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.

Misdirection

March 2, 2018

Our big problem is that we are distracted by small matters. For example ...

I don’t think there is any close, thoughtful observer who can honestly say high school basketball is in better shape today than any number of years ago that one might pick ... 10, 20, 30 or more years.

Changes in students, schools, sports and society have not been kind to school-based basketball. Charter schools, school of choice, non-school sports, migration into other sports and activities, specialization in a single sport, and burnout leading to dropouts from organized sports are a few of many factors contributing to declining participation. And there is more competition for attention away from schools and away from school sports every single day. So the fault is not one thing only.

Girls basketball has been particularly hard hit by specialization in volleyball that was supercharged after the switch of basketball and volleyball seasons a decade ago. Girls basketball participation declined in every school year since the change of seasons before a 2.2 percent increase for 2017-18.

The days when most schools sponsor three basketball teams each for boys and girls – 9th grade, JV and varsity – are long gone; and that’s not just because we were forced to cram both genders’ basketball seasons into the winter. Many of those same schools now struggle to support one subvarsity team, and many have very short benches – only two or three subs – at the varsity level.

Every week the gap between the haves and have-nots grows wider and more obvious to all, with final scores so lopsided that the games could not have been a good experience for anyone – players or spectators, home team or visitor.

One would think that these matters would be on the minds of those who love and lead high school basketball and that they would be working diligently on initiatives to address the declining interest and growing imbalance in what was once the centerpiece sport of interscholastic athletics.

They would be asking, “What can we do at the junior high/middle school level to engage students ... to start them or keep them on the path to high school basketball programs? How can we encourage and equip high school coaches to attract to and hold in their programs more high school students? How can we help coaches increase all players’ game time? How can we help coaches teach players to value and grow from the experience of being a backup player?”

Surprisingly, the only proposals related to basketball that are advancing toward Representative Council action at this time are (1) seed MHSAA District tournaments, and (2) expand the coaching box.

Sadly, these proposals do nothing to reverse the decline of high school basketball. They are distractions from the hard work of reclaiming a healthy culture for the most historically important sport to schools in Michigan.

The culture shift needed is away from an all-star event for a few graduating seniors and toward ongoing educational programs for all coaches, every year. Away from national events and toward city, county and conference rivalries. Away from “elite” travel teams to K-6 development programs out of season. Away from creeping commercialism and professionalism and toward a recommitment to amateurism. Away from gamesmanship and toward sportsmanship. Away from running up the score – a lot – to allowing every team member to play – a lot. 

The clock is ticking on the life of student-centered school-sponsored basketball. And a lot bigger proposals are needed than what we’ve been generating of late.