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 Walk in the Woods

July 3, 2018

(This blog first appeared on MHSAA.com on July 30, 2010)


My wife and I were on a long walk through the woods and back roads of west Michigan this summer when she remarked, “We’re not lost; but we don’t know where we are.”

We knew how to get back to our car, but we didn’t know the direction we were headed. “We’re not lost,” I mused; “but we don’t know where we are.”

That’s an apt description for interscholastic athletics. We could back-track on the path to the origins of this journey, so we’re really not lost. But I don’t know anyone who really knows where we are, which direction we might be headed.

There are few who have viewed interscholastic athletics from more angles than I; but I’m not any clearer about the future than the newest coach or most casual fan. I’ve looked at high school sports as a coach, and as the son of a coach. I’ve been involved as a player, and as the parent of two players. I’m the son of a state leader and the protégé of a national leader. I’ve been an administrator at the state and national levels. I’ve read the old histories and handbooks, and I’ve talked at length with key leaders of the past. But I don’t know where we’re headed.

Where does this path lead that relaxes or eliminates out-of-season practice and competition restrictions for athletes and their coaches? From the repeated complaints of coaches and administrators, it’s evident that path was a bad choice; but how now to find our way back? We’ve taken a few steps back, but we know it was downhill to this point and a tough uphill climb back.

Where, if ever, is the end of this path that leads to more and more commercialization of sports? Where are we being taken as high school associations in other states relax or eliminate amateur and awards rules?

Where are the sporting goods manufacturers and street agents taking high school basketball? Will the game that has captured hearts and minds for generations continue its charm when the pervasive corruption of college basketball is exposed or it infects high school heroes beyond healing?

When, if ever, will the government’s thirst to regulate sports be quenched? Where, if ever, will the requests end for extra protections and privileges for special groups?

When, if ever, will seasons be long enough, travel far enough and the stakes high enough to satisfy promoters? Where are we being taken as high school associations in other states take down the barricades placed on those paths by the pioneers of our programs?

Eventually, on our walk through the woods, my wife and I determined it was time to turn around and head back toward our starting point. We didn’t think we could go any further ahead and still make our way back. We knew we didn’t have the power of mind to remember more turns. We ran out of memory before we ran out of energy.

I worry that some of those who are pushing the limits of high school athletics have forgotten where they parked the car. And having forgotten this, they wander in vain through the woods, trying this turn and that.

They’ve run out of memory, but not energy; and sadly, they drag us along, deceiving us and perhaps themselves that it’s only around the next corner or over the next hill that we will see clearly again or reach our goal.

(Note: This was first published in the MHSAA’s August 1995 Bulletin and in 2000 was included in the book Raising Expectations, which is now a part of the MHSAA Library.)