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: Committed to HS Football
February 12, 2020
By Karissa Niehoff
NFHS Executive Director
The enduring popularity of football in the United States was celebrated in the past year at all levels of the sport.
The NFHS celebrated its 100th year of service in all areas of high school sports, including the writing of football playing rules, although the first-known games date to the 1870s.
This past year, the NCAA recognized the 150th anniversary of college football which started in 1869 when Princeton and Rutgers met for the first time. And the National Football League just closed its 100th season, which started with a 1919 game between Dayton and Columbus.
From those beginnings to today, the impact of football on life in America is incalculable. From the youth leagues, through high school and college, and on to the NFL, football is the runaway leader as this country’s most popular sport – both from a participant standpoint with about three million players annually at all levels, to the millions of fans who attend or watch games.
Every fall, millions of families spend a portion of their weekends supporting their grade-school kids in youth football programs. Through these programs, kids are exposed to the basics of the sport and, more importantly, they begin to learn teamwork, sportsmanship and how to win and lose in a proper manner.
On Friday nights, beyond the one million high school students – boys and girls – actually playing football, there are more than 150 million fans who attend games each year. Parents are involved in booster club activities, and homecoming activities occur during one football game every year. In many communities – particularly smaller cities and towns – Friday night football is often the most anticipated event of the week.
Another 50,000-plus players are involved in college football on Saturdays. As is the case at the high school level, homecoming events are tied to one football game every fall. Postseason bowl games have been a part of American culture for decades, and the new College Football Playoff has brought even more excitement to the end of the season.
NFL games on Sunday complete the three-day weekend focus on the country’s favorite sport. Thanks, in part, to the singular weekly focus as opposed to multiple games each week in the other three major professional sports, football dwarfs its competitors.
The interest level in playing football – and following the sport at all levels – has never been higher. With that continued interest in the sport comes the expectation that everything possible is being done – at all levels – to ensure that the safety of each and every participant is of the upmost concern.
With that backdrop, last week we met with leaders from USA Football, several state high school association executive directors and high school coaches and athletic directors representing the National High School Football Coaches Alliance and the National Interscholastic Athletic Administrators Association, respectively.
Collectively, these groups are committed to consistent messaging and support to ensure the ongoing popularity of the sport for the next 100 years. We believe the Football Development Model (FDM) enacted by USA Football will re-invigorate interest in the sport at the youth levels. The FDM reduces contact in youth football and advances the game through comprehensive education, game progressions and safety standards.
There was also agreement about the importance of high school football coaches. By connecting with coaches of youth football programs in their communities, high school football coaches can spur excitement on the part of youth players and their parents and improve chances of kids continuing to play the sport. Without a doubt, high school football coaches can be the focal point to success of programs in communities across the nation.
Working together, we can count on a continuation of the sport’s popularity at the high school level.
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.