NFHS Voice: Should Tech Aid Performance?

March 13, 2020

By Karissa Niehoff
NFHS Executive Director

One of the age-old objectives of the NFHS has been to preserve the records, tradition and heritage of education-based athletics and activities programs in the United States.

As the leader and advocate for high school sports and activities, the NFHS has been keeping records set by high school athletes since the first National High School Sports Record Book was published by the NFHS in 1978. The Record Book was printed annually until 2010, when it was moved online to www.NFHS.org.

Names of more than 100,000 high school student-athletes have appeared in the Record Book in the past 42 years; and while there are a few individuals and teams still remaining from that first publication, in the spirit of “records are made to be broken,” most categories have had multiple leaders.

In addition to bringing proper recognition to high school student-athletes, coaches and teams who achieve outstanding performances in interscholastic athletic competition, we believe this recognition stimulates interest in high school athletic programs and motivates other competitors to improve their skills.

And we have strived that only records set in the spirit of good sportsmanship and fair play are entered in the Record Book.

It is understandable that records are broken frequently, with continual improvements in equipment, nutrition, training methods and – most recently – technology. However, at what point do some of these improvements, particularly ever-changing technology, begin to affect the No. 1 principle of rules writing for the NFHS: Fair Play? 

The NFHS has been writing playing rules for high school sports since the 1930s when it published football and basketball rules for the first time. Baseball and track & field were added in the 1940s, followed by wrestling in the 1960s and many others in the 1970s.     

It is impossible that the early rules writers could have envisioned the advances in technology and how some of these improvements challenge rules writing today. Although the question about whether to utilize instant replay for game-ending plays has drawn much attention, some of the personal technology items – and the increasing presence of drones at athletic events – are more onerous.

With high-tech watches, and electronic devices such as cell phones and tablets, the ability to view and process data during actual competition is readily available, which leads to the ethical question of whether this use of technology unfairly aids performance.

This topic has generated a great deal of discussion, and some high school sports allow limited use of technology devices by coaches during games. However, when athletes are competing against each other on the field or court, the stakes should be even. No competitor in high school sports should gain an unfair advantage over an opponent based on anything other than his or her athletic preparedness for a contest.

At other levels of sport, particularly at the Olympic and professional levels, history shows that the pursuit of winning rather than the pursuit of excellence becomes the focus. While we understand the pressure to win at these levels, there is a very recent and clear example of the misuse of technology with the sign-stealing scandal in Major League Baseball.

In high school sports, the focus should not be on winning but having fun. NFHS playing rules, which are used by almost eight million participants across 17 sports, will continue to focus on risk minimization, sportsmanship and fair play.

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.

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.