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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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Forsythe Honorees Led with Statewide View
March 6, 2019
By Geoff Kimmerly
Second Half editor
Jim Derocher always tried to listen to everyone before making a decision while serving on the MHSAA's Representative Council. He wanted to best serve not just the stars but all student-athletes, and not just those down the road but all over Michigan.
Longtime Council member Fred