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Play it Safe: Basics of Proper Helmet Use
February 4, 2020
Henry Ford Health System
If you or your child plays sports or participates in physically risky activities, wearing a helmet could be lifesaving. While no helmet is concussion-proof, wearing one can help reduce the risk of serious head injuries.
"Helmets are made with materials that help reduce impact to the head, protecting the skull from damage," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology. "You should be wearing a helmet whether you're playing a contact sport or riding something on a hard surface, such as a bike, scooter, skateboard or rollerblades."
Head Injury Prevention 101: Helmet Buying Basics
All helmets are certified at the same level for multi-use recreational activities. So there's no need to search for a specific seal or rating. Instead, when you're purchasing a helmet — or getting one second-hand — focus on these four factors:
How you’ll use it:
Pay attention to the risks involved with the activity you're doing. If you're biking, skiing or snowboarding, for example, you're wearing a helmet in case you get hit, not because you'll get hit.
There are two types of helmets: single-impact and multiple-impact. Single-impact helmets are made with foam materials that break down when hit as part of their force mitigating strategy. These helmets work well for bicycling, skateboarding, skiing or snowboarding. Multiple-impact helmets, such as those designed for sports like football, hockey and lacrosse, can withstand many hits over an entire season. The materials in these helmets don't break down, but rather compress and regain their original form.
"A helmet may perform better in the lab — for example, the dummy brain will experience 98Gs of force instead of 100Gs — but 2Gs of force probably won't make enough of a difference with a one-time injury," Dr. Kutcher says. "But 2Gs less force per hit for a linebacker who suffers multiple blows on a daily basis for many years? That could make a big difference.”
If football is your sport, the National Football League provides a helmet rating system that assesses helmets based on their ability to mitigate force over time.
How it fits:
Helmets fit differently depending on the make, style and type of sport they’re made for. "The key is making sure the helmet covers the entire skull and doesn't move around when in use," Dr. Kutcher says. The helmet should sit on the head without falling forward or backward. If you're relying only on a chinstrap to keep it in place, you don't have the right fit.
How comfortable it is:
Not all helmet brands fit every head. Helmet designs vary just like running shoes do. When you're shopping for a helmet, make sure it's snug, but not tight or uncomfortable. Comfort is critical, especially for kids. "You don't want a child to develop a negative association with wearing a protective helmet," Dr. Kutcher says.
What condition it’s in:
To get the most protection, your helmet should be in top condition. Do not wear a cracked or broken helmet, or one that has been involved in a crash or similar event (unless it's a multiple-impact design). An impact can crush foam materials. And don't allow the helmet to get too hot or cold — that can cause the materials to break down over time.
Get the Best Helmet Fit for Your Head
Properly wearing a helmet provides the greatest defense against injury — more than any style or brand. To make sure your helmet is secure, follow these rules:
· Measure head circumference: Every helmet brand provides a size chart, along with instructions about how to select the best fit. To get the best measurement, use a cloth tape to measure your head circumference. Place the tape about an inch above the eyebrows, keeping it level from front to back. If the measurement falls between sizes, select the smaller size.
· Pay attention to hairstyles: Make sure to try the helmet on with the hairstyle you'll have during the activity. A long-haired bike rider who gets a short haircut may require a helmet adjustment.
· Watch your vision: The helmet should not block your vision. You should be able to see straight ahead and side to side.
To Wear a Helmet or Not To Wear a Helmet: When to Play It Safe
There are several sports that don't require wearing a helmet. But if you or your child is involved in rugby or soccer, or another sport where helmets are optional, that doesn’t mean you're in the clear.
"It's important to base any decision about whether or not to wear a helmet in conjunction with your sports neurologist," notes Dr. Kutcher. "Your past medical history and current health status may still warrant the use of a helmet."
Unsure whether you're at risk of sustaining a head injury? Get a brain health baseline evaluation. Proper consideration of your brain health includes a physical examination, along with a personal and family medical and neurological history. It also offers you an opportunity to learn how to best protect your head.
