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.

A Temporary Fix

December 8, 2017

After six months of effort, there is only a 12-month solution for issues affecting the girls and boys basketball seasons and Michigan High School Athletic Association basketball tournaments.

On Dec. 1, the MHSAA Representative Council approved switching the girls and boys basketball calendars for 2018-19 only. Boys basketball adopts the regular season and tournament schedules that have previously been in effect for girls, and girls basketball adopts the regular season and tournament schedules that have been in place for boys. The Semifinal and Final venues will continue to be Van Noord Arena at Calvin College for girls and MSU’s Breslin Student Events Center for boys.

Decisions regarding schedules and sites for the 2019-20 season and beyond will be determined by the Council at a later meeting.

The MHSAA’s hand has been forced by NCAA Division I women’s basketball tournament conflicts with the traditional dates for MHSAA basketball tournaments. That changing NCAA schedule and other factors have combined to limit venue options for MHSAA tournaments. Just one facility large enough to host the MHSAA boys Semifinals and Finals is available in 2019 and 2020. That’s MSU’s Breslin Center.

Many other basketball scheduling options have been studied during the past six months, including moving both tournaments a week earlier or later, separating the girls and boys tournaments by an additional week, or conducting both tournaments over the same three weeks with only the four championship games for each gender at MSU.

However, because 2019 is not a typical year for how the NCAA and MHSAA calendars relate to one another, (2018, 2020, 2021 and 2022 are typical), more innovative changes in formats and schedules made for 2019 would have needed adjustment again for 2020.

The decision to switch seasons and tournaments for one year only allows a test of the opinion that the transition from fall to winter sports might be better if boys basketball started before girls.

The decision also provides Calvin College the opportunity to host the girls Semifinals and Finals at least twice at Van Noord Arena, which has twice hosted NCAA Division III championships in both women’s basketball and women’s volleyball. Two years is our usual minimum; and tournaments almost always run more smoothly in the second year than in the first year at a venue. Van Noord is the largest NCAA Division III arena in the country.

In any event, more time is needed to further study and explain more innovative scheduling and tournament formats, and possibly gain better understanding and greater support for grander plans.