NFHS Voice: Source of HS Playing Rules

November 12, 2019

By Karissa Niehoff
NFHS Executive Director

When it comes to writing playing rules for major sports in the United States, it’s all in the acronyms. In football, you have the NFL, NCAA and NFHS. In basketball, it’s the NBA, NCAA and NFHS. In baseball, the rules-makers are MLB, NCAA and NFHS. 

While the NFL, NBA, MLB and NCAA can be used on first reference without explanation, many people are unfamiliar with the NFHS. And yet the NFHS has been around as long – or longer – than the other four major sports organizations.

In many cases, references to NFHS rules – not only in these three major sports but the other 14 sports for which the organization writes rules – are simply noted as “high school rules.” The reality, however, is that the NFHS – the National Federation of State High School Associations – has been the national organization most directly focused on sports playing rules in the past 90 years since it published its first Football Rules Book in 1932.

With almost eight million participants in high school sports, NFHS rules are written for more individuals than all other levels of sports combined. As a result, risk minimization and the fundamentals of good sportsmanship are paramount to the rules-writing process for the NFHS and often are the distinguishing factors from rules at the higher levels of the sport.

Perhaps football is the best example of the commitment to risk minimization. In the mid-1970s, the NFHS was at the forefront of change when it outlawed spearing in high school football. The 1976 rule revision changed the landscape of high school football from an injury standpoint – from a high of 36 direct fatalities in 1968 to an average of about two per year by 2018. 

Some people have questioned why there are multiple rules codes for a sport. Very simply, NFHS rules for high school play must be different than at the college and professional levels.

As an example, while professional baseball is concerned with how fast a baseball exits the batter’s box (Velocity Exit Speed) and how far the ball travels on a home run, the NFHS has enacted bat standards during the past 20 years to reduce the speed of balls coming off aluminum bats. In wrestling, the NFHS has enacted strict weight-management plans to reduce the risk of health issues. In ice hockey, while fighting is an accepted part of the sport at the professional level, NFHS rules have strict rules prohibiting all forms of unsportsmanlike conduct. In football, NFHS rules do not permit the excessive celebration displays following touchdowns that occur during NFL games.

In addition to risk minimization and sportsmanship, the NFHS must also weigh financial implications for schools when considering equipment and uniform changes. With schools ranging in size from less than 100 to more than 5,000 students, decisions must be made for the masses and cannot put undue financial hardships on schools. 

NFHS rules are also written with the understanding that appropriate behavior begins with the coach, who is responsible for ensuring that his or her team exhibits good sporting behavior. Many penalties for unsportsmanlike conduct on the team are first directed against the coach.

While the NFHS and its member state associations govern the high school place in various sports – not only with playing rules but other issues as well – we maintain relationships with the National Governing Bodies (NGBs) in these sports to assist in meeting the needs of all participants. 

Last week, the NFHS hosted a summit of various leaders of NGBs in Indianapolis. Leaders from about 15 NGBs were set to meet with NFHS staff to discuss various initiatives and opportunities for collaborative programs. We hope this is the first of many such meetings as it is crucial that all levels of sport work together to ensure ongoing opportunities for all sports participants. 

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.