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.
Navigating Twists, Turns Of Ankle Sprains
November 30, 2020
Henry Ford Health System
Oh, how the ankle turns! If you’ve had a misstep or wrong turn result in a sprained ankle, you know how painful this injury can be. Henry Ford podiatric surgeon Paul Di Liddo, DPM, discusses ankle sprains and treatments.
Ankle Injury 101
From risk factors to treatments (and nearly everything in between), here’s what to know — and do — about ankle sprains.
Sprained Ankles Are Painfully Common
In fact, they’re among the most frequent injuries in the United States, with up to 25,000 people per day spraining their ankles. Although often associated with sports, ankle sprains can happen to anyone, anywhere. “I see ankle sprains from tripping over curbs, stepping in holes in a yard or simply walking,” says Dr. Di Liddo. “Ankle sprains — like accidents — happen.”
Ankle Sprains Injure Ligaments
“Ankle sprains occur when the ankle suddenly and forcefully twists or rolls past a point that the ankle ligaments can tolerate,” remarks Dr. Di Liddo. “The ankle ligaments will stretch or tear, either partially or completely.” An ankle can twist, turn or roll during a fall, jump or change of direction, while walking on uneven ground and more.
A Weak Ankle Is A Vulnerable Ankle
Most sprained ankles heal without long-term concern. In some cases, however, ligaments may not fully heal, resulting in a weak or unstable ankle. “A weak or unstable ankle can make an individual more susceptible to repeated ankle sprains,” explains Dr. Di Liddo.
High Arches Can Be Risky Business
People who have high-arched feet are more at risk of rolling — and therefore spraining — their ankles. So are people who have “loose joints,” because the ankle can overstretch with a seemingly minor twist. People who are at-risk for ankle sprains should take extra precautions when playing sports or performing other activities.
Some Sprains Can Be Treated At Home — Emphasis On Some
How you treat a sprained ankle depends on the severity of the injury. Minor sprains can be treated at home with the RICE method. The RICE method include:
- Rest by avoiding use of the injured ankle
- Ice applied to the ankle (without touching the skin) for no more than 20 minutes every three to four hours
- Compression with an elastic bandage
- Elevation above the heart
Ice, compress and elevate your ankle for the first few days. Rest and refrain from sports until ankle pain and swelling have subsided.
At-home treatments aren’t right for everyone — or every ankle injury. “A swollen ankle is typical if you have experienced a sprain,” says Dr. Di Liddo. “However, if you have severe ankle swelling, are in extreme pain or notice an odd ankle appearance, seek medical attention.” This is also true if you can’t walk more than a few steps or have limited ankle mobility. A foot and ankle specialist can diagnose your injury and begin treatment.
Ankle Treatments Abound
Ankle sprain treatments are designed to decrease pain and swelling, while protecting the ligaments from further injury. Treatments include wearing an ankle brace, walking boot or cast. Physical therapy to strengthen the ankle and maintain range of motion may also be incorporated after the ligaments have started to heal.
“Of course, for more severe injuries, a thorough physical exam and X-rays are necessary,” says Dr. Di Liddo. “This helps ensure that there is no other underlying injury, such as a fractured ankle or Achilles tendon rupture.”
Healing Times Vary
The recovery time for a sprained ankle depends on the severity of the injury. Sprains with minimal ligament stretching and no tear require one to three weeks. Partially torn ankle ligaments may take up to six to eight weeks to heal. A fully torn ligament can take several months to fully heal.
What To Do When Ankle Problems Persist
For people who continue to experience ankle instability, there are a host of options. “Physical therapy is the first step — but not the only one,” says Dr. Di Liddo. “If physical therapy has not been beneficial, we can discuss surgical approaches.”
Surgical options include:
- Ligament repair or reinforcement via an outpatient procedure
- Osteotomy, which is surgical cutting of bone, to lower arches when ankle instability is caused by high arches
For those with frequent ankle sprains or instability, a medical assessment is necessary and may include:
- Physical exam
- X-rays to assess bones and joints
- MRI to evaluate ankle ligaments
With this information in mind, you can prevent — or address — the twists and turns of ankle sprains.
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.