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.
Leadership Impressions - #1 (The Double Win)
June 8, 2018
I have tried to treat the staff I’ve hired at the Michigan High School Athletic Association the way I wanted to be treated as a staff member before I came to the MHSAA as executive director. I wanted to be given a job and be allowed to run with it, without interference.
This dislike I have for micromanagement turned out to be a double win. Staff have enjoyed their freedom, and I’ve enjoyed mine. By not spending time overseeing and second-guessing staff, the executive director has had time to work on other matters.
Those other matters have sometimes turned out to be unique and defining features of the MHSAA. For example:
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The only state high school association to publish an issued-focused magazine, benchmarks.
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The only state high school association to conduct a face-to-face, multi-level coaches education program anytime, anywhere across the state, the Coaches Advancement Program.
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The only state high school association to conduct the true sport of girls competitive cheer.
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The only state high school association to mandate reporting of all suspected concussions in practices or competition for all sports by all member high schools.
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The only state high school association to pay for concussion care “gap” insurance for all students in grades 6 through 12, at no cost to schools or families.
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The only state high school association with a Task Force on Multi-Sport Participation.
But at least as often, this time for reflection has helped the association identify areas of weakness that could be turned into strengths. For example:
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It allowed us to be among the nation’s earliest adopters of concussion protocols, and then to see the need to appoint a task force to address contact/collision exposure during football practice.
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It allowed us to be among the earliest adopters of regular-season recommendations and postseason requirements for managing high heat and humidity.
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It allowed us to move from the back of the room to nearly head of the class in terms of state high school association health and safety training requirements for coaches.
It was only because the MHSAA operated with a talented and empowered staff that the executive director could devote time to the NFHS Network during the past five years, serving as the Network board chairman during its first five years of operation. This forward-looking initiative is arguably the most effective platform the National Federation of State High School Associations has ever had for promoting school-based sports and the values of educational athletics.
A hands-off, lead-by-example leadership style unlocks the time leaders need to look down the road and around the corner, to try to separate trendy fad from fundamental trend.
Sports is a slave to defined season and contest starting and stopping points that promote routine. But in today’s world, school sports requires anything but routine thinking. And breaking from routine thinking demands that high school athletic association leaders leave their staff alone and replace as many supervisory hours as possible with opportunities to learn from people in other places working in other disciplines ... and then to disrupt our routines with some of those ideas.