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.

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.