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.
Carry On
April 27, 2018
For many years my vocation has been that of executive director of the Michigan High School Athletic Association. My vocation -- not my occupation, which has the connotation of a pastime that merely consumed my days and years, or a space that only my physical presence has been taking up.
No, this has been my vocation, in the sense of the root word “vocari,” which means "to be called.” The MHSAA has not been my job; it’s been my purpose.
Anyone who knows my background would understand.
I grew up at the home of the executive director of the Wisconsin Interscholastic Athletic Association who was my role model as spouse, father and man. I was a twenty-something staff member of the National Federation of State High School Associations under the mentoring of Clifford Fagan, one of the deepest thinkers in the history of educational athletics. It was he who encouraged me to write about our work.
Anyone who has worked with me, listened to me or read what I've written would understand.
Everything has pivoted on protecting and promoting the core values of school-sponsored, student-centered athletics: policies, procedures and programs that put academics before athletics and attempt to develop the whole child.
For example, I see sportsmanship not as some corny promotion, but as a critical issue of educational athletics. I view good sportsmanship as a precursor to good citizenship. This is not the mindset of a man on the job, but of a man with a mission.
Going forward, those who love and lead school sports in Michigan must avoid doing those easy things that increase the scope and stakes of competition. Instead they must address every day those difficult policies, procedures and programs that enhance the physical, mental and emotional values of interscholastic athletics to students and the value of educational athletics to schools and society.
It's not more competition that is needed in high school sports, but more character. Not more sport specialization that's needed in junior high/middle school sports, but more sport sampling. Less attention to celebrating hype in sports events for youth, but more attention to cultivating life long-habits and good health for adults.
In leaving the MHSAA after 32 years this summer, I will have some regrets ... sad to be leaving the company of great staff and some extraordinary colleagues in our member schools ... sorry that even though we worked so hard and accomplished so much, there is still so much to do to keep school sports safe, sane and sportsmanlike.
There’s lots to do. Carry on.