Concussion Care Continuum

June 2, 2015

The concussion care continuum is of equal importance from start to finish, but some of the stops along the way are more in the MHSAA’s area of influence than others, so they are receiving more of our attention.
We would never say that removal-from-play decisions are more important than return-to-play decisions. However, because the removal decisions occur at school sports venues by school-appointed persons, while the latter are made at medical facilities by licensed medical personnel selected by students’ families, the MHSAA is giving the removal process more attention than the return.
This helps to explain why the MHSAA is orchestrating pilot programs where volunteering member schools will be testing systems during the 2015-16 school year that may assist sideline personnel at practices and contests when assessing if a concussion event has occurred and that player should be withheld from further activity that day. The buzz that these pilot programs is creating will increase everyone’s attention on improving sideline concussion management. For more information, click here.
The MHSAA has always believed it shared a role with local schools and health care facilities and professional organizations of coaches and school administrators in the education of coaches, athletes and parents. This remains our first and foremost focus on the concussion care continuum.
But the pilot programs, and more specific requirements beginning in 2015-16 to report head injury events, demonstrate that the MHSAA is moving further along the continuum to assist the entire concussion management team. As we do so, our focus is on all levels of all sports for both genders, grades 7 through 12, with attention to both practices and competition.

Early Results

May 17, 2016

On May 3 we released a preliminary summation of results of winter season concussions reported by Michigan High School Athletic Association member schools. It was reported that 48 percent of the concussions reported were to female athletes, who make up only 38 percent of all winter season participants.

We will be digging deeper into the reports and providing a more comprehensive summary for all three seasons – fall, winter and spring; but we already see one suspected theme is being confirmed: more concussions reported for girls than for boys.

Even though girls’ participation in basketball is 36 percent lower than boys in MHSAA member high schools, there were 88 percent more concussions reported for girls than boys in that sport this past season.

We hope that researchers will step forward to inquire into the physiological, psychological, social and other reasons for the significant disparity in concussions reported by males and females; and perhaps they will be able to suggest what administrators, coaches, rule-makers and others might do in response to that research.

We expect that other themes suggested by the data from this first-year reporting requirement and then year-over-year comparisons will create interest in other research, all of which will help make school sports an even healthier experience for boys and girls than it already is.