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.

Choose the Right Sports Medicine Expert

July 7, 2020

By Christina Eyers, Ed.D., AT, ATC
Henry Ford Health System 

If you're an athlete, chances are you'll require specialized care from a health professional during your career.

Confused about the differences between athletic trainers, sports medicine physicians and exercise physiologists, among other experts? You're not alone!

Each of these professionals has different levels of training, expertise and certifications, but the care they provide often overlaps. That's one reason why they often work together.

Sports Professionals Defined

Caring for athletes isn't always clear-cut. In fact, most athletes require a full team of professionals working in concert to stay at the top of their game. Yet confusion remains about which professionals you need to see for training, injury prevention, and recovery and treatment after an injury.

Each type of professional has its own set of experience, training and certifications. Here’s how they measure up:

· Sports medicine doctor: Sports medicine physicians are typically trained in orthopedic surgery, primary care or emergency medicine. These professionals have medical degrees as well as specialized training in sports medicine, including the prevention and treatment of injury. In addition to caring for conditions ranging from concussion to head colds, sports medicine physicians also focus on helping people return to sports safely and effectively after illness or injury.

· Athletic trainer: Athletic trainers take care of athletes from prevention through rehabilitation. In collaboration with a physician, these professionals offer insights that help minimize risk and prevent injuries. They evaluate athletes and provide immediate care and treatment, sometimes even on the sidelines. They also provide rehabilitation and reconditioning after an injury or illness.

· Exercise physiologist: Exercise physiologists study the effect of exercise on the muscular, cardiovascular, and sympathetic and parasympathetic nervous systems. They examine functional capacity and strength due to endurance training or strength training. These professionals may also test athletes for VO2max (your oxygen volume while training) and body composition (the ratio of fatty mass to lean mass).

· Physical medicine and rehab physician: These professionals treat a variety of medical conditions that affect the brain, spinal cord, nerves, bones, joints, ligaments, muscles and tendons. They take the whole body into account to pinpoint problems and enhance performance without surgery.

· Physical therapist: Physical therapists diagnose and treat individuals of all ages with conditions that limit their ability to move and perform daily activities.

Other Specialized Professionals Who Care for Athletes

In addition to the health care professionals described above, athletes may meet with a host of experts, including:

· Nurses and medical assistants
· Occupational therapists
· Cardiologists
· Neurologists
· Behavioral health specialists
· Dietitians
· Complementary medical practitioners, such as acupuncturists and chiropractors

None of these individuals are "fitness professionals," a term nearly anyone can use to describe a range of professional activities. Rather, these sports medicine experts are part of a comprehensive team that includes at least one physician. They are each licensed by the state to provide specialized care to athletes.

Personal trainers, on the other hand, focus on helping people find their way around the gym, hold them accountable to achieve their goals and help new exercisers and seasoned fitness enthusiasts stick to a workout regimen.

If you're an athlete, you need a team of health professionals who can provide comprehensive care to reach your highest potential. 

Christina Eyers, Ed.D., AT, ATC, is the Director of Athletic Training & Community Outreach with Henry Ford Sports Medicine.

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.