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.
NFHS Voice: No HS Football Link to CTE
October 21, 2019
By Karissa Niehoff
NFHS Executive Director
When it comes to the long-term effects of concussions in sports, there is a wide range of information published – almost on a daily basis. Unfortunately, much of the media coverage as it relates to high school sports – and particularly the sport of football – is misleading.
Last week, the Concussion Legacy Foundation introduced its new public-service announcement that compared youth football dangers to smoking. As the pre-teen football players puff on cigarettes, the voiceover says, “Tackle football is like smoking, the younger I start, the longer I’m exposed to danger.”
The “Tackle Can Wait” campaign by the foundation is an attempt to steer children under the age of 14 into flag football. Although establishing a finite age may be difficult, reducing contact at youth levels is certainly a positive. USA Football is doing just that nationally through its Football Development Model. Likewise, the 51 member state associations of the National Federation of State High School Associations (NFHS) have enacted limitations on contact during preseason and practice sessions.
Our concern is the term “exposed to danger.” These types of messages continue to spread unwarranted fear to parents of high school student-athletes. The “danger” refers to reports that players who incur repeated concussions can develop chronic traumatic encephalopathy (CTE).
A 2017 study from the Journal of American Medical Association (JAMA) linked CTE in the brains of deceased National Football League players. Even if this report is accurate, these are individuals who endured repeated blows to the head for 20 to 25 years BEFORE any concussion protocols were in place.
Less publicized is a study by Dr. Munro Cullum and his colleagues at the Peter O’Donnell Jr. Brain Institute, which is a part of the University of Texas Southwestern Medical Center in Dallas. Cullum’s group studied 35 former NFL players age 50 and older who had sustained multiple concussions throughout their careers. The findings showed no significant association between the length of the individuals’ careers, the number of concussions and their cognitive function later in life.
Two studies, two different conclusions. Regardless of the outcome, however, they are not applicable to kids playing football before and during high school. There is absolutely no linkage to CTE at these levels, and the word “danger” should not be a part of the discussion.
A more applicable and significant study was also published in JAMA in 2017. In a study of about 4,000 men who graduated from Wisconsin high schools in 1957, there was no difference in cognitive function or decline between those who played football and those who did not as they reached 65 years of age. We would assume the majority of these individuals discontinued football after high school.
With more than one million boys – and girls – playing the contact sport of football each year, severe injuries do occur from time to time, but parents should know that efforts to lessen the risk of a catastrophic injury, including head injuries, have never been stronger than they are today.
In fact, new data from the National High School Sports-Related Injury Surveillance Study indicates some positive trends in concussion rates. The study, which was released in the American Academy of Pediatrics online issue of Pediatrics last week, indicated that concussion rates during football practices dropped from 5.47 to 4.44 concussions per 10,000 athletic exposures between the 2013-14 and 2017-18 seasons.
In addition, repeat concussion rates across all sports declined from 0.47 to 0.28 per 10,000 exposures during the same time period.
Concussion laws are in place in every state. All NFHS sports rules books have concussion management protocols. Helmet-to-helmet hits are not allowed in football. Limits on contact in preseason and practice in football are in place in every state.
After considering all the available research, we encourage parents to let their kids play their sport of choice in high school, but we would discourage moving away from football – or any contact sport – solely based on the fear of developing CTE later in life.
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.