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.
NFHS Voice: MLK Provides Reminder
January 22, 2020
By Karissa Niehoff
NFHS Executive Director
On Monday, the nation observed Martin Luther King Jr. Day for the 35th time. This annual remembrance of the civil rights leader and his remarkable efforts in the 1950s and 1960s to combat racism in the United States continues as one of the most significant days on the calendar every year.
King’s “I Have a Dream” speech in Washington, D.C. in 1963 – one of the most iconic speeches in history – was the defining moment of the civil rights movement and led to the Civil Rights Act of 1964, which made desegregation a prerequisite to school funding and further strengthened the Supreme Court’s 1954 ruling in Brown v. Board of Education of Topeka.
As a result, separate schools for African Americans ended and King’s dream of equality for everyone began to occur.
Thanks, in part, to the efforts of King, who was a member of his school’s debate team at Booker T. Washington High School in Atlanta, blacks and whites were assimilated in schools and in athletics and other activities such as speech and debate.
A few years later in the early 1970s with the passage of Title IX, girls – both white and black – were provided the opportunity to participate in high school sports. With this landmark legislation on the heels of the civil rights movement, high school sports and activities were for EVERYONE.
Amazingly, participation in high school sports increased from 3.9 million to 6.4 million in seven years between 1971-72 and 1977-78 – a jump of about 2.5 million. Why? The opportunity to participate was now available to all.
High school athletes – male and female, black and white and other races – began to work together and excel both individually and as teams. Many have seized these opportunities and had a profound impact within their communities and nationally.
In the past five classes of the NFHS National High School Hall of Fame, 13 of the 22 athletes were minority males and females, including the likes of Derrick Brooks, Dusty Baker, Seimone Augustus, Nicole Powell, Lisa Fernandez, Nikki McCray and Marlin Briscoe. Other females were Tracey Fuchs, Carrie Tollefson, Missy West, Joni Huntley, Jackie Stiles and Cindy Brogdon.
In previous classes, there were Ozzie Newsome, Chauncey Billups, Kevin Johnson, Janet Evans, Sean Elliott, Cheryl Miller, Archie Griffin, Jackie Joyner-Kersee and Kim Mulkey.
Can you imagine the storied history of high school sports without these individuals?
Thanks to the efforts of many people in the 1960s and 1970s, there are more women and minorities in leadership positions today. Nine of our member state high school associations are led by minorities, including three females – Que Tucker of North Carolina, Sally Marquez of New Mexico and Rhonda Blanford-Green of Colorado.
Despite these advances in opportunities the past 50-plus years, the late Dr. King would be disappointed to hear about some of the disrespectful behavior in and around high school sports the past few years. Since our column in late October, we have heard of other racially-related incidents. Indeed, pain still occurs.
As we reflect on the tremendous efforts of Dr. Martin Luther King Jr. to bring everyone together, let it be a further reminder that all student activity participants – regardless of race, religion, political views or gender identity – should be treated with respect.
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.