Organization of Lifetime Nurse Care Planners MICHIGAN’S SPORTS CONCUSSION LAW mParks 2017 Conference and Trade Show January 31 – February 3, 2017 Thomas J. Constand President & CEO

Presentation Objectives Concussion Facts Historical Perspective of Michigan’s Law Possible Future Changes

Source: Centers for Disease Control and Prevention (2010 study) Concussion Facts From 2001 to 2009: 2.7 million athletes under age 19 treated in ER 6.5% (173,285) were for concussions/TBIs In 2001 – 153,375 ER visits In 2009 – 248,410 ER visits 62% INCREASE Source: Centers for Disease Control and Prevention (2010 study)

Michigan Law Creation PUBLIC ACTS 342 & 343 of 2012 Public Act 342 Michigan Law regarding the Department of Community Health’s development, adoption and approval of educational and training materials for sports concussion awareness and compliance. Public Act 343 Michigan Law regarding Compliance of Sports Concussion Awareness Training for organizing entities, sponsors or operators of an athletic activity in which youth athletes will participate.

Concussion Law Leaders Rep. Thomas Hooker Michael Dabbs, Brain Injury Association of Michigan John Johnson, Michigan High School Athletic Assoc. Dr. Barbara Semakula, Wayne State University, Oakwood Hospital Dr. Kenneth Podell, Henry Ford Hospital Dr. Barbara Hoogenboom, Grand Valley State University Dean Kleinschmidt, Detroit Lions Dr. Pano Papalekas, Detroit Medical Center, Rehabilitation Institute Dr. Steven Karageanes, Sports Medicine, DMC Dr. Andrea Kuldanek, Mary Free Bed Rehabilitation Hospital Amy Teddy, Univ. Of Michigan, Motts Children Hospital Jeffrey Kline, Sports Medicine, Oakwood Healthcare System Mike Shoemaker, American Physical Therapy Assoc. Jeff Monroe, Head Athletic Trainer, Michigan State Univ. Linda Scarpetta, MI. Dept. of Community Health, Unintentional Injury Section Kevin McKinney & Bill Zaagman, Lobbyists

Concussion Symptoms Symptoms of concussion usually fall into four categories

Concussion Management Changing Protocol: Parents and caregivers of children still have an active role in recovery: Phase One – Acute Rest: First 24 to 72 hours Don’t do anything Don’t discourage visits, if desired Phase Two – Relative Rest: 5-7 days, on average (toleration of a full day of work/school w/out symptoms) Prohibit extreme rest and isolation Allow for/encourage limited physical/cognitive activity Phase Three – Gradual Exertion Exposure to increasing levels of physical/cognitive exertion Don’t “push through.” Back down instead. BRAIN Process Source: “Back in the Game,” Dr. Jeffrey S. Kutcher

Concussion Management Changing Protocol (cont.): BRAIN Process: Bike – Stationary bike for 20-30 minutes (light cardio exertion) Run – 30 minutes of running (treadmill, elliptical) Agility – Exercise drills/quick maneuvers In Red – Put athlete into practice in red jersey (no hitting/contact) No Restrictions – Return to play Source: “Back in the Game,” by Dr. Jeffrey S. Kutcher

Future Changes to the Law Exemption of students less than 18 years old attending universities playing on club/intramural sports. Return to Learn Accommodations for learning, school environment, time necessary for recovery. Coaches education/training – tested every three years

Brain Injury Association of Michigan For More Information Thomas J. Constand tconstand@biami.org Brain Injury Association of Michigan 7305 Grand River, Suite 100 Brighton, MI 48114 Toll-Free (800) 444-6443 Ph: (810) 229-5880 Website: www.biami.org