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.
Play it Safe: Basics of Proper Helmet Use
February 4, 2020
Henry Ford Health System
If you or your child plays sports or participates in physically risky activities, wearing a helmet could be lifesaving. While no helmet is concussion-proof, wearing one can help reduce the risk of serious head injuries.
"Helmets are made with materials that help reduce impact to the head, protecting the skull from damage," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology. "You should be wearing a helmet whether you're playing a contact sport or riding something on a hard surface, such as a bike, scooter, skateboard or rollerblades."
Head Injury Prevention 101: Helmet Buying Basics
All helmets are certified at the same level for multi-use recreational activities. So there's no need to search for a specific seal or rating. Instead, when you're purchasing a helmet — or getting one second-hand — focus on these four factors:
How you’ll use it:
Pay attention to the risks involved with the activity you're doing. If you're biking, skiing or snowboarding, for example, you're wearing a helmet in case you get hit, not because you'll get hit.
There are two types of helmets: single-impact and multiple-impact. Single-impact helmets are made with foam materials that break down when hit as part of their force mitigating strategy. These helmets work well for bicycling, skateboarding, skiing or snowboarding. Multiple-impact helmets, such as those designed for sports like football, hockey and lacrosse, can withstand many hits over an entire season. The materials in these helmets don't break down, but rather compress and regain their original form.
"A helmet may perform better in the lab — for example, the dummy brain will experience 98Gs of force instead of 100Gs — but 2Gs of force probably won't make enough of a difference with a one-time injury," Dr. Kutcher says. "But 2Gs less force per hit for a linebacker who suffers multiple blows on a daily basis for many years? That could make a big difference.”
If football is your sport, the National Football League provides a helmet rating system that assesses helmets based on their ability to mitigate force over time.
How it fits:
Helmets fit differently depending on the make, style and type of sport they’re made for. "The key is making sure the helmet covers the entire skull and doesn't move around when in use," Dr. Kutcher says. The helmet should sit on the head without falling forward or backward. If you're relying only on a chinstrap to keep it in place, you don't have the right fit.
How comfortable it is:
Not all helmet brands fit every head. Helmet designs vary just like running shoes do. When you're shopping for a helmet, make sure it's snug, but not tight or uncomfortable. Comfort is critical, especially for kids. "You don't want a child to develop a negative association with wearing a protective helmet," Dr. Kutcher says.
What condition it’s in:
To get the most protection, your helmet should be in top condition. Do not wear a cracked or broken helmet, or one that has been involved in a crash or similar event (unless it's a multiple-impact design). An impact can crush foam materials. And don't allow the helmet to get too hot or cold — that can cause the materials to break down over time.
Get the Best Helmet Fit for Your Head
Properly wearing a helmet provides the greatest defense against injury — more than any style or brand. To make sure your helmet is secure, follow these rules:
· Measure head circumference: Every helmet brand provides a size chart, along with instructions about how to select the best fit. To get the best measurement, use a cloth tape to measure your head circumference. Place the tape about an inch above the eyebrows, keeping it level from front to back. If the measurement falls between sizes, select the smaller size.
· Pay attention to hairstyles: Make sure to try the helmet on with the hairstyle you'll have during the activity. A long-haired bike rider who gets a short haircut may require a helmet adjustment.
· Watch your vision: The helmet should not block your vision. You should be able to see straight ahead and side to side.
To Wear a Helmet or Not To Wear a Helmet: When to Play It Safe
There are several sports that don't require wearing a helmet. But if you or your child is involved in rugby or soccer, or another sport where helmets are optional, that doesn’t mean you're in the clear.
"It's important to base any decision about whether or not to wear a helmet in conjunction with your sports neurologist," notes Dr. Kutcher. "Your past medical history and current health status may still warrant the use of a helmet."
Unsure whether you're at risk of sustaining a head injury? Get a brain health baseline evaluation. Proper consideration of your brain health includes a physical examination, along with a personal and family medical and neurological history. It also offers you an opportunity to learn how to best protect your head.
Related Topic: 7 Tips for Recovering Mentally After a Sports Injury
Dr. Jeffrey Kutcher is a sports neurologist at the Henry Ford Concussion and Sports Neurology Clinic and the global director of the Kutcher Clinic.
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.