By Brandon Wright, Times Correspondent
Friday, August 19, 2011
BRANDON — Old-time football coaches and players will tell today's youth they have it easy compared to the gruelling two-a-day practices they endured.
Spoto coach Dale Caparaso takes it a step further. When he played high school football in the early 1970s, they practiced three times a day.
"We would have two heavy ones and one light one," he said. "But none of us thought the light one was light."
Caparaso, who also played collegiate ball at James Madison, said "we maybe got a five-minute break midway through practice" during his playing days.
Most football veterans tell similar stories of how much more strenuous practices were back then, yet they don't recall so many players struggling with heat-related illnesses.
Since late July, six players have collapsed and died on football fields. The cause remains undetermined, but experts suspect exertional heatstroke is the cause.
Government data released this month indicates that more than 3,000 U.S. children and teens received emergency-room treatment for nonfatal heat illness from sports or exercise between 2001 and 2009.
University of Georgia professor Andrew J. Grundstein told USA Today 123 high school football players died of heat-related illnesses between 1960 and 2009. The annual death rate was around one per year from 1980 to 1994 but rose to 2.8 in the next 15 years.
Grundstein cited the larger size of high school athletes and an increase in average morning temperatures as factors for the increase.
Rebecca Lopez, an assistant professor in the Department of Orthopedics and Sports Medicine at the University of South Florida, said it's difficult to identify causes.
"I don't know why it is," she said. "There are a number of factors that contribute to (heatstroke). Sometimes kids feel pressure to perform and ignore warning signs, and sometimes proper precautions aren't taken."
She said a majority of the deaths over the past few years have come during the first few days of practice when players aren't fully adjusted to the heat and the extra 20-plus pounds of pads they are wearing. And not all kids these days spend their time playing outside, a common practice of prior generations.
"Back in the day, kids would be running around playing all throughout the summer, so the transition wasn't as shocking to their systems," she said. "Many of today's kids stay inside during the summer in the air conditioning and aren't climatized to the heat when they get out in it."
Whatever the cause, Caparaso remains concerned. He has installed hydrating intervals between drills, and halfway through practice, he allows for a 15-minute break inside air-conditioned rooms.
"It's certainly a major issue and concern for us coaches, no question," Caparaso said. "You don't ever want to look back and think there was something you could have done differently."
The National Athletic Trainers Association drafted guidelines in 2009 recommending ways to prevent heat-related illness. Its primary recommendation involves gradually acclimating players over a 14-day period, with no two-a-day or full equipment (helmets only) practices during the first five days.
"It gives them a chance to adapt and deal with the heat better," Lopez said.
The guidelines also call for having an athletic trainer at every practice.
The absence of a trainer at last year's cross country meet became a point of contention after Newsome runner Lars Benner collapsed only a few yards from the finish. Benner was placed in an ice water bath until paramedics arrived at Lutz's Lake Park. He was taken to Tampa General Hospital and released that night.
Ten years ago, Minnesota Vikings lineman Korey Stringer collapsed on the field and died, drawing attention to the issue. Stringer's widow, Kelci, partnered with University of Connecticut heatstroke expert Doug Casa to form the Korey Stringer Institute with a mission of minimizing sudden death in sport, beginning with heatstroke.
The institute pushes for every state to mandate the guidelines it helped form with the National Athletic Trainers Association, but to date, only New Jersey has adopted the new standards.
Times researcher John Martin contributed to this story. Brandon Wright can be reached at hillsnews@sptimes.com.