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.

Well-Roundedness

January 5, 2018

Editor's Note: This blog originally was posted November 22, 2013, and the topic rings true today.


As high school seniors are scrambling to complete their college applications, I’ve reflected on how what is valued is changing.

I was accepted to both of the Ivy League schools to which I applied. This was at a time when evidence of being well-balanced, middle class and Midwestern were seen as strengths on an application. I don’t think I would be admitted to those institutions on the basis of those strengths today.

It appears that our so-called “elite” institutions are now looking for the outlier:

  • Not participation in three different sports, each in its own season; but participation in one sport, year-around; and the more non-traditional the sport, the better.

  • Not committed involvement in activities of the local school; but involvement away from school; maybe the invention of a product or electronic program or the founding of some nonprofit organization that improves the human condition of people in other places.

When we list all the factors that entice high school students to specialize in a single sport, we need to include that society today has made “well-roundedness” less worthy of praise than being “one-of-a-kind,” and that’s diminishing the value of being a team member unless one is the star on that team.

It is highly doubtful that either high schools or colleges are strengthened by these trends. More importantly, it is equally doubtful that single-focus childhood is the strongest way for young people to become good neighbors and community citizens.

What I continue to encourage for most students is that they sample the broad buffet of opportunities that a full-service school offers. To participate in both athletic and non-athletic activities. In both individual and team sports. To be a starter in one sport and a substitute in another. To participate in solo and ensemble. To be onstage and backstage. To taste winning and losing, and both in ample proportion.