NFHS Voice: Emphasis on Education

January 20, 2020

By Karissa Niehoff
NFHS Executive Director

Sometimes, numbers or statistics in sports can be misleading or perhaps even meaningless. Often, they simply do not tell the whole story. 

Such was not the case, however, with the massive number of 10,000,000 announced last week by the NFHS. As in 10 million online education courses that have been taken by high school coaches, administrators, officials, students, parents, performing arts educators and others since the inception of the NFHS Learning Center in 2007. 

When we talk about the difference between education-based sports within our nation’s high schools versus out-of-school club sports, this says it all. And the quest for more continues to rise each year.

After starting with 15,000 courses in 2007, more and more people have utilized the Learning Center (www.NFHSLearn.com) on computers, tablets and smartphones. The number of courses jumped to 200,000 by 2010 and 1,071,000 by 2015 and almost two million (1,975,000) last year. 

While there are now more than 70 courses available through the NFHS Learning Center, including more than 35 that are offered at no cost, the runaway success story has been the free Concussion in Sports course that was launched in 2010 and updated in 2018.

With more than five million Concussion in Sports courses delivered in almost 10 years, the NFHS has been the leader in concussion recognition and management. This course teaches how to recognize a suspected concussion. It provides protocols to manage a suspected concussion. It provides steps to help players return to play safely after a concussion.

As a result of educational initiatives such as the Concussion in Sports course, and NFHS playing rules in all high school sports that contain guidelines for management of an athlete who exhibits signs and symptoms of a concussion, to the creation of concussion laws in every state, there are positive trends in concussion rates. 

And that leads to some more meaningful numbers.

Data from the National High School Sports-Related Injury Surveillance Study released late last year indicated that concussion rates during football practices dropped from 5.47 to 4.44 concussions per 10,000 athletic exposures between the 2013-14 and 2017-18 seasons. Repeat concussion rates across all sports declined from 0.47 to 0.28 per 10,000 exposures during the same time period.

The annual increase in the number of individuals taking education courses on the Learning Center, which also includes the popular free courses Heat Illness Prevention and Sudden Cardiac Arrest, indicates – at least in part – the insatiable desire on the part of parents to determine the actual risk of playing contact sports.

And more and more when it comes to football – this country’s most popular contact sport – we believe the inherent risk has never been lower.

From the youth level where USA Football has created the Football Development Model to reduce contact and teach fundamentals in a progressive manner, to the educational initiatives of the NFHS to reduce injury risk in high school sports, the focus on player safety has never been higher.

And one more important number. We believe this continual rise in the number of people taking online education courses will have an additional benefit – a growing number of high school students competing in education-based sports and activity programs.

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.

Concussion Care: Signs & Symptoms to Watch

October 27, 2020

Henry Ford Health System

When you experience a blow to the head, knowing whether you've suffered a concussion isn't always clear cut.

Head injuries have a range of physical, psychological and intellectual effects — and only a small number of people lose consciousness.

"It's critical for parents, coaches, players and trainers to recognize the potential signs and symptoms of a concussion," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology. "The basic rule is that a concussion can affect any aspect of brain function."

Signs of Concussion

The Latin root of the word "concussion" means "to shake violently" — which makes sense. Concussions happen when there's a combination of movement and impact. So, any injury that involves a hit to the head — a fall, collision or hard hit by a heavy object — could cause one. So could a hit to the body that causes the head to move quickly.

"But every brain injury is different," Dr. Kutcher says. "Some symptoms show up right away while others develop gradually over days."

Here are common concussion symptoms to watch for — both immediately following a head injury and in the hours and days after:

Physical Concussion Symptoms

  • Changes in sleep patterns
  • Difficulty with balance
  • Dizziness or lightheadedness
  • Fatigue
  • Headache
  • Light sensitivity
  • Nausea
  • Numbness or tingling
  • Sensitivity to sound
  • Visual problems
  • Vomiting

Emotional Concussion Symptoms

  • Anxiety
  • Depression
  • Irritability
  • Mood swings

Cognitive Concussion Symptoms

  • Confusion
  • Difficulty concentrating
  • Feeling "slow" or "foggy"
  • Memory problems

Diagnosing Concussion: Getting It Right

One reason concussions are frequently misdiagnosed is because they're assessed on the field or courtside during game play or practice. Coaches, trainers and parents often make lightning fast decisions about whether symptoms, such as headache, nausea and light sensitivity, are signs of concussion.

"Unfortunately, it’s more complicated than completing a concussion checklist. Everyone — and every concussion — is different. So, observers shouldn’t be diagnosing a head injury on the spot, but rather making a triage decision for safety. They should leave the diagnosis to the medical professionals," Dr. Kutcher says. In fact, those in-the-moment assessments are wrong about half of the time.

People should focus instead on getting immediate, emergency care for anyone who displays the following signs and symptoms right after a hit:

  • Difficulty walking
  • Weakness on one or both sides
  • Not waking up
  • Repeated vomiting
  • Persistent confusion
  • Seizures
  • Unconsciousness

No matter how hard (or lightly) you think you've been hit, it's important to take head injury symptoms seriously. Even a seemingly minor blow could have a major impact. A complete evaluation by a medical professional will not only determine whether you have a concussion, it can also identify more serious, or even life-threatening, concerns.

"In every case, medical professionals are better equipped to assess the extent of the damage if you have a comprehensive baseline evaluation on file," Dr. Kutcher says. This thorough evaluation with a sports neurologist, including a complete family and neurological history, can act as a critical point of reference when trainers and medical professionals are trying to diagnose or manage a concussion.

Dr. Jeffrey Kutcher is a sports neurologist and the medical director of the Henry Ford Kutcher Clinic for Concussion and Sports Neurology.

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.