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NFHS Voice: Salute Seniors with Spring on Hold
March 27, 2020
By Karissa Niehoff
NFHS Executive Director
A visitor to the local high school in late March would normally find boys and girls engaged in track and field, baseball, softball and lacrosse practices. Inside the building, some students would be involved with speech or debate activities. Unfortunately, this is not a normal year – far from it.
Spring sports playing fields are empty. High school sports and activities, with more than 12 million participants, are on pause, and high school athletes, coaches, athletic directors, parents and other fans are trying to determine when these programs will return.
The ever-changing news we are receiving almost on an hourly basis is more than one can comprehend as we all deal with this global health crisis. Each day, with the spread of the coronavirus, we try to determine what has changed since the day before. Can we go to work? Can we leave our house to go to the store?
Like every other activity in our nation, high school sports and activity programs are on hold. With all schools closed for varying amounts of time – some to the end of the academic year – millions of participants in spring sports and activities are on the sidelines awaiting the green light for competition to resume.
In past years, our member state associations and the 19,500 high schools across the country have had to postpone or cancel events for short periods of time due to weather or other factors, but this is unprecedented. The reality is that spring sports may never occur in some states – particularly those where schools are closed for the academic year. And this would be doubly disappointing in those states that were not able to conduct or complete state basketball championships.
The possibility of losing spring sports is particularly disappointing for graduating seniors. While everyone is affected by this health crisis and has their own issues to confront, it is important for everyone involved in high school activity programs to salute those seniors – boys and girls in sports and activities programs who have sacrificed for 3½ years but may not be able to reach the finish line.
While they may miss some of the final games and events, the benefits of being involved in these programs will carry them for a lifetime. The early-morning practices, offseason workouts and late-night studying after a day of activities will undoubtedly make them stronger and more dedicated in their future professions.
We thank all high school athletes and performing arts participants for the great memories – especially those who may not be able to complete their races or sing in the music ensemble this year. While some will have more competitive opportunities in sports and activities, for others that continued involvement may be in the form of coaching or officiating, but the impact of involvement in these programs will last a lifetime.
There have been times in the past when high school sports and performing arts helped individuals in communities through difficult times – events like weather-related disasters or school shootings as examples. We believe that these programs will play an even larger role once the coronavirus pandemic subsides and we are able to return to normalcy.
Why? Because after our days, weeks and perhaps months of social distancing, teamwork will help us all come back together, and there is no better demonstration of teamwork than education-based high school sports and activity programs.
We all anxiously await the day when the whistles blow and the curtains rise again.
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.
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Concussion Care: Signs & Symptoms to Watch
October 27, 2020
Henry Ford Health System
When you experience a blow to the head, knowing whether you've suffered a concussion isn't always clear cut.
Head injuries have a range of physical, psychological and intellectual effects — and only a small number of people lose consciousness.
"It's critical for parents, coaches, players and trainers to recognize the potential signs and symptoms of a concussion," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology. "The basic rule is that a concussion can affect any aspect of brain function."
Signs of Concussion
The Latin root of the word "concussion" means "to shake violently" — which makes sense. Concussions happen when there's a combination of movement and impact. So, any injury that involves a hit to the head — a fall, collision or hard hit by a heavy object — could cause one. So could a hit to the body that causes the head to move quickly.
"But every brain injury is different," Dr. Kutcher says. "Some symptoms show up right away while others develop gradually over days."
Here are common concussion symptoms to watch for — both immediately following a head injury and in the hours and days after:
Physical Concussion Symptoms
- Changes in sleep patterns
- Difficulty with balance
- Dizziness or lightheadedness
- Fatigue
- Headache
- Light sensitivity
- Nausea
- Numbness or tingling
- Sensitivity to sound
- Visual problems
- Vomiting
Emotional Concussion Symptoms
- Anxiety
- Depression
- Irritability
- Mood swings
Cognitive Concussion Symptoms
- Confusion
- Difficulty concentrating
- Feeling "slow" or "foggy"
- Memory problems
Diagnosing Concussion: Getting It Right
One reason concussions are frequently misdiagnosed is because they're assessed on the field or courtside during game play or practice. Coaches, trainers and parents often make lightning fast decisions about whether symptoms, such as headache, nausea and light sensitivity, are signs of concussion.
"Unfortunately, it’s more complicated than completing a concussion checklist. Everyone — and every concussion — is different. So, observers shouldn’t be diagnosing a head injury on the spot, but rather making a triage decision for safety. They should leave the diagnosis to the medical professionals," Dr. Kutcher says. In fact, those in-the-moment assessments are wrong about half of the time.
People should focus instead on getting immediate, emergency care for anyone who displays the following signs and symptoms right after a hit:
- Difficulty walking
- Weakness on one or both sides
- Not waking up
- Repeated vomiting
- Persistent confusion
- Seizures
- Unconsciousness
No matter how hard (or lightly) you think you've been hit, it's important to take head injury symptoms seriously. Even a seemingly minor blow could have a major impact. A complete evaluation by a medical professional will not only determine whether you have a concussion, it can also identify more serious, or even life-threatening, concerns.
"In every case, medical professionals are better equipped to assess the extent of the damage if you have a comprehensive baseline evaluation on file," Dr. Kutcher says. This thorough evaluation with a sports neurologist, including a complete family and neurological history, can act as a critical point of reference when trainers and medical professionals are trying to diagnose or manage a concussion.
Dr. Jeffrey Kutcher is a sports neurologist and the medical director of the Henry Ford Kutcher Clinic for Concussion and Sports Neurology.
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.