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.

Staying the Course

August 7, 2015

During my first days on this job 30 years ago this week, I told the MHSAA staff, interviewers and constituents that from my first week on the job to my last, there would be four fundamental issues which would continuously have our attention. Different problems, trends and fads would come and go; but we would remain faithful to these four topics:
  • Scholarship – meaning scholarship in high school, not athletic scholarships to college; maintaining school sports as a helper to the schools’ academic mission.
  • Sportsmanship – meaning the environment at interscholastic events, shaped by the attitudes and actions of players, coaches and spectators; seeing good sportsmanship as a precursor to good citizenship.
  • Safety – assuring parents that their children not only will be as safe as possible in school sports, but will develop habits that tend to encourage a lifetime of better health.
  • Scope – placing borders around school sports that tend to assure a sane and sensible, student-centered educational experience.

I said in 1986 that these would still be our top topics in 1996, 2006 and 2016; and the “Four S’s” have stood the test of time. In fact, they stand even taller now than three decades ago.

On Monday, the first day of this 30th year, 95 representatives of 70 schools gathered for training to execute one of two pilot programs we have launched for 2015-16 to improve the process of concussion detection at interscholastic practices and contests.

When fall practices begin next week, they will do so with three other health and safety changes.

  • All member schools, grades 7 through 12, must report all suspected concussions at practices and games to the MHSAA, utilizing a web-based reporting system on MHSAA.com.
  • All high school varsity head coaches must have a current certification in CPR.
  • All athletes in all levels of all sports in MHSAA member schools grades 7 through 12 will be provided, without charge to either their families or the schools, concussion care insurance aimed at assuring all students have access to prompt, professional medical care, regardless of family resources.