Improving Concussion Data
August 18, 2017
The Michigan High School Athletic Association’s 750 member high schools reported nearly 500 fewer concussions for the 2016-17 school year than the year before – 11 percent fewer.
That’s good news, but it’s not a trend we can bank on. It’s too soon to do that. There are too many variables that might explain or contribute to the decline from 4,452 to 3,958 concussions.
Related Story | 2016-17 Summary Report
But of this we are certain: Schools are taking head injuries seriously. It is not a lack of concern or a lack of care in reporting that has led to the 11 percent decline.
It’s more likely the second year’s data is just better than the first year. The process was better understood. The numbers are more accurate.
Our data will become most reliable and useful when we have several years to compare and analyze. Only then will we really know where the trouble spots remain; and only then can those areas be most effectively addressed.
Health Histories
September 4, 2012
Eighteen months ago we completed two new preparticipation physical examination forms: (1) a two-sided card delivered without charge to schools in whatever quantity they need; and (2) a four-page form that is downloadable at MHSAA.com.
Both are improved from the previous card in that they ask more about family and student health history which, more than any cursory exam, helps identify potential health risks before participation. Both were developed with the cooperation and consensus of a diverse panel of medical experts assembled by the Michigan Department of Community Health.
At schools’ requests, the MHSAA has distributed more copies of the two-sided card than there are students enrolled in MHSAA member schools; so we know the form has widespread use. But still, this particular form is not required, which allows schools with a special local resource to utilize something they like better, and this also allows families with special needs to use the documents that best meet their child’s circumstances.
The take-away on this topic is that today’s standard of care is a comprehensive physical with detailed family history prior to first participation in school sports and, thereafter, more cursory annual exams, except when the student has had an injury or illness that requires more review.