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: Thank You to All Coaches
January 29, 2021
By Karissa Niehoff
NFHS Executive Director
Earlier this week, the NFHS recognized more than 700 individuals for their efforts as high school coaches during the 2019-20 school year, including 23 as National Coaches of the Year.
The accomplishments of the national recipients are extraordinary, but comments about their roles as education-based coaches are even more telling as to why they were selected.
Mary Beth Bourgoin, field hockey coach at Winslow High School in Maine, who, although she has won 173 games, said, in an article in the Portland Press-Herald, “It’s not about winning and losing. It’s about relationships and having fun.”
Donna Moir has won three state championships as girls basketball coach at Sacred Heart Academy in Louisville, Kentucky, but is known more for her sportsmanship, humility and kindness.
Jerry Petitgoue, basketball coach at Cuba City (Wisconsin) High School, who has won 963 games in 53 years, led his team to an unblemished 25-0 record before the pandemic cancelled the state tournament.
In an article for SWNew4u.com, Petitgoue said, “I’m very proud to receive this recognition for Cuba City High School and the community. I’m happy it comes during these trying times. Every little positive thing is uplifting these days.”
Mary Jo Truesdale, softball coach at Sheldon High School in Sacramento, California, has won 759 games and eight California Interscholastic Federation-Sac Joaquin Section championships, but was unable to coach her team last spring due to the pandemic.
“I worry about the well-being of my players, especially the seniors who don’t have a next season to play in high school,” said Truesdale in an article in the Sacramento Bee. “We know there are more things going on in life that are much bigger than softball, and that’s what we’re all learning.”
Ron Murphy, baseball coach at Rio Rancho (New Mexico) High School, is second all-time in his state with 567 victories but was only able to lead his team to a few wins last spring before the coronavirus shut down the program and ended hopes for a state tournament.
Despite his own success, Murphy was more focused on his players in a recent article in the Albuquerque Journal, noting that, “The thing that gets me most excited about this award is that it brings national attention to Rio Rancho High School baseball.”
Doug Hislop, wrestling coach at Imbler (Oregon) High School, has coached for 50 years and remains active at 73 years of age, continuing to teach kids lessons on and off the mat.
David Halligan, soccer coach at Falmouth (Maine) High School, has led his teams to 12 state titles. In an article in the Portland Press Herald, Halligan said, “I’m proud that we’ve had a lot of good players and good programs for a lot of years. I find a lot of joy in coaching at the high school level. I love seeing how kids develop from freshmen to seniors and how they grow as people.”
These are but a few of the individuals selected for national honors in 2019-20 – all of whom have impacted student-athletes in positive ways for decades.
When it comes to honoring coaches for the 2020-21 school year, we should give a shout-out to every individual involved in high school education-based athletics for their tremendous efforts leading programs through the pandemic. Next to frontline health-care workers, there is no group of individuals to whom we should be more indebted than high school coaches.
Prior to the pandemic, a high school coach’s job was already a next-to-impossible 24-7 mission. In addition to preparing for the daily “Xs and Os,” interscholastic coaches spend countless hours in mentorship capacities with student-athletes off the field or court, answer tough questions from parents, teach classes during the school day and handle a number of never-ending, always-changing daily tasks.
This year, coaches are faced with other tasks related to COVID-19, which, in some cases, involve keeping team members connected and motivated in a virtual setting.
There is pressure on coaches to maintain protocols related to the pandemic and stay on course so the games can continue. The additional daily checklist is endless: sanitize equipment, remind students to wear masks and maintain social distancing, temperature and wellness checks with students, follow an endless list of protocols if a student tests positive, and the list goes on and on.
The tasks of high school coaches seem larger than life this year, and these men and women deserve our utmost respect and appreciation. In addition to parents, and perhaps in lieu of parents in some cases, high school coaches are helping student-athletes survive the pandemic and maintain a healthy outlook on life.
We salute this year’s award recipients – and all high school coaches – for their commitment to keeping our country’s future leaders – high school students – on track during one of the most trying years in our nation’s history.
Dr. Karissa L. Niehoff is starting her third 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.