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: 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.