Counting Concussions

December 9, 2016

Member high schools of the Michigan High School Athletic Association are in the second year of required reporting of concussions that occur during practices and contests in all levels of all sports served by the MHSAA. In year one there were 4,452 confirmed concussions reported. Less than two percent of almost 300,000 participants sustained a concussion, about half of which caused the student to be withheld from activity for between five and 15 days.

Not surprisingly, approximately half of the confirmed concussions were reported by Class A schools, which typically sponsor more sports and have larger squads than smaller schools. Class B schools provided almost 30 percent of the reports; Class C schools nearly 15 percent; and Class D schools less than six percent.

As we transition from fall to winter season, we can begin to make comparisons between years one and two of the mandated reporting. At this point, schools are reporting 1.6 percent fewer concussions this year than last.

This is surprising, because sideline personnel of member high schools have become more alert to the signs and symptoms of concussions. We anticipated that this would lead to more concussions being reported.

It is possible that these early stats are a sign of real progress in reducing head injuries in school sports. And, grabbing our attention most from the early reports is that 11-player football is reporting 3.9 percent fewer concussions as of Nov. 30, 2016 compared to the same week in 2015; and boys soccer is reporting 10.9 percent fewer than on the same date last year.

Multi-Sport Imperative

September 15, 2015

During all my years administering school sports programs, my colleagues in this work here and across the U.S. and I have criticized sports specialization for young athletes; but until very recently it seemed the only people who agreed with us were ourselves.

Each single-sport organization promoted its own sport, and coaches of those sports tended to pressure athletes to focus on a single sport early in life and eventually exclusively. Parents bought into the fantasy that this early single-mindedness was the key to a college athletic scholarship and even a professional sports career.

While we spoke of a high-minded philosophy, on the local level, as a practical matter, more and more coaches and athletes were pursuing an ever-narrower sports experience. Until now.

Starting very recently, the conversation has changed, or at least it’s been joined by new voices. We’ve learned that Big Ten football coaches favor recruits who play more than football in high school. We’ve learned that our fantastic Women’s World Cup Soccer champions were almost all multiple-sport athletes in secondary school. We’ve learned that the hottest young U.S. golfer on the Men’s PGA Tour was a multiple-sport enthusiast in his teens. We’ve seen a half-dozen high profile sports executives with school-aged children advocate for a more balanced experience for their kids. And now we see several dozen amateur and professional sports organizations have joined a campaign to oppose the negative trends in youth sports and to promote a more balanced, healthier sports experience for children and adolescents.

And there it is – a healthier experience. Suddenly, our philosophy that multiple-sport participation is better for youth than sport specialization has been made a health and safety issue, which we’ve known all along but have not emphasized enough.

Now, with attention to over-use injuries and burnout, sport specialization has become a health and safety crisis on the level of concussions, heat illness and sudden cardiac arrest. Multi-sport participation has become a health and safety imperative. A matter of good public policy.

We need to catch and ride this wave for all it’s worth. In the same way the environmental movement catches fire when presented as a human rights issue – that people everywhere have a basic right to clean air and water – we must present sport specialization as a threat to young persons’ health and safety – a risk as great as head trauma, heat illness and heart failure, requiring the kind of bold policies and programs we’ve implemented in recent years to address those equally serious problems.