Related Topic: 7 Tips for Recovering Mentally After a Sports Injury
Dr. Jeffrey Kutcher is a sports neurologist at the Henry Ford Concussion and Sports Neurology Clinic and the global director of the Kutcher Clinic.
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.
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NFHS Voice: Participants Show Resilience
September 28, 2020
By Karissa Niehoff
NFHS Executive Director
The resiliency of players, coaches and leaders in high school activity programs the past seven months has been amazing. As attempts continue to offer all sports and performing arts this year, these individuals are making the most of tough times and demonstrating great resolve to change.
No doubt, high school juniors and seniors involved in high school sports and performing arts would have preferred a less turbulent end to their high school days, but many have been willing to go to great lengths to have an opportunity to participate.
In Michigan, when football was initially moved to the spring, student-athletes had two choices: be upset that their sport was postponed or seize the moment and look for new opportunities. Royce Daugherty of Watervliet High School chose the latter.
A 6-foot-3, 300-pound two-way starter last year as a freshman on the Watervliet football team, Daugherty opted to join the cross country team! He said he decided to run cross country because it would help him get tougher mentally and physically.
Daugherty’s decision was perhaps predictable given that he played four sports – football, wrestling, basketball and baseball – as a freshman. Although the switch was short-lived with Michigan reinstating football a couple of weeks ago, Daugherty’s resilience is remarkable and a good predictor of future success.
In Colorado, with football on hold this fall, members of the Limon High School two-time defending Class 1A state football championship team petitioned the school administration to resurrect the golf program.
“Sports are our lifeline,” said Andy Love, the school’s baseball coach who agreed to coach the golf team, in an article posted on CHSAANow. “Our community follows our sports so strongly. It gives our kids this great atmosphere and environment whether it’s the football field, the basketball court or whatever. Our community rallies around our kids.”
Turning a problem into an opportunity, the Limon High School football players and staff demonstrated the never-give-up spirit of high school activities.
In Kansas, with the heading of “the show must go on,” the Goodland High School athletic director and superintendent stepped in to coach the football team a few weeks ago because the head coach and assistant coach were quarantined during the week. The result? Goodland, a Class 3A school, defeated Liberal High School, a Class 5A school!
Coaches have demonstrated resiliency as well by finding new ways to conduct competition and keep students engaged. In Minnesota, at a swimming meet between Chaska High School and Bloomington Kennedy High School, Chaska swimmers occupied lanes 1 to 4, while Kennedy swimmers were in lanes 5 to 8 for social distancing purposes.
In the same state, the South Suburban Conference decided to conduct virtual swim meets this fall. Each team competes in 11 races in their own pool, and the coaches compare times to determine scoring. Two methods in the same state, both done to keep students engaged but to minimize risks of the virus.
On the performing arts side, teachers and leaders have benefited from an aerosol study conducted by the NFHS and more than 125 other organizations to determine best practices. In some cases, band and other music programs were moved to the spring, but leaders continued to engage with students in many innovative ways.
Larry Friend, assistant principal of Caesar Rodney High School in Camden, Delaware, in a Dover Post article, told his students, “This is not the time to put the instruments aside. This is not the time to stop singing. This is not the time to run away from your passion. This is an opportunity to run toward your passion and to find what it is that motivates you to reconnect.”
Band directors in Michigan – like those in many other states – are finding new ways to keep music going during the pandemic – from outdoor band camps to all-virtual rehearsals.
“We have some really incredible band directors doing some really neat things locally,” said Josh Bartz, director of bands at Portage Northern High School in an interview with WWMT-TV in Kalamazoo.
In the same interview, Chris Ludwa, assistant professor of music at Kalamazoo College, said, “I think you will always find ways to make art. Oftentimes, when in society there is deep need, deep pain, struggle, oppression – that’s the time when art flourishes.”
These are but a few of the great stories that have occurred across the country as players, coaches, administrators, officials, parents and fans are making the most of tough times. While these student participants may not become stellar athletes at the next level or excel at higher levels in the arts, their resiliency through these tough times will play a major role in their future success.
High school activity programs – building resilient people for the future of our nation.
Dr. Karissa L. Niehoff is starting her third 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.