NFHS Voice: Football Powerful in Healing

December 27, 2019

By Karissa Niehoff
NFHS Executive Director

Dates of some tragedies are etched in our memories forever. On September 11, we pause to remember the thousands who perished in 2001 as a result of the attacks on the World Trade Center, the Pentagon and the hijacked United Airlines Flight 93 that crashed near Shanksville, Pennsylvania.

Many individuals remember where they were when President John F. Kennedy was assassinated on November 22, 1963 and/or when Dr. Martin Luther King Jr. was gunned down on April 4, 1968.

Unfortunately, in the past 20 years, there are several dates stamped in our memories because of shootings in our nation’s schools, such as the ones at Columbine High School in Littleton, Colorado, on April 20, 1999, and Marjory Stoneman Douglas High School in Parkland, Florida, on February 14, 2018.

And on December 14, 2012, the nation wept when 26 people, including 20 children, were killed during the mass shooting at Sandy Hook Elementary School in Newtown, Connecticut. While this tragedy tore the hearts of people nationwide, it was profoundly personal to me.

I was executive director of the Connecticut Association of Schools-Connecticut Interscholastic Athletic Conference and, on that day, was attending a meeting with the Commissioner of Education and the Board of Directors for the Connecticut Association of Public School Superintendents. The commissioner was interrupted to take a private call, left immediately, and shortly thereafter the news of a “school shooting” reached the nation.

Suddenly, what previously was important became insignificant as we were all shocked at yet another senseless act of violence. As details of the shooting rampage were released, the incident became more and more horrific. The principal of Sandy Hook Elementary at the time, Dawn Hochsprung, was one of the six adults who perished that day. She was a personal friend of mine.

So, like millions of Americans earlier this month, I was overcome with emotion when Newtown High School won the CIAC Class LL State Football Championship – seven years to the exact day of the Sandy Hook tragedy. Newtown won the state title on the last play of the game as Jack Street – a fourth-grader at Sandy Hook in 2012 – threw a touchdown pass just as the fog lifted enough to be able to see downfield.

Once again, high school sports, and football in particular, was a unifying activity for a community. Amid the sorrow of the day, this incredible storybook finish by the Newtown High School football team gave everyone in the community – at least for a moment – the strength to continue the healing process.

We have seen time after time when high school sports provided students, parents and those in our communities a means to come together, to band together and to rise above struggles arm in arm. This was but the latest example.

The grieving process will continue for those people who lost loved ones in the Sandy Hook tragedy, but this amazing effort by these high school football players brought smiles and tears of joy to a community that has not had many of those emotions for the past seven years.

Bobby Pattison, the Newtown High School football coach, had the following to say after the state title:

“The great thing about football and sports in general, moments like this bring people together,” Pattison said. “These guys had an outstanding year. To win a state championship, to win on the last play, it’s been a tremendous accomplishment. And these boys deserve it. They’re a great bunch.”

The value of high school football for communities across America? We would suggest what happened in Newtown, Connecticut, this season says it all.

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.