![](/sites/default/files/imported/Photos/200204_HenryFord_2H.jpg)
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.
![](/sites/default/files/imported/Photos/Daily/2019_NFHSVoice.jpg)
NFHS Voice: Multi-Sport Paves QB's Way
February 10, 2020
By Karissa Niehoff
NFHS Executive Director
On football’s grandest stage earlier this month, its latest star attraction not only delivered another virtuoso performance but demonstrated the best career path to success.
In leading the Kansas City Chiefs to victory in Super Bowl LIV, quarterback Patrick Mahomes brought to an end another tremendous year of football at all levels and became the latest – and perhaps best – example of the benefits of playing multiple sports during high school.
In the week prior to the Super Bowl, Mahomes talked about his ascension to the top of the football world. Despite the opportunity to focus solely on baseball as his father had done, Mahomes rejected sport specialization. Instead, he spoke about how playing multiple sports in high school paved the way for his success.
The top performer on the grandest stage of the sport, Mahomes made it to the top of the football mountain by NOT playing football year-round. Had he chosen to specialize in one sport during his high school days in east Texas, Mahomes might never had made it to NFL since, as he noted in the week prior to the Super Bowl, he was “a baseball player that was playing football.”
Mahomes believes the skills he learned as a shortstop in baseball and as a point guard in basketball helped him more as a quarterback on the football field than if he had chosen to devote his entire energies to football.
His uncanny ability to throw passes from various angles unlike any of today’s perfect-form pocket quarterbacks? He gained those skills on the baseball field. His ability to throw lasers to his intended receivers without looking? He learned those skills on the basketball court at Whitehouse High School in Texas.
His trek to the top of the football world supports our belief that playing multiple sports within the education-based structure – as opposed to a single-sport focus in a non-school program – is the best route to future success.
Mahomes experienced the benefits of playing multiple sports – better leadership and teamwork skills from cross-training, reduced risk of burnout in one sport, a variety of experiences from involvement with different sports and teams, reduced risk of overuse injuries in one sport and exposure to a variety of coaching styles.
Many parents believe that in order for their son or daughter to earn a college scholarship and eventually play at the professional level, they have to specialize in one sport year-round. This pattern has led to the proliferation of non-school programs and coaches, many of which stray from the education-based focus of high school sports.
While there are a few who achieve elite status in a sport, the majority of people who participate do not. We believe the multiple-sport path demonstrated by Mahomes is the best route to attaining athletic success and lifelong enjoyment of sports.
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.