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2017-18 Report Shows Fewer Concussions
August 8, 2018
By Geoff Kimmerly
Second Half editor
Concussions are down, according to data compiled by the Michigan High School Athletic Association during its third year of collecting head injury reports from member high schools.
The work is not done – but this year’s data reinforces trends that emerged during the first two years of reporting and will assist the MHSAA as it explores solutions to continue reducing the incidence of head injuries in school sports.
The 2017-18 concussion report found a 9.6-percent decrease in the number of confirmed concussions from the previous year. Student-athletes at MHSAA member high schools encountered during 2017-18 a total of 3,580 head injuries – or 4.8 per member school, compared to the 2016-17 average of 5.2. Total participation in MHSAA sports for 2017-18 was 284,920 – with students counted once for each sport he or she played – and only 1.3 percent of participants experienced a head injury, down from 1.4 in 2016-17 and 1.6 percent the first year of the study.
As first mandated in 2015-16, member schools are required to report head injuries to the MHSAA identifying the sport that each student-athlete was participating in and whether the injury was sustained during practice or competition. Schools also are required to designate at which level – varsity, junior varsity or freshman – the injury occurred.
The full report of all head injuries experienced during 2017-18 by student-athletes at MHSAA member high schools – including percentages by sport (per 1,000 participants), gender and team level, as well as data tracking when athletes returned to play – is available by clicking here.
Consistent with the first two years of the study, the MHSAA received data from more than 99 percent of its member high schools after the fall, winter and spring seasons and continued to track each injury report through its conclusion this summer. Member junior high and middle schools also were allowed, although not mandated, to report their potential head injuries; and those findings are not part of the published report.
The decrease in overall head injury reports collected for 2017-18 follows a similar reduction from 2015-16 to 2016-17 – and brings the total decrease to 19.6 percent fewer reports since the first year of the study.
MHSAA Executive Director John E. “Jack” Roberts noted that the decreases in reports, both year to year and since the first year of the survey, likely have some relation to year-to-year fluctuation, refinement of the follow-up reporting process and a better understanding by schools of what is not to be included for the survey – including head injuries not diagnosed as concussions and head injuries that did not take place during MHSAA-sponsored activities.
However, the findings of this year’s study – and their similarities to the findings from the first two surveys – has begun to clarify the identification and understanding of trends. Continuing to emerge perhaps most prominently is the higher incidence of concussion reports from girls sports – and pertinent questions about physiological and social causes behind those results.
“With three years of reporting by virtually 100 percent of our high schools, what we’re learning is no longer anecdotal; the results are beginning to identify valid trends and genuine issues that need to be addressed,” Roberts said. “For example, it’s even clearer than before that girls are reporting three times the number of concussions as boys when comparing similar sports – soccer, basketball and baseball versus softball. As a result, we’ve already begun to incorporate these gender differences into our coaches education, and the writers of high school playing rules are obligated to focus on these gender differences as well.”
Although the total number of confirmed concussions was significantly lower again in 2017-18, a number of findings detailing those injuries fell in line with results of the first two surveys.
Boys experienced 2,373– or 66 percent – of those injuries, the same ratio as 2016-17, and not surprisingly as boys have a much higher participation in contact sports. More than half of head injuries – 56 percent – were experienced by varsity athletes, which for the second year also fell within a percent difference of the previous year’s findings.
A total of 2,330 head injuries – or 65 percent – came in competition as opposed to practice. More than half took place during either the middle of practice or middle of competition as opposed to the start or end, and 52 percent of injuries were a result of person-to-person contact. The MHSAA also asked schools to report the number of days between the head injury and the athlete’s return to activity – and the two largest groups, both at 24 percent, returned to activity after either 6 to 10 days of rest or 11 to 15. All of these findings were within 1-3 percent of those discovered from the 2016-17 data.
Contact sports again revealed the most head injuries. Ranking first was football, 11 and 8-player combined, with 41 head injuries per 1,000 participants – a decrease for the second straight year, this time from 44 head injuries per 1,000 participants in 2016-17 and down from 49 head injuries per 1,000 football participants shown by the first study in 2015-16.
Ice hockey repeated with the second-most injuries per 1,000, with 32 (down from 36 injuries per 1,000 from 2016-17 and 38 per 1,000 in 2015-16), and girls soccer and wrestling tied for third with 25 head injuries per 1,000 participants – girls soccer down from 28 head injuries per 1,000 participants and wrestling down from 26 per 1,000 in 2016-17.
