Girls, Boys and Concussions

September 13, 2016

On Monday the Michigan High School Athletic Association announced the major findings from the first year that member high schools were required to report all suspected concussions in the practices and competitions conducted in the 28 sports served by the MHSAA.

It surprises no one that 11-player and 8-player football ranked first and third, with 49 and 34 head injuries per thousand participants, respectively.

And while I’m told it’s not surprising to the experts that girls report more head injuries than boys, it is stunning to me how very many more head injuries are reported for girls than boys.

In sports with identical playing rules, girls reported head injuries with approximately twice the frequency that boys did.

In soccer, girls reported 30 head injuries per 1,000 participants, compared to 18 per 1,000 for boys.

In basketball, girls reported 29 head injuries per 1,000 participants, compared to only 11 per 1,000 for boys.

Girls reported concussions at the rate of 11 per 1,000 participants in softball, while boys reported just 4 per 1,000 in baseball.

Only a small percentage of either girls or boys were cleared by licensed medical personnel to return to activity in less than six days, and more than half were withheld between six and 15 days in soccer and basketball. The data suggests that clearance for girls to be returned to activity was slightly more gradual than it was for boys.

Researchers and reporters may find dozens of other observations and curiosities from the summary of 4,452 confirmed head injury reports submitted by the MHSAA’s 755 member high schools for MHSAA-supported sports in 2015-16; but what has the MHSAA’s attention is this giant gender difference.

Is this gender difference accurate, and if so, what are the physiological factors involved that make it so?

Is there a tendency for over-reporting by females, or under-reporting by males, and if so, what are the social and/or psychological factors that may cause this?

Regardless, what does this mean for how coaches work with boys and girls; and what does that mean for how we prepare coaches through the MHSAA Coaches Advancement Program?

The MHSAA will take to an even deeper level its nearly 30-year partnership with the Institute for the Study of Youth Sports at Michigan State University to explore the issues related to coaches education that have emerged as a result of the first year of mandated concussion reporting for Michigan high schools.

The 2015-16 school year was only a start; it identified some initial themes. The more important value will be realized after the 2016-17 school year, and subsequent school years, when year-over-year comparisons will be made and trends will become apparent that will demand action to further promote the welfare of participants in school-sponsored sports.

Well Before Their Time

July 18, 2017

The 2017-18 school year is the 55th that the MHSAA has operated as a not-for-profit corporation, and the 93rd year it has existed under the name Michigan High School Athletic Association. It existed under that and different names and structures for nearly three decades before that.

Now, in an age when conventional wisdom is widely criticized, and advocating for change is sexier than arguing for the status quo, it is perilous to pay respects to those who gave form and focus to the MHSAA. But before anyone dismisses these thoughts as archaic sentimentalism, it should be noted that the pioneering leaders of schools and school sports in Michigan were bold, cutting-edge administrators, far ahead of their time in many ways. For example, 

  • They had organized and professionally staffed a statewide high school athletic association in Michigan by 1924, well before most states – perhaps only Illinois and Wisconsin were more advanced in this regard.

  • It was the leaders of this time, before all other states, who conducted high school tournaments for schools in separate classifications based on enrollment.

  • It was they who, 20 years earlier, had transformed a brutal sport called football, promoted by gamblers and dominated by over-age semi-pros, by transferring control from communities and colleges to high schools, then became the first state to require helmets to be worn by all players at all times during interscholastic games, and then abolished spring football for high school teams.

And it was they, with leaders of three dozen like-minded state high school associations across the U.S., who challenged the status quo and brought a stop to national high school basketball tournaments.

In the 1920s, the most prestigious of several national tournaments was conducted at the University of Chicago. It was for boys only, and mostly for large city schools. However, the 1920s closed with two actions that signaled the end of this and other national tournaments.

First, the Detroit Public Schools announced they would no longer participate in so-called national championships – not in basketball, nor in national track and swimming championships. Their travel would henceforth be limited to Michigan (and for a time, only to Detroit).

Second, on Feb. 25, 1929, the National Council of the National Federation of State High School Associations went on record against national basketball tournaments. The resolution contained this prophetic preamble:

“WHEREAS, Our high school athletics are constantly being exploited by agencies and for purposes generally devoid of any educational aims and ideals, specifically, for purposes of advertising, publicity, community, institutional and personal prestige, financial gain, entertainment and amusement, the recruiting of athletic teams and other purposes, none of which has much in common with the objectives of high school education; and

“WHEREAS, This exploitation tends to promote a tremendously exaggerated program of interscholastic contests, detrimental to the academic objectives of the high schools through a wholly indefensible distortion of values, and, in general subversive of any sane program of physical education; ...”