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: MLK Provides Reminder
January 22, 2020
By Karissa Niehoff
NFHS Executive Director
On Monday, the nation observed Martin Luther King Jr. Day for the 35th time. This annual remembrance of the civil rights leader and his remarkable efforts in the 1950s and 1960s to combat racism in the United States continues as one of the most significant days on the calendar every year.
King’s “I Have a Dream” speech in Washington, D.C. in 1963 – one of the most iconic speeches in history – was the defining moment of the civil rights movement and led to the Civil Rights Act of 1964, which made desegregation a prerequisite to school funding and further strengthened the Supreme Court’s 1954 ruling in Brown v. Board of Education of Topeka.
As a result, separate schools for African Americans ended and King’s dream of equality for everyone began to occur.
Thanks, in part, to the efforts of King, who was a member of his school’s debate team at Booker T. Washington High School in Atlanta, blacks and whites were assimilated in schools and in athletics and other activities such as speech and debate.
A few years later in the early 1970s with the passage of Title IX, girls – both white and black – were provided the opportunity to participate in high school sports. With this landmark legislation on the heels of the civil rights movement, high school sports and activities were for EVERYONE.
Amazingly, participation in high school sports increased from 3.9 million to 6.4 million in seven years between 1971-72 and 1977-78 – a jump of about 2.5 million. Why? The opportunity to participate was now available to all.
High school athletes – male and female, black and white and other races – began to work together and excel both individually and as teams. Many have seized these opportunities and had a profound impact within their communities and nationally.
In the past five classes of the NFHS National High School Hall of Fame, 13 of the 22 athletes were minority males and females, including the likes of Derrick Brooks, Dusty Baker, Seimone Augustus, Nicole Powell, Lisa Fernandez, Nikki McCray and Marlin Briscoe. Other females were Tracey Fuchs, Carrie Tollefson, Missy West, Joni Huntley, Jackie Stiles and Cindy Brogdon.
In previous classes, there were Ozzie Newsome, Chauncey Billups, Kevin Johnson, Janet Evans, Sean Elliott, Cheryl Miller, Archie Griffin, Jackie Joyner-Kersee and Kim Mulkey.
Can you imagine the storied history of high school sports without these individuals?
Thanks to the efforts of many people in the 1960s and 1970s, there are more women and minorities in leadership positions today. Nine of our member state high school associations are led by minorities, including three females – Que Tucker of North Carolina, Sally Marquez of New Mexico and Rhonda Blanford-Green of Colorado.
Despite these advances in opportunities the past 50-plus years, the late Dr. King would be disappointed to hear about some of the disrespectful behavior in and around high school sports the past few years. Since our column in late October, we have heard of other racially-related incidents. Indeed, pain still occurs.
As we reflect on the tremendous efforts of Dr. Martin Luther King Jr. to bring everyone together, let it be a further reminder that all student activity participants – regardless of race, religion, political views or gender identity – should be treated with respect.
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.