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.
Upon Further Review ...
May 12, 2017
A veteran track & field coach wrote critically that the Michigan High School Athletic Association has erred by not implementing numerous proposals of his state coaches association over the years. So this year I was an even more careful than usual observer of the fate of proposals from coaches associations and our own coach-dominated sport committees.
Some proposals from coaches associations don’t even make it to a vote at the MHSAA sport committee level. Others fail to get an affirmative vote, while still others are passed by the committee as a recommendation to the MHSAA Representative Council.
Each of the sport committee recommendations that is received by the time of the League Leadership meeting in mid-February is presented to the league administrators in attendance so they will be aware of what’s flowing in the pipeline toward the MHSAA Representative Council for a vote. It is intended that these sport committee recommendations will be discussed at meetings by each league, and that the MHSAA staff will be notified of questions or concerns that any proposal generates.
MHSAA staff – most often Associate Director Tom Rashid – take some of the proposals on the road, to both league meetings and Athletic Director In-Service programs, where experienced practical minds praise some proposals and poke holes in others.
Many of the recommendations are also discussed at the March conference of the Michigan Interscholastic Athletic Administrators Association, and some are made “Position Statements” on which the MIAAA members vote at the conclusion of their conference. It’s interesting to observe that some recommendations that passed coach-dominated sport committees with unanimous support fail to receive 50 percent support by the athletic directors as they make a more circumspect review of the issue.
All along the way, the MHSAA staff is watching, listening, and learning. We learn, for example, that some proposals have negative unintended consequences, that other proposals lack sufficient research or even essential facts, and that in both cases, approval should be denied or at least delayed for more complete development and study.
That was a major theme of this past week’s Representative Council meeting when many committee proposals were, if not derailed, at least detained for later departure. For example:
A proposal to revise the limited team membership rule for 6th-, 7th- and 8th-graders that would allow during the school season up to two dates of non-school participation in all sports except football was tabled in order to gather more membership input.
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A proposal to alter the three-decade-old MHSAA Baseball Tournament schedule was delayed to consider the effects of and questions raised by the pitching limitation rule that is new this year – a late requirement of the national rules committee.
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A proposal to seed and bracket District and Regional Basketball Tournaments raised more questions than answers and did not advance.
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A proposal to require observers in each group at all Lower Peninsula Boys and Girls Regional and Final Golf Tournaments was at least slowed.
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A proposal to require two days rest between the Semifinal and Final games of soccer Regionals received a yellow card, even though the proposal has good intentions and is part of an evolving package of proposals to make that sport a healthier experience – with more attention to practice and training and less competition.
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A national soccer committee rule change regarding the color of undergarments was delayed indefinitely by the Council, to avoid both unnecessary confusion and new costs.
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A proposal to allow additional teams to advance from Regionals to Finals in the MHSAA Lower Peninsula Tennis Tournaments was not adopted – perhaps a good idea in good weather, but problematic in bad.