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.

Look Out Below!

March 27, 2018

Here are the kinds of statements that should send chills down the spines of thoughtful leaders of school-based basketball:

  • From Maverick Carter, business manager for LeBron James and CEO of Springhill Entertainment: “... the system is broken at the base, the foundation of it, which is youth basketball ... And if youth basketball is broken, then that’s part of his (NBA Commissioner Adam Silver’s) job, too, because those kids are quickly in his league.”
    “... the NCAA has these stupid-ass rules that are so archaic, so you have to fix that whole thing and figure out a way to do it. I own a piece of Liverpool football club, in European soccer, because clubs have a system all the way down to youth.”

  • From Michelle Roberts, NBA Players Association executive director: “... we need to go younger, and we’re now plotting ways to do that.”

  • From Draymond Green, formerly of Michigan State and now of the NBA’s Golden State Warriors: “You talk to the European guys who I’ve played with, and they’ve been making money since they were 15 years old ...”

  • From Michael Singer of the Commercial Appeal, Memphis, TN: “... the NBA is indeed exploring avenues to connect with elite high school players and improve the developmental system ... Part of the NBA’s plan could hinge on working with elite prospects throughout high school, whether at tournaments or at summer camps.”

So, at minimum, this is what school-based sports can expect as a result of NBA and NCAA efforts to fix what’s broken in college basketball:

  1. Additional pressures on students to specialize in basketball year-round from a very early age.

  2. Further distraction from the masses of players toward elite players.

  3. An attack on amateur standing rules in school-based basketball.