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.

Living With Change

December 1, 2017

One of the odd and irksome scenes I observe occurs when a relative newcomer to an enterprise lectures more seasoned veterans about change. About how change is all around us, and inevitable. About how we must embrace it and keep pace with it.

All that is true, of course; and no one knows more about that than the veteran being subjected to the newcomer’s condescension.

No one “gets it” better than those who have lived and worked through it. Short-timers can’t claim superiority on a subject they’ve only read or heard about.

Who has the deeper appreciation of change in our enterprise? The person who started working before the Internet, or after? Before social media, or after?

Who has keener knowledge of change in youth sports? The person in this work before, or after, the Amateur Athletic Union changed its focus from international competition and the Olympics to youth sports?

Who sees change more profoundly? The one who launched a career before the advent of commercially-driven sports specialization, or the one who has only seen the youth sports landscape as it exists today?

Who can better evaluate the shifting sands: newcomers or the ones who labored before colleges televised on any other day but Saturday and the pros televised on any other day but Sunday (and Thanksgiving)?

Where newcomers see things as they are, veterans can see things that have changed. They can be more aware of change, and more appreciative of its pros and cons. They didn’t merely inherit change, they lived it.