NFHS Voice: No HS Football Link to CTE
October 21, 2019
By Karissa Niehoff
NFHS Executive Director
When it comes to the long-term effects of concussions in sports, there is a wide range of information published – almost on a daily basis. Unfortunately, much of the media coverage as it relates to high school sports – and particularly the sport of football – is misleading.
Last week, the Concussion Legacy Foundation introduced its new public-service announcement that compared youth football dangers to smoking. As the pre-teen football players puff on cigarettes, the voiceover says, “Tackle football is like smoking, the younger I start, the longer I’m exposed to danger.”
The “Tackle Can Wait” campaign by the foundation is an attempt to steer children under the age of 14 into flag football. Although establishing a finite age may be difficult, reducing contact at youth levels is certainly a positive. USA Football is doing just that nationally through its Football Development Model. Likewise, the 51 member state associations of the National Federation of State High School Associations (NFHS) have enacted limitations on contact during preseason and practice sessions.
Our concern is the term “exposed to danger.” These types of messages continue to spread unwarranted fear to parents of high school student-athletes. The “danger” refers to reports that players who incur repeated concussions can develop chronic traumatic encephalopathy (CTE).
A 2017 study from the Journal of American Medical Association (JAMA) linked CTE in the brains of deceased National Football League players. Even if this report is accurate, these are individuals who endured repeated blows to the head for 20 to 25 years BEFORE any concussion protocols were in place.
Less publicized is a study by Dr. Munro Cullum and his colleagues at the Peter O’Donnell Jr. Brain Institute, which is a part of the University of Texas Southwestern Medical Center in Dallas. Cullum’s group studied 35 former NFL players age 50 and older who had sustained multiple concussions throughout their careers. The findings showed no significant association between the length of the individuals’ careers, the number of concussions and their cognitive function later in life.
Two studies, two different conclusions. Regardless of the outcome, however, they are not applicable to kids playing football before and during high school. There is absolutely no linkage to CTE at these levels, and the word “danger” should not be a part of the discussion.
A more applicable and significant study was also published in JAMA in 2017. In a study of about 4,000 men who graduated from Wisconsin high schools in 1957, there was no difference in cognitive function or decline between those who played football and those who did not as they reached 65 years of age. We would assume the majority of these individuals discontinued football after high school.
With more than one million boys – and girls – playing the contact sport of football each year, severe injuries do occur from time to time, but parents should know that efforts to lessen the risk of a catastrophic injury, including head injuries, have never been stronger than they are today.
In fact, new data from the National High School Sports-Related Injury Surveillance Study indicates some positive trends in concussion rates. The study, which was released in the American Academy of Pediatrics online issue of Pediatrics last week, 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.
In addition, repeat concussion rates across all sports declined from 0.47 to 0.28 per 10,000 exposures during the same time period.
Concussion laws are in place in every state. All NFHS sports rules books have concussion management protocols. Helmet-to-helmet hits are not allowed in football. Limits on contact in preseason and practice in football are in place in every state.
After considering all the available research, we encourage parents to let their kids play their sport of choice in high school, but we would discourage moving away from football – or any contact sport – solely based on the fear of developing CTE later in life.
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.
Let's Learn What This Time Can Teach Us
April 8, 2020
By Kevin Wolma
Hudsonville Athletic Director
A simple service return that landed into the net last fall ended my son’s tennis career.
When you are a senior, there is an end date. Just like that it is over.
Seems like yesterday I was playing catch with him in the front yard. Seems like yesterday I was rebounding as he shot at our basketball hoop. Seems like yesterday I put a tennis racquet in his hands for the first time. The success and failures along with the laughter and frustration all came to an end.
Along the way people would warn me about how fast the time goes, but when you are living day to day, you don’t really believe them. Going into the final day of the season, I had those thoughts that this would be the last day I’d watch my son play a competitive tennis match, but it didn't really hit me until I watched that last ball go into the net.
However, I also realized that we were going to experience many final moments during his senior year and this was a natural part of the journey. What I didn't know on that day was that this was the very last time I would see him compete. The cancellation of spring sports season with the COVID-19 crisis took that opportunity away from him competing in track & field this spring.
We never know when things will be taken away from us.
Administrators, Athletes, Coaches, Officials, Trainers:
Do you have a message that will provide inspiration, motivation or comfort to Michigan’s high school sports community during this unprecedented time? We’d like to help share it. Submit your “viewpoint” – written or video – to [email protected] for consideration for publication on Second Half.
My daughter, also a senior, will also lose the opportunity to finish her tennis career at Hudsonville because of the COVID-19 shutdown. For the two of us, tennis was more than a sport – it was our connection. From the time she was 5 years old hitting foam balls in the gym to now, the tennis court became far more than a surface with a net and lines.
The tennis court was our place of solitude. We hit thousands and thousands of tennis balls over the years. But more importantly, the tennis court created a platform where lessons were shared, stories of success and failure were told, and a love for a sport was born. I dread the day the tennis court sits silent, because that means my daughter will move on to her next stage in life. That time could be now.
Sports is not the end-all, and it surely does not define a person. However, it is a mechanism to bring people together and to teach life lessons that are often taken for granted, until we realize it is over.
The purpose of this article is not to talk about the end as much as it is to emphasize the importance of those moments leading to the end. Don’t let those moments slip away. If your son or daughter asks you to go outside and play catch, please put down the computer or phone and do it. The email can wait. The phone call can wait. The game on TV can wait.
Admittedly, I have been occasionally guilty of this as well and now realize the importance of time and how unpredictable it can be. I have one more chance with my youngest daughter to make sure we don’t take those moments for granted. They are moments we will never get back, and again, we never know when those moments will be taken away.
As a high school athletic director, all I’ve wanted was more time. Sixty plus-hour work weeks while trying to navigate work and home schedules is often a challenge. Many of us live this life every day. We all would like more time.
However, over a 48-hour span during the month of March 2020, time was all I had. In those two days, after the Utah Jazz’ Rudy Gobert tested positive for COVID-19, both the NCAA and NBA shut down while schools and businesses began closing their doors indefinitely.
Now, time is all any of us have.
My hope is that we realize time is a gift and we must be willing to receive it when available. Take advantage of the time to regain a perspective of what is really important in our lives and act on that. This moment in time will end and for many of us, our lives will resume juggling personal, work, and sports schedules. Are we ready? Did we take this “time off” from the busyness of life and focus on how we can maximize every moment of every day?
For some of us, this gives us a chance to hit the restart button and maybe look at youth sports through a different lens. Maybe our interactions with our kids, coaches, and officials will be more positive. Maybe we worry less about the outcome and more about the process. Once we get back to the playing field, maybe we will look at participation in sports differently. Maybe we will understand that it is truly a gift, and every gift deserves a level of gratitude – gratitude toward the many people who allow this experience, and all its life lessons, to transpire.
Years from now, when we look back at the year of COVID-19, will we still value the essence of time and living in the moment? Will we still give gratitude to the gift of sports? Each one of us wants to look back at our kid’s experiences with athletics and have no regrets. No regrets with our actions. No regrets with our time. We have an opportunity as parents right now to pause, reflect, and make changes that could impact youth sports for generations to come.
We must seize this opportunity now because this part of life will be over before we know it. For some of us, maybe even more quickly than we expected.
Wolma has served as Hudsonville's athletic director since 2011 and previously coached boys varsity basketball and girls varsity golf among other teams. He also previously taught physical education and health. Photo courtesy of the Hudsonville High School tennis programs.