NFHS Voice: Reading the Crystal Ball
May 15, 2020
By Karissa Niehoff
NFHS Executive Director
Re-opening is the key word in sports at all levels right now. Every day, there are new projections for when the National Basketball Association and Major League Baseball will resume – and if the National Football League will start on time this fall.
Along with leaders of youth-level sports and the NCAA, the NFHS and its member state associations are exploring all options for conducting sports this fall. And while we all want answers, the truth is that there are more questions than answers at this point.
Dr. Anthony Fauci, the leading national medical authority throughout the COVID-19 pandemic, told ESPN earlier this week that “the virus will make the decision for us” on whether sports will return this fall. His comments underscore the need for leaders of all levels of sport in the United States to exercise great caution as we re-engage in activities.
Without a doubt, education will play a larger role in the decision-making process for high school programs than for non-scholastic programs. Despite the significant loss of revenue that could occur at some levels if programs remained closed, health and safety concerns must take priority when it comes to re-opening the sport or activity.
At the high school level, sports and other activity programs will most likely not return until schools re-open. High school sports and performing arts are education-based programs and complete the learning process on a day-to-day basis. As such, academics during the school day and sports and other activities after school are inseparable.
Could any of those sports and activities return without fans? That option is certainly not one schools favor, but it is a very real possibility. While a few state associations opted for that arrangement to complete state basketball tournaments, that is not a desired ongoing plan for school sports. Besides, this troubling question would have to be addressed: If it is unsafe for fans in the stands, is it safe for the students to be participating?
Students, parents and other fans in the stands cheering for and supporting student-athletes, and applauding from the theatre audience, are among the most wonderful aspects of education-based activities. Before accepting that arrangement, efforts will continue to make attending events a safe experience for everyone.
While we remain uncertain as to the timetable for the return of high school sports and other activities, we believe that when these programs return – and they will return – that everyone will bring renewed zeal to provide the 12 million participants in these programs the best experience possible.
One of the challenges to solving the crystal ball of high school sports and activities this fall is the uncertainty of the spread of the virus as states begin to re-open this month. The NFHS will continue to work with its Sports Medicine Advisory Committee on an ongoing basis to provide the most updated information.
With the non-negotiable tenet of safety for student activity participants, expect every avenue to be pursued so that students can be involved in football, soccer, volleyball, field hockey, speech, debate, music and many other school activities this fall.
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.
5 Concussion Myths Debunked
February 28, 2020
Henry Ford Health System
Awareness about the dangers of concussions is at an all-time high. In response, athletic organizations — from Pop Warner football (a nonprofit program for kids 5 to 16) to USA Hockey — have safe-play protocols in place. But misconceptions about injury — prevention, management and return to play — are still all too common.
"It's great that parents, coaches and athletes are focused on the potential for concussions, but they also need to be aware of the complexities involved in evaluating, diagnosing and managing concussion," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology.
The best way to get the knowledge you need? Learn how to separate fact from fiction.
Separating Concussion Fact From Fiction
Here’s the truth behind five common concussion myths:
Myth #1: Concussions are only caused by blows to the head.
Concussions happen in response to force. While they often result from a blow to the head, they can also occur after a hit to the neck, shoulders or anywhere else on the body. To cause brain injury, the force of the impact only needs to cause the head to move rapidly back and forth (think whiplash from a car crash or a spill down the stairs).
Myth #2: Concussions always involve a loss of consciousness.
A very small percentage of all concussions, 10 percent or less, result in a loss of consciousness. For the remaining injuries, parents, coaches and medical providers should watch for additional symptoms such as:
· Confusion
· Balance problems
· Slurred speech
· Physical complaints including headache, nausea and vomiting.
Myth #3: You should keep a person awake overnight after a concussion has occurred.
It's important to observe and interact with a recently concussed person for the first few hours to recognize the potential signs of a more serious injury. However, if they are interacting normally after four hours, it’s okay to let them sleep. If you have any doubts or questions, always err on the side of caution and seek medical attention.
Myth #4: After a concussion, kids should avoid digital media until they feel better.
Unless digital activities or screen time significantly worsen symptoms, there's no reason to avoid them. "You shouldn't force people who have suffered a concussion to rest too much — or deprive them of sensory input — if they are comfortable engaging in activity," Dr. Kutcher says. What’s more, taking away activities that bring a person joy or keep them socially connected could end up prolonging their recovery by creating additional symptoms.
Myth #5: All physical activity should be avoided after a concussion.
It’s important to rest for the first two to three days after a concussion. However, you need to be careful not to rest too much or avoid all activity for too long.
Engaging in physical, mental and social activities can be beneficial. But knowing how much to do and when to take it easy can be difficult. If you have any questions, consult a sports neurologist for specific recommendations.
Ground Rules for Concussion Prevention and Management
When it comes to preventing concussion, common sense offers the greatest impact, Dr. Kutcher notes. He recommends starting with these four tenets:
- Whenever possible, limit the amount of contact in practices and games.
- Wear proper fitting and certified helmets or other head protection whenever appropriate.
- Spread contact drills out over time as much as possible.
- Practice good technique and play by the rules.
Athletes — especially those who play contact sports — should undergo an annual neurological evaluation that includes a comprehensive, focused neurological history and examination. This information provides a critical point of reference for medical professionals.
Knowing the truth about concussions — including what to watch for and what to do if one occurs — is really the best game plan.
Dr. Jeffrey Kutcher is a sports neurologist at the Henry Ford Concussion and Sports Neurology Clinic and the global director of the Kutcher Clinic.
Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan.
Visit henryford.com/sports or call (313) 972-4216 for an appointment within 24 business hours.