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.

Answering Seeding Questions

January 19, 2018

Seeding is a topic on the agenda of several Michigan High School Athletic Association sport committees. Last May, the Representative Council reiterated that its approach is to consider seeding on a sport-by-sport, level-by-level basis, depending on its committees and others to develop specific plans and to demonstrate wide support among schools of all sizes and types.

A recommendation by the Basketball Committee in December of 2016 to seed District and Regional basketball tournaments with one of the systems utilized by the NCAA for its men’s Division I tournament was not adopted by the Council last May, but MHSAA staff was requested to explore alternatives for seeding District level tournaments only.

Subsequently, MHSAA surveys have demonstrated significant support, especially in more populated areas, for an approach that separates on District basketball tournament brackets the top two teams of each District whose teams continue to be assigned on the basis of geography. We’ve found that historically strong programs tend to support this “simple seeding,” while middle-of-the-pack programs tend to see seeding as another obstacle to success and creating more distance between haves and have-nots.

MHSAA staff have demonstrated how similarly the results would have been if any one of the three systems had been used to perform this simple seeding of District basketball tournaments in 2017. In the vast majority of 2017 District tournaments, the team that actually won the tournament would have been the No. 1 seeded team in that District, demonstrating that simple seeding may be less about picking the winners than it is determining which two teams will play in the District championship games.

Many questions would have to be answered before any one of these systems could be adopted. However, even without answering any questions, in December 2017, the Basketball Committee recommended seeding for District tournaments as soon as possible.

At its January meeting, the MHSAA Classification Committee made a recommendation to the Representative Council that attempts to answer one of the questions. That committee agreed that if a plan is approved to separate the top two seeded teams in each geographically determined District of the Girls and Boys Basketball Tournaments, the system used should be completely controlled within the MHSAA office.

Of course, many other questions and logistical details need to be answered. Do we only use games versus member schools? What do we do with unreported scores? When is the data finalized? Should human input be added to the computer ratings? Do seeded teams automatically get a bye? How and when do we assign officials?

Answering such questions must come next.