prepares participants for life, as educational leaders often preach.

Today’s ever-changing culture recently threw such a curveball at the young people who populate our hallways and playing surfaces, calling for statewide associations and organizations to shift focuses and prepare for a new opponent while attempting to keep school sports one of the best means to a healthy adolescent lifestyle. 

“I was at the NCAA summer meeting in 2017, discussing health and safety issues and the topic of concussions came up, as it often does. I assumed that concussions was the No. 1 health and safety issue,” said MHSAA Executive Director Mark Uyl. “I was quickly corrected that it’s student mental health; that knocked me back.”

It would not be an uncommon reaction, given the amount of information, media coverage and programs designed to recognize and reduce concussion incidents in recent years.

All the while, anxiety, depression and stress had been creeping into the picture beneath the surface. Such disorders are much more difficult to detect, as there are few visible symptoms when compared to sprains, fatigue, head injuries and other physical ailments.

“I became interested and began to research the topic. The more I read, the more concerned I became,” Uyl said. “The MHSAA, with a great deal of help and cooperation from our school leaders, has done a tremendous job educating and providing resources for health-related issues such as heat management, concussion reporting and practice policies, and now we have a new challenge.”

Fortunately, as has often been the case, there are knowledgeable and qualified people throughout Michigan’s roster of educational leaders who are willing to assist.

As word spread regarding the student mental health initiative, the MHSAA was able to establish a Mental Health Speakers Bureau composed of several experienced individuals willing to assist (see below).

“Our speakers bureau really grew by word of mouth,” Uyl said. “A school would bring in a speaker, or a league would invite a speaker, and once we were connected with them, then those people would share names and it grew from there.”

The resources range from former professional athletes, to behavioral specialists, to current MHSAA coaches.

Dave Ingles, basketball coach at Kent City, is one such individual. His credibility comes from first-hand experience.

“I privately struggled with deep depression for six years,” Ingles said. “Be alert. Talk to your athletes and students and actually listen to what they are saying. I always used the phrase, ‘I’m fine;’ that is not an acceptable answer to me anymore when I hear it.”

The National Institute of Mental Health reveals that most mental health conditions begin around the time children are transitioning from middle school to high school. The more people trained to identify symptoms and behavior, the better the chance to reduce or reverse some of the following numbers:

• 50% of all lifetime cases of mental illness begin by age 14

• 37% of students with a mental health condition age 14 or older drop out of school

• 20% of students ages 13-18 live with a mental health condition

• 11% of youth have a mood disorder and 8% have an anxiety disorder

• Suicide is the third leading cause of death for ages 10-24

Non-visible ailments always have been most difficult to detect, and today’s proliferation of technology – from streaming to social media – can serve to further mask symptoms.

“The more kids spend time with their devices, staring at their screens, isolation can be quick to take hold,” Uyl said. “Everything is instant. It used to be if our friends didn’t invite us somewhere, we didn’t worry about it; we probably wouldn’t find out for a couple days and had already moved on. Today, in about 10 minutes,  there’s a picture on Instagram or Snapchat and kids instantly know, ‘I’m not included.’ Isolation leads to depression and anxiety, and in the worst cases can even lead to suicide.”

That message might sound familiar. Segments of the 2019-20 MHSAA online rules meetings include Uyl emphasizing student mental health and a video clip produced by benice.org promoting a mental health action plan endorsed by four of the state’s most recognized collegiate coaches. 

It’s all part of the plan to promote awareness and generate conversation surrounding this serious health and safety issue during 2019-20 and beyond.

“We’re not going to try to do this all by ourselves,” Uyl said. “There are plenty of experts in the field, and we’re going to utilize their knowledge. We’ll build relationships and align ourselves with these people to provide a foundation. We need to become a resource center for our membership.”

In addition to the rules meetings messages, the MHSAA also partnered with the Michigan Association of Secondary School Principals Student Mental Health Summit on Oct. 8 in Lansing. This event – sold out within weeks of posting – invited principals, counselors, student leadership advisers and student leaders to come together to discuss and seek solutions for student mental health concerns impacting schools. The MHSAA lined up Eric Hipple, one of its speaker bureau members, who delivered a keynote, “Depression and Suicidal Awareness.”

Student mental health was among topics during the MHSAA Update and AD In-Service tour around the state this fall as well. The meeting at Comstock Park on Sept. 30 included a presentation from the Mental Health Foundation of West Michigan to introduce the be nice® action plan and encourage schools to take advantage of that and other resources the group has to offer.

The rise of mental health as one of the more prominent medical concerns nationally has occurred, as Ingles sees it, “because more people are talking about it now.”

Leaders like Ingles and those in numerous organizations have begun to assist the MHSAA in identifying and treating cases in our schools.

MHSAA Mental Health Speakers Bureau

Below is a list of individuals and organizations partnering with the MHSAA to assist in promoting mental well-being for students around the state. The MHSAA encourages school personnel to reach out to any of these experienced leaders in the field for programming in your buildings and districts.

• Christy Buck, Executive Director – Mental Health Foundation of West Michigan - be nice.® [email protected]

• Brooke Buys, Mental & Behavioral Health Specialist – BLND Health [email protected] 

• Eric Hipple, former Detroit Lions quarterback [email protected]

• Dave Ingles, Basketball Coach & Speaker – Kent City High School [email protected]

• Cat Lanting, Program Coordinator – Mental Health Foundation of West Michigan - be nice.® [email protected]

• Halle Wangler, former University of Michigan basketball player [email protected]

PHOTO: Brooke Buys, a mental and behavioral health specialist and founder of BLND Health, speaks with students. (Photo courtesy of BLND Health.)