Also consistent with 2016-17, the next five sports (after football and hockey) to show the highest incidences of head injuries were girls sports – girls soccer followed by girls basketball (22 per 1,000), girls competitive cheer (20) and girls lacrosse (20). Boys lacrosse (17), girls gymnastics (16) and boys soccer (12) were the only other sports to show double-digit head injuries per 1,000 participants.
Females again reported significantly more concussions than males playing the same or similar sports – soccer, basketball and baseball/softball. Female soccer players reported more than double the concussions per 1,000 participants as male soccer players (25 to 12), while female basketball players also reported more than double the number of concussions per 1,000 participants (22 to 9). Softball players reported seven concussions per 1,000 participants, and baseball players reported three per 1,000. Although the percentage differences vary from year to year, the results of all three comparisons remained consistent with what the survey found in 2015-16 and 2016-17.
The MHSAA in 2018-19 is directing its sport committees to focus on a pair of questions – how to increase participation and how to make their specific sports safer – the latter aiming to put some of what has been learned from concussion reporting into practice. The MHSAA also is continuing to invite Michigan’s universities, health care systems and the National Federation of State High School Associations (NFHS) to take part in analyzing the data and resulting questions that have arisen during the past three years.
“Regrettably, I do not see a nationwide head injury reporting effort likely,” Roberts said. “First, it’s hard to coordinate 50 states’ efforts. And second, if left to medical professionals, the survey tool might become so cumbersome that schools would be reluctant to participate – and certainly, it would not get the 99.9 percent cooperation that we’ve enjoyed from schools over these three years.”
Schools report possible concussions online via the MHSAA Website. Reports are then examined by members of the MHSAA staff, who follow up with school administrators as those student-athletes continue to receive care and eventually return to play. Student privacy is protected.
The reporting of possible concussions is part of a three-pronged advance by the MHSAA in concussion care begun during the 2015-16 school year. The MHSAA completed in spring 2017 the largest-ever state high school association sideline concussion testing pilot program, with a sample of schools from across the state over two years using one of two screening tests designed to detect concussions. The MHSAA also was the first state association to provide all participants at every member high school and junior high/middle school with insurance intended to pay accident medical expense benefits – covering deductibles and co-pays left unpaid by other policies – resulting from head injuries sustained during school practices or competitions and at no cost to either schools or families.
Previously, the MHSAA also was among the first state associations to adopt a return-to-play protocol that keeps an athlete out of activity until at least the next day after a suspected concussion, and allows that athlete to return to play only after he or she has been cleared unconditionally for activity by a doctor (M.D. or D.O.), physician’s assistant or nurse practitioner.
In addition, the MHSAA’s Coaches Advancement Program – which includes courses that must be completed by all varsity head coaches hired for the first time at a member school – provides substantial instruction on concussion care. Separately, rules meetings that are required viewing for high school varsity and subvarsity head and assistant coaches at the start of each season include detailed training on caring for athletes with possible head injuries.
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2020-21 Classifications Announced
April 20, 2020
By Geoff Kimmerly
Second Half editor
Classifications for MHSAA elections and postseason tournaments for the 2020-21 school year have been announced – including football divisions determined preseason for the first time since 1998 – and with enrollment breaks for postseason tournaments posted to each sport’s page on the MHSAA Website.
Classifications for the upcoming school year are based on a second semester count date, which for MHSAA purposes was Feb. 12. The enrollment figure submitted for athletic classification purposes may be different from the count submitted for school aid purposes, as it does not include students ineligible for athletic competition because they reached their 19th birthday prior to September 1 of the current school year and will not include alternative education students if none are allowed athletic eligibility by the local school district.
All sports’ tournaments are conducted with schools assigned to equal or nearly equal divisions, with lines dependent on how many schools participate in those respective sports.
For 2020-21, there are 752 tournament-qualified member schools. Schools recently were notified of their classification, and sport-by-sport divisions were posted to the MHSAA Website today (April 20). MHSAA Executive Director Mark Uyl said schools may not subsequently lower their enrollment figure. However, if revised enrollment figures are higher and indicate that a school should be playing in a higher division, that school would be moved up.
Football will undergo a significant classification change for the 2020 season, with teams in both 11 and 8-player assigned their divisions before the season for the first time since 1998; from 1999-2019, divisions for the 256-team 11-player field (and later the 8-player tournament) were determined after the regular season. A hard enrollment limit also will take effect this fall for teams to be eligible for the 8-player tournament – all schools with 215 or fewer students are eligible for the 8-player playoffs if they play that format during the regular season.
