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NFHS Voice: Time for Teachable Moments
September 6, 2019
By Karissa Niehoff
NFHS Executive Director
Welcome to another year of educational opportunities through high school sports and other activity programs in our nation’s schools. These programs provide many teachable moments not available in the classroom, and we look forward to making an impact on the more than 12 million young people involved in these vital activities.
Many states opened their high school football seasons during the final weekends of August. Thousands of other high school students will be involved in volleyball, cross country, field hockey, soccer and other sports this fall. And then there are those boys and girls involved in speech, debate, music and other cocurricular activity programs.
The NFHS distributed its most anticipated news release of the year earlier last week – the Annual Sports Participation Survey. The number of boys and girls involved in high school sports has been spiraling upward annually since 1988 – an amazing 29 consecutive years. However, due to several factors, the 2018-19 figure dipped to 7,937,491, which is the third-highest total in the 50-year history of the survey.
We have been aware for some time that the number of kids involved in youth sports has been declining. In addition, a decline in the number of public school students has been predicted for a number of years, so there simply may be fewer students in schools.
Understandably, the focus will be on the sport of football. While there were no states with significant drops in boys 11-player football, most states reported slight declines, which amounted to 30,000 participants nationally. However, a comparison of the figures from the past two years indicates that the average number of boys involved in 11-player football on a per-school basis dropped from 73 to 70, which would include freshman, junior varsity and varsity teams.
In some cases, schools are starting and/or increasing programs in 6-player, 8-player and 9-player football as participation numbers were up in all three versions of the game. And participation by girls in 11-player football has doubled in the past 10 years to 2,404 participants last year.
The survey confirmed that schools are not dropping the sport of football, which is great news. We continue to work with our state associations and groups such as USA Football to reduce contact and teach proper tackling skills at the youth level to increase the interest level as kids reach junior high school and high school.
While we hope that the numbers will return in football, we are pleased with the continued growth in several other sports, including volleyball, soccer and lacrosse. Since 2012, participation in girls lacrosse and boys lacrosse has increased 19 percent with a combined 213,452 participants in 2018-19. Girls and boys soccer has gained 70,668 participants since 2012 (a nine percent increase) and now has a combined 853,182 participants.
Seemingly, schools have something for everyone as the survey indicated participation by high school students in 70 different sports, as well as numerous adapted and Unified sports for students with disabilities. Schools are providing opportunities in bowling, badminton, flag football, archery, Ultimate Frisbee, bass fishing, crew and many, many others.
Ultimately, the goal of the NFHS and its 51-member state associations is to ensure that all students have an opportunity to enjoy healthy participation, achievement and good sportsmanship in education-based activities. We are excited about these opportunities as another school year begins.
Dr. Karissa L. Niehoff is beginning 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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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.