A Hot Topic

July 10, 2012

It is a terrible irony that Georgia saw two of its high school football players die late last summer when it’s the Georgia High School Association that was providing us with the best information we’ve ever had about the risks of heat illness and death.

The deaths occurred in the third year of a thorough three-year study in Georgia that is reinforcing common sense. The study is confirming who is most at risk and when they’re most at risk.

  • Who is most at risk? Linemen more than other players; underclassmen more than older players; those who have had the flu or similar sickness more than others.
  • When are they most at risk? During the season’s first week more than the second. During the second practice of a double session day more than the first. During the second half of the second practice more than the first half, and, early in the morning when humidity is often highest.

It all makes perfect sense: the chubby 9th or 10th grader during the second half of the second practice during the first week of the season. And because it’s statistically predictable, heat illness is almost entirely preventable.

There is some danger here in over-generalizing and over-simplifying, but awareness of these tendencies will help coaches to schedule and administrators to legislate around high-risk scenarios. We expect both will be happening in Michigan.

What We’ve Learned

July 12, 2017

Here’s some of what we’ve learned from the first two years of having all Michigan High School Athletic Association member high schools report suspected concussions and make follow-up reports for each.

First and foremost, concussions are of concern beyond football and boys. While football – the highest participation sport – has had the most concussions, the sports that follow are girls basketball (second) and girls soccer (third).

Which leads to the second lesson: Girls report two to three times as many concussions as boys in basketball and soccer, as well as in softball compared to baseball.

Which leads to the third lesson: Whether girls actually experience more concussions than boys or are more forthcoming than boys in reporting suspected concussions, coaches need to coach and communicate with females differently than males; and coach educators must prepare coaches to interact differently with boys and girls.

We’ve also learned that more than 80 percent of concussions caused the athlete to be withheld from activity for six days or longer; and again, there was a tendency to withhold girls longer than boys. In any event, the data suggests that people are taking concussions seriously and not rushing students back into practices or contests.

The data also reveals that more than two-thirds of reported concussions arise from competition, and less than one-third occur during the many longer hours of practice. This is a reversal of the data we were provided a decade ago based on smaller samplings from other states; and this suggests that coaches are finding ways to teach skills and conduct drills without requiring as much player-to-player contact as in the past.

That’s good news. But we’ve also learned from the first two years of data that there is still more to research, more to learn and more to do to make our good games even better.