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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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Changes Accompany Start of Fall Practice
August 8, 2019
By Geoff Kimmerly
Second Half editor
An assortment of game rules, preseason policy and postseason tournament changes will greet more than 100,000 high school student-athletes as 2019-20 Fall practices begin next week for nine sports for which the MHSAA sponsors postseason tournaments.
The most immediately noticeable adjustment will allow boys soccer, girls and boys cross country, boys tennis and girls golf teams to begin practice Monday, Aug. 12, along with football teams across the state.
Football practice traditionally begins before the rest of fall sports, by rule on the 16th Monday before Thanksgiving. However, a change approved by the MHSAA Representative Council will allow sports with MHSAA Finals tied to a specific weekend every fall – for example, Lower Peninsula Cross Country Finals always are the first weekend in November – the opportunity to begin practice on that 16th Monday as well, which will keep those teams from losing about a week of practice and competition during “late” Thanksgiving years when the holiday is during the fourth full week of November. Volleyball and Lower Peninsula girls swimming & diving – which, like football, have Finals tied to Thanksgiving – are not affected by the lateness of the holiday and will begin practice Wednesday, Aug. 14, keeping with their traditional starts.
Football teams must have 12 days of preseason practice at all levels before their first game, over a period of 16 calendar days before the first kickoff, with the first games this falls scheduled for the weekend of Aug. 29-31. Competition this fall may begin Aug. 16 for cross country, golf, soccer and tennis and Aug. 23 for volleyball and swimming & diving.
The most publicized change in MHSAA policy this fall likely will be the addition of limited seeding for Lower Peninsula Boys Soccer District play, using a Michigan Power Ratings (MPR) formula that debuted to assist in Boys Lacrosse Regional seeding this past spring and will be utilized as well for Districts in girls and boys basketball this winter and girls soccer beginning in 2020. The MPR formula ranks teams based on success and strength of schedule, with the top two teams in each District then placed on opposite sides of the bracket on the draw date for that sport. For boys soccer this fall, all games reported to the MHSAA through Sept. 28 will be used for MPR, with brackets announced Sept. 29. For more information on MPR and the boys soccer selection process, go to the MHSAA Website’s Boys Soccer page and see the information under “Tracking the Tournament."
Football remains the most played sport among MHSAA member school student-athletes and will introduce this season a series of in-game and practice-related changes. To improve pace of play, all varsity games will be played with a 40-second play clock that begins after the conclusion of the previous play except when there is an exception (penalty, timeout, etc.). In those circumstances, a 25-second clock will start with the referee’s ready-to-play whistle. Also beginning this football season, at the MHSAA Finals level, instant replay will be used to review all scoring plays and turnovers or potential scoring plays and turnovers (that is, when an official’s decision may have prevented or awarded a score or turnover). Replay review will be automatic in these situations.
The other notable rules changes in football continue a focus on safety. Tripping a ball carrier – that is, intentionally using the lower leg or foot to obstruct a runner below the knees – now will result in a 15-yard penalty. The definition of a horse-collar tackle also has been expanded to include grabbing of the name plate area on the back of the jersey (along with the inside of the neck area of the jersey or shoulder pads) to bring a runner to the ground. Horse-collar tackling also is penalized with a 15-yard personal foul.
Also beginning this season, the amount of practice “collision” contact will be defined in minutes instead of allowed days. Teams will be allowed no more than six hours of full-pads collision contact per week during the preseason and no more than 30 minutes of collision contact during a week of in-season (after games begin) practice. “Collision” is defined as contact at game speed, with the execution of full tackles at a competitive pace, taking players to the ground. Although “collision” contact will be limited, “thud” contact will be unlimited. “Thud” is not considered collision contact and defined as full speed but above the waist only, with no player taken to the ground and no winner or loser.
All fall sports face at least minor rules changes this season, and a few of the other most noticeable in-game adjustments will come in girls golf, volleyball, girls swimming & diving and boys soccer.
• In golf, athletes will be allowed to use cell phones in four situations – to call a coach or tournament administrator for a health and safety issue, for use in inputting scores for live scoring or other scoring applications, to contact a rules official with questions, and for use as a distance-measuring device.
• Also in golf, a new rule sets the maximum allowable score per hole at 12 strokes.
• In volleyball, attempted serves that make contact with a backboard or other support device hanging from the ceiling over the serving area now will be illegal serves instead of faults (which previously allowed the server another attempt). Also, when a ball in play strikes the cables or diagonal poles used to retract baskets or similar apparatus to the ceiling, the game official will stop play and determine if the ball was playable -- if it is ruled playable before making contact with the apparatus, there will be a replay; if the ball is deemed to have not been playable, it will be ruled out of bounds.
• Also in volleyball, a change regarding uniforms will make the libero more recognizable. A libero’s uniform top must clearly contrast with those of the rest of her teammates by using another predominant color. The libero’s uniform may be trimmed with the predominant color of her non-libero teammates’ uniforms, and vice versa. Also regarding volleyball uniforms, “00” may no longer be used as a jersey number, only numbers 0-99 to eliminate confusion.
• In swimming, the definition of a legal finish has changed to include a competitor touching any part of the finish end of the lane, not just the touch pad. In diving, the degree of difficulty was adjusted for back and reverse somersaults to provide consistency with difficulty of other dives.
• The game clock will stop in boys soccer beginning this fall when the team leading the game makes a substitution during the final five minutes of the second period of regulation or second part of overtime. This stoppage aims to prevent the team in the lead from using substitutions as a way to run time off the clock.
The 2019 Fall campaign culminates with postseason tournaments beginning with the Upper Peninsula Girls Tennis Finals during the first week of October and wraps up with the 11-Player Football Finals on Nov. 29 and 30. Here is a complete list of fall tournament dates:
Cross Country
U.P. Finals – Oct. 19
L.P. Regionals – Oct. 25 or 26
L.P. Finals – Nov. 2
11-Player Football
Selection Sunday – Oct. 27
Pre-Districts – Nov. 1 or 2
District Finals – Nov. 8 or 9
Regional Finals – Nov. 15 or 16
Semifinals – Nov. 23
Finals – Nov. 29-30
8-Player Football
Selection Sunday – Oct. 27
Regional Semifinals – Nov. 1 or 2
Regional Finals – Nov. 8 or 9
Semifinals – Nov. 16
Finals – Nov. 23
L.P. Girls Golf
Regionals – Oct. 7, 8, 9, 10, 11 or 12
Finals – Oct. 18-19
Soccer
Boys L.P. Districts – Oct. 9-11 & 14-19
Boys L.P. Regionals – Oct. 22-26
Boys L.P. Semifinals – Oct. 30
Boys L.P. Finals – Nov. 2
L.P. Girls Swimming & Diving
Diving Regionals – Nov.14
Swimming/Diving Finals – Nov. 22-23
Tennis
U.P. Girls Finals – Oct. 2, 3, 4 or 5
L.P. Boys Regionals – Oct. 10, 11 or 12
L.P. Finals – Oct. 18-19
Girls Volleyball
Districts – Nov. 4-9
Regionals – Nov. 12 &14
Quarterfinals – Nov. 19
Semifinals – Nov. 21-22
Finals – Nov. 23
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.