Two 11-player football champions will play in different divisions in 2020 than those they won a year ago. Grand Rapids Catholic Central will move to Division 5 after winning the Division 4 championship last season, while reigning Division 6 champion Monroe St. Mary Catholic Central will play in Division 7 this upcoming season. Also, 2019 Division 2 runner-up Detroit Martin Luther King will play in Division 3 this fall. In 8-player football, the reigning champions will trade divisions – 2019 Division 1 winner Colon moving into Division 2, and Division 2 champ Pickford moving into Division 1 for this fall.
A number of 2019-20 champions will be playing in different divisions in 2020-21. Grand Rapids Forest Hills Northern’s boys soccer team will move into Division 1 after winning the Division 2 title in 2019. The East Grand Rapids girls swimming & diving team will move back into Lower Peninsula Division 2 – which it won in 2017 – after earning the last two championships in Division 3. Bridgman’s girls cross country team will move into Lower Peninsula Division 3 after winning Division 4 last fall, and Grass Lake’s boys bowling team will move into Division 3 after winning the Division 4 title this winter. The Allegan boys tennis team will move into Lower Peninsula Division 3 after sharing the Division 4 title in the fall, while the Ishpeming Westwood girls tennis team will move into Upper Peninsula Division 1 after winning the Division 2 title the last four seasons. (NOTE: MHSAA Finals in five Winter sports and all Spring sports were canceled in 2019-20 due to COVID-19.)
Visit the respective sport pages on the MHSAA Website to review the divisional alignments for all MHSAA-sponsored tournament sports.
Traditional classes (A, B, C, D) – formerly used to establish tournament classifications – are used only for MHSAA elections. To determine traditional classifications, after all counts are submitted, tournament-qualified member schools are ranked according to enrollment and then split as closely into quarters as possible. For 2020-21, there are 188 member schools in each class.
Effective with the 2020-21 school year, schools with 831 or more students are in Class A. The enrollment limits for Class B are 392-830, Class C is 182-391, and schools with enrollments of 181 and fewer are Class D. The break between Classes A and B decreased 32 students from 2019-20, the break between Classes B and C decreased three students, and the break between Classes C and D is seven students fewer than the 2019-20 school year.
The new classification breaks will see 18 schools move up in Class for 2020-21 while 15 schools will move down:
Moving Up from Class B to Class A
Fowlerville
Harper Woods
Ionia
Moving Down from Class A to Class B
Battle Creek Harper Creek
Eastpointe
Moving Up from Class C to Class B
Blissfield
Canton Prep
Dearborn Riverside Academy West
Detroit Pershing
Detroit Edison
Ecorse
Moving Down from Class B to Class C
Adrian Madison
Detroit Jalen Rose Leadership Academy
Grand Rapids Wellspring Prep
Menominee
Otisville-LakeVille Memorial
Perry
Pinconning
Moving Up from Class D to Class C
Birmingham Roeper
Detroit Academy of the Americas
Detroit Southeastern
Detroit The School at Marygrove
Eau Claire
Genesee
New Buffalo
Painesdale Jeffers
Moving up from Class D to Class B
Detroit Cornerstone Lincoln King Academy
Moving Down from Class C to Class D
Benton Harbor Countryside Academy
Deckerville
Detroit Douglass
Detroit Public Safety Academy
Indian River Inland Lakes
Mayville
New Postseason Eligible Tournament Schools in 2020-21
Bay City Academy
Boyne City Concord Academy
Detroit Cornerstone Lincoln King Academy
Lansing Martin Luther
Detroit Collegiate
Redford Westfield Prep
Enrollment Breaks by Classes – 2020-21
(Number of schools in parentheses)
Class A: 831 and above (188 schools)
Class B: 392 – 830 (188)
Class C: 182 – 391 (188)
Class D: 181 and below (188)
The MHSAA is a private, not-for-profit corporation of voluntary membership by more than 1,500 public and private senior high schools and junior high/middle schools which exists to develop common rules for athletic eligibility and competition. No government funds or tax dollars support the MHSAA, which was the first such association nationally to not accept membership dues or tournament entry fees from schools. Member schools which enforce these rules are permitted to participate in MHSAA tournaments, which attract more than 1.4 million spectators each year.