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.

The Measure of Success

February 17, 2017

In January of 2016, my counterparts in the statewide high school associations across the U.S. came together for about nine hours of professionally facilitated discussion.

We were challenged to tell our story, to say what we believe about high school sports and describe the values of educational athletics. We worked together to craft the narrative of school sports, the message of educational athletics and the meaning – the “why” of our work.

We were challenged to clarify what success means in school-sponsored sports – to distinguish our definition of success from that of sports on all other levels by all other sponsors.

On Jan. 11 of this year, during the meeting of the Classification Committee of the Michigan High School Athletic Association, one of the committee members – an active coach and athletic director – chastised and inspired us. He said (and I paraphrase):

“We spend so much time on MHSAA tournaments when that experience can be just one month or one week or one day. Half the teams are eliminated in their first day of the baseball, basketball, softball, soccer, volleyball and other MHSAA tournaments.

“We need to move our focus from MHSAA tournaments to the regular season, to the 9- or 18-game regular season, and to the 100 to 200 practices that occur over three or four months of each season.”

The Classification Committee was discussing the future of 8-player football and the effect of its growth on the 11-player game. He said:

“It doesn’t matter if it’s 11-player, 8-player or any other number. The values don’t change. The lessons aren’t altered. The purpose isn’t modified. In everything, we are helping young people become better adults.”

That’s how we measure success.