NFHS Voice: Leadership Continues at NADC
December 17, 2019
By Karissa Niehoff
NFHS Executive Director
In the history of high school sports, the early 1970s will always be remembered first and foremost for the passage of Title IX in 1972 – legislation that sparked the growth of girls sports in the United States.
A year earlier, however, the National Federation of State High School Associations made a decision that has impacted education-based athletics in an equally significant manner.
Recognizing the future growth of the high school athletic directors profession, the NFHS started the National Conference of High School Directors of Athletics in February 1971. A total of 355 athletics directors attended the first conference in St. Louis, followed by another 257 at the December 1971 gathering in Columbus, Ohio.
The national conference for high school athletic directors has been held annually in December since that time, and on Friday, December 13, at the Gaylord National Resort and Convention Center in National Harbor, Maryland, more than 2,100 athletic administrators were scheduled to convene for the 50th National Athletic Directors Conference (NADC).
The growth of the high school athletic administration profession as well as the NADC was additionally fueled in 1977 when the NFHS formed the National Interscholastic Athletic Administrators Association (NIAAA), a national professional organization for high school athletic directors. Membership in the NIAAA expanded rapidly and, in 2006, it became its own organization. Since that time, the NFHS – the national leader and advocate for high school athletics and performing arts – and the NIAAA have worked together annually to sponsor the NADC.
Without a doubt, athletic directors are the leaders of education-based athletics in our nation’s high schools. They have an endless list of responsibilities and set the tone for the overall success of a school’s athletics and/or activities program.
In recent releases of “The NFHS Voice,” we have noted the significant role that athletic directors play with regard to the educational direction of a school’s athletic program, as well as ensuring that security measures are in place for after-school events.
Unlike national conferences for some groups, professional development is among the main reasons that athletic directors attend this annual conference. They know that they are entrusted with key leadership roles and want to provide a safe and fun experience for student-athletes in their schools.
This year, 40 workshops were offered on key issues related to athletic directors' tasks, including coaching coaches, social media, effective communication, managing fan behavior, event management, generating new sources of revenue, creating positive parent culture and promoting multi-sport participation.
In addition, the NIAAA offered 52 Leadership Training classes, on topics from legal issues, to marketing and promotions, to managing fields and equipment, to working with students with disabilities.
Very simply, high school athletic directors are the key leaders in our nation’s education-based athletic programs. Local schools depend on these individuals to lead their athletics programs. Our member state high school associations depend on these men and women to help lead state events and initiatives. And the NFHS and NIAAA look to athletic administrators for leadership at the national level. We appreciate the tremendous service they provide our nation’s young people!
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.
Navigating Twists, Turns Of Ankle Sprains
November 30, 2020
Henry Ford Health System
Oh, how the ankle turns! If you’ve had a misstep or wrong turn result in a sprained ankle, you know how painful this injury can be. Henry Ford podiatric surgeon Paul Di Liddo, DPM, discusses ankle sprains and treatments.
Ankle Injury 101
From risk factors to treatments (and nearly everything in between), here’s what to know — and do — about ankle sprains.
Sprained Ankles Are Painfully Common
In fact, they’re among the most frequent injuries in the United States, with up to 25,000 people per day spraining their ankles. Although often associated with sports, ankle sprains can happen to anyone, anywhere. “I see ankle sprains from tripping over curbs, stepping in holes in a yard or simply walking,” says Dr. Di Liddo. “Ankle sprains — like accidents — happen.”
Ankle Sprains Injure Ligaments
“Ankle sprains occur when the ankle suddenly and forcefully twists or rolls past a point that the ankle ligaments can tolerate,” remarks Dr. Di Liddo. “The ankle ligaments will stretch or tear, either partially or completely.” An ankle can twist, turn or roll during a fall, jump or change of direction, while walking on uneven ground and more.
A Weak Ankle Is A Vulnerable Ankle
Most sprained ankles heal without long-term concern. In some cases, however, ligaments may not fully heal, resulting in a weak or unstable ankle. “A weak or unstable ankle can make an individual more susceptible to repeated ankle sprains,” explains Dr. Di Liddo.
High Arches Can Be Risky Business
People who have high-arched feet are more at risk of rolling — and therefore spraining — their ankles. So are people who have “loose joints,” because the ankle can overstretch with a seemingly minor twist. People who are at-risk for ankle sprains should take extra precautions when playing sports or performing other activities.
Some Sprains Can Be Treated At Home — Emphasis On Some
How you treat a sprained ankle depends on the severity of the injury. Minor sprains can be treated at home with the RICE method. The RICE method include:
- Rest by avoiding use of the injured ankle
- Ice applied to the ankle (without touching the skin) for no more than 20 minutes every three to four hours
- Compression with an elastic bandage
- Elevation above the heart
Ice, compress and elevate your ankle for the first few days. Rest and refrain from sports until ankle pain and swelling have subsided.
At-home treatments aren’t right for everyone — or every ankle injury. “A swollen ankle is typical if you have experienced a sprain,” says Dr. Di Liddo. “However, if you have severe ankle swelling, are in extreme pain or notice an odd ankle appearance, seek medical attention.” This is also true if you can’t walk more than a few steps or have limited ankle mobility. A foot and ankle specialist can diagnose your injury and begin treatment.
Ankle Treatments Abound
Ankle sprain treatments are designed to decrease pain and swelling, while protecting the ligaments from further injury. Treatments include wearing an ankle brace, walking boot or cast. Physical therapy to strengthen the ankle and maintain range of motion may also be incorporated after the ligaments have started to heal.
“Of course, for more severe injuries, a thorough physical exam and X-rays are necessary,” says Dr. Di Liddo. “This helps ensure that there is no other underlying injury, such as a fractured ankle or Achilles tendon rupture.”
Healing Times Vary
The recovery time for a sprained ankle depends on the severity of the injury. Sprains with minimal ligament stretching and no tear require one to three weeks. Partially torn ankle ligaments may take up to six to eight weeks to heal. A fully torn ligament can take several months to fully heal.
What To Do When Ankle Problems Persist
For people who continue to experience ankle instability, there are a host of options. “Physical therapy is the first step — but not the only one,” says Dr. Di Liddo. “If physical therapy has not been beneficial, we can discuss surgical approaches.”
Surgical options include:
- Ligament repair or reinforcement via an outpatient procedure
- Osteotomy, which is surgical cutting of bone, to lower arches when ankle instability is caused by high arches
For those with frequent ankle sprains or instability, a medical assessment is necessary and may include:
- Physical exam
- X-rays to assess bones and joints
- MRI to evaluate ankle ligaments
With this information in mind, you can prevent — or address — the twists and turns of ankle sprains.
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.