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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: Should Tech Aid Performance?
March 13, 2020
By Karissa Niehoff
NFHS Executive Director
One of the age-old objectives of the NFHS has been to preserve the records, tradition and heritage of education-based athletics and activities programs in the United States.
As the leader and advocate for high school sports and activities, the NFHS has been keeping records set by high school athletes since the first National High School Sports Record Book was published by the NFHS in 1978. The Record Book was printed annually until 2010, when it was moved online to www.NFHS.org.
Names of more than 100,000 high school student-athletes have appeared in the Record Book in the past 42 years; and while there are a few individuals and teams still remaining from that first publication, in the spirit of “records are made to be broken,” most categories have had multiple leaders.
In addition to bringing proper recognition to high school student-athletes, coaches and teams who achieve outstanding performances in interscholastic athletic competition, we believe this recognition stimulates interest in high school athletic programs and motivates other competitors to improve their skills.
And we have strived that only records set in the spirit of good sportsmanship and fair play are entered in the Record Book.
It is understandable that records are broken frequently, with continual improvements in equipment, nutrition, training methods and – most recently – technology. However, at what point do some of these improvements, particularly ever-changing technology, begin to affect the No. 1 principle of rules writing for the NFHS: Fair Play?
The NFHS has been writing playing rules for high school sports since the 1930s when it published football and basketball rules for the first time. Baseball and track & field were added in the 1940s, followed by wrestling in the 1960s and many others in the 1970s.
It is impossible that the early rules writers could have envisioned the advances in technology and how some of these improvements challenge rules writing today. Although the question about whether to utilize instant replay for game-ending plays has drawn much attention, some of the personal technology items – and the increasing presence of drones at athletic events – are more onerous.
With high-tech watches, and electronic devices such as cell phones and tablets, the ability to view and process data during actual competition is readily available, which leads to the ethical question of whether this use of technology unfairly aids performance.
This topic has generated a great deal of discussion, and some high school sports allow limited use of technology devices by coaches during games. However, when athletes are competing against each other on the field or court, the stakes should be even. No competitor in high school sports should gain an unfair advantage over an opponent based on anything other than his or her athletic preparedness for a contest.
At other levels of sport, particularly at the Olympic and professional levels, history shows that the pursuit of winning rather than the pursuit of excellence becomes the focus. While we understand the pressure to win at these levels, there is a very recent and clear example of the misuse of technology with the sign-stealing scandal in Major League Baseball.
In high school sports, the focus should not be on winning but having fun. NFHS playing rules, which are used by almost eight million participants across 17 sports, will continue to focus on risk minimization, sportsmanship and fair play.
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.