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: Coaches, ADs Keys to Success
December 3, 2019
By Karissa Niehoff
NFHS Executive Director
This fall, one school canceled the remainder of its football season after reports of hazing surfaced. There have been several incidents of high school student-athletes using racial slurs against members of the opposing teams. As we have noted previously, there have also been multiple reports of parents verbally and – in some cases – physically abusing officials, along with several cases of coaches allegedly running up scores. And then there was the bizarre case of a suspended player appearing in a game disguised as another player.
On the positive side, there was a cross country runner who stopped at the one-mile mark of a race to assist a competing runner who had collapsed and was unresponsive. He didn’t finish the race, but he saved the life of the competing runner.
After the completion of a recent football game, one player on the winning team found his friend on the other team who had just lost his mother to cancer to comfort and pray with him. There have also been cases of schools helping other schools that were hit with tragedies, such as the fires in California.
And earlier this year a high school golfer who, after signing her scorecard, noticed on the app that her partner had entered an incorrect score for her on one hole. She could have kept quiet and retained her top-10 finish, and most likely no one would have noticed. Instead, she reported the error and was disqualified. She later was honored by her school for doing the right thing.
Fortunately, there are far more good acts of sportsmanship that happen in high school athletics and activity programs; however, the unsportsmanlike displays tend to make more headlines and sometimes overshadow the great things that are occurring.
The key individuals in schools who are responsible for making education the central theme of the athletic program are the athletic directors and coaches. If coaches are more committed to helping student-athletes become responsible citizens than helping them perfect an athletic skill, and if athletic directors are committed to an education-based philosophy, the likelihood of unsportsmanlike incidents such as those mentioned above is minimal.
What’s the measure of success for a high school coach – winning 80 percent of the games, bringing home multiple state championships, being named coach of the year several times? As long as success on the fields or courts is done in accordance with an education-based philosophy, this would be an award-winning biographical sketch.
The win-loss record aside, however, how about also considering the consistent teaching of values, character and lifelong lessons that would place his or her teams in consideration for sportsmanship awards and his or her student-athletes on the paths to successful lives after high school?
The NFHS has several free online education courses to assist coaches and athletic directors in leading an effective education-based program. “Engaging Effectively with Parents,” “Sportsmanship” and “Bullying, Hazing and Inappropriate Behaviors” are among the many courses at www.NFHSLearn.com. In addition, “Fundamentals of Coaching” is the core course that every interscholastic coach should complete.
When a school district is looking to hire a high school athletic director or coach, we would suggest finding someone more committed to an education-based philosophy than hardware in the trophy case.
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.