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.

More Than X’s & O’s

April 17, 2015

It’s nearly the fourth quarter. We are just completing year six of eight years in which we have been addressing four important health and safety issues that, for ease of conversation, we call the “Four H’s.” These are much more important than the X’s and O’s of sports.
During the 2009-10 and 2010-11 school years, the first quarter, our focus was on Health Histories. During this time we made enhancements in the pre-participation physical examination form, stressing the student’s health history, which we believe was and is the essential first step to participant health and safety.
During the 2011-12 and 2012-13 school years, the second quarter, our focus was on Heads. We were an early adopter – before state law mandates – of removal-from-play and return-to-play protocols, and our preseason rules/risk management meetings for coaches included information on concussion prevention, recognition and aftercare.
Without leaving that behind, during the 2013-14 and 2014-15 school years, the third quarter, our focus was on Heat – acclimatization. We adopted a policy to manage heat and humidity – it is recommended for regular season and it’s a requirement for MHSAA tournaments. The rules/risk management meetings for coaches during these years focused on heat and humidity management. At the mid-point of this two-year period, the MHSAA adopted policies to enhance acclimatization at early season football practices and to reduce head contact at practices all season long.
Without leaving any of the three previous health and safety “H’s” behind, during the 2015-16 and 2016-17 school years, the fourth quarter, our focus will be on Hearts – sudden cardiac arrest and sudden cardiac death. Coinciding with this emphasis is the requirement that all high school level, varsity level head coaches be CPR certified starting this fall. Our emphasis will be on AEDs and emergency action plans – having them and rehearsing them; and this summer we are expecting to deliver to every high school free of charge the “Anyone Can Save a Life” program developed in Minnesota and being distributed nationwide with the assistance of the National Federation of State High School Associations.