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.
NFHS Voice: Viewership Continues to Climb
February 28, 2020
By Karissa Niehoff
NFHS Executive Director
Often, the public’s concept of high school sports is a football or basketball game televised on a national cable channel between highly-ranked prep teams from different parts of the country – or the game-by-game tracking of “star” players like LeBron James or Zion Williamson by national media sources.
And why not? That is the way we follow college and professional sports. While there are certainly fans with loyalties to hometown teams, most viewers want to watch the best teams. When it comes to prime-time games, the networks are only going to feature the top teams and players.
The answer to the above question, very simply, is that high school sports are different. While there are about three percent of the almost eight million participants in high school sports who may play in those marquee college or professional games on television, the true stories of education-based athletics reside with the other 97 percent.
As the national leader and advocate for high school sports and performing arts programs in the United States, the NFHS is always looking for ways to showcase education-based activities in our nation’s schools and to demonstrate the accomplishments of the millions of participants in all sports.
And for the past seven years through the NFHS Network, we have been doing just that. In addition to the estimated 350 million fans who attend high school games annually, the NFHS has added opportunities for millions of others to watch high school sports through the streaming of more than 100,000 events last year at www.NFHSNetwork.com.
While viewers – and there were more than 14 million visits to the site last year – may be able to watch future college and pro players on the NFHS Network, that’s not the focus of those watching games on their phones, tablets or computers. Instead, the Network provides an opportunity for individuals to support their high school teams – perhaps in another part of the country years after graduating from high school. With the 100,000-plus events last year featuring numerous sports and events and divided 50-50 between girls and boys sports, the Network also offers parents or grandparents the chance to watch their kids’ and grandkids’ games when distances prevent attending games.
Although there was concern by some when we started this venture that streaming high school games on the Internet would adversely affect in-stadium attendance, such has not been the case. About 70 percent of NFHS Network subscribers watch games from beyond a drivable distance.
And the best stories are when the driving distances are REALLY not favorable – as in some other parts of the world. Easily the most heartwarming aspect of the NFHS Network has been the opportunity for men and women overseas in the military to watch their sons and daughters play high school sports. These are truly priceless moments.
While there is still nothing like actually watching a high school game in person, we recognize that technology has provided options for people in all areas of daily life. So, the opportunity to bring high school sports right into the home through the NFHS Network has been a dream come true.
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.