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: Time for Teachable Moments

September 6, 2019

By Karissa Niehoff
NFHS Executive Director

Welcome to another year of educational opportunities through high school sports and other activity programs in our nation’s schools. These programs provide many teachable moments not available in the classroom, and we look forward to making an impact on the more than 12 million young people involved in these vital activities.

Many states opened their high school football seasons during the final weekends of August. Thousands of other high school students will be involved in volleyball, cross country, field hockey, soccer and other sports this fall. And then there are those boys and girls involved in speech, debate, music and other cocurricular activity programs.

The NFHS distributed its most anticipated news release of the year earlier last week – the Annual Sports Participation Survey. The number of boys and girls involved in high school sports has been spiraling upward annually since 1988 – an amazing 29 consecutive years. However, due to several factors, the 2018-19 figure dipped to 7,937,491, which is the third-highest total in the 50-year history of the survey.

We have been aware for some time that the number of kids involved in youth sports has been declining. In addition, a decline in the number of public school students has been predicted for a number of years, so there simply may be fewer students in schools. 

Understandably, the focus will be on the sport of football. While there were no states with significant drops in boys 11-player football, most states reported slight declines, which amounted to 30,000 participants nationally. However, a comparison of the figures from the past two years indicates that the average number of boys involved in 11-player football on a per-school basis dropped from 73 to 70, which would include freshman, junior varsity and varsity teams.

In some cases, schools are starting and/or increasing programs in 6-player, 8-player and 9-player football as participation numbers were up in all three versions of the game. And participation by girls in 11-player football has doubled in the past 10 years to 2,404 participants last year.

The survey confirmed that schools are not dropping the sport of football, which is great news. We continue to work with our state associations and groups such as USA Football to reduce contact and teach proper tackling skills at the youth level to increase the interest level as kids reach junior high school and high school. 

While we hope that the numbers will return in football, we are pleased with the continued growth in several other sports, including volleyball, soccer and lacrosse. Since 2012, participation in girls lacrosse and boys lacrosse has increased 19 percent with a combined 213,452 participants in 2018-19. Girls and boys soccer has gained 70,668 participants since 2012 (a nine percent increase) and now has a combined 853,182 participants.

Seemingly, schools have something for everyone as the survey indicated participation by high school students in 70 different sports, as well as numerous adapted and Unified sports for students with disabilities. Schools are providing opportunities in bowling, badminton, flag football, archery, Ultimate Frisbee, bass fishing, crew and many, many others.

Ultimately, the goal of the NFHS and its 51-member state associations is to ensure that all students have an opportunity to enjoy healthy participation, achievement and good sportsmanship in education-based activities. We are excited about these opportunities as another school year begins. 

Dr. Karissa L. Niehoff is beginning 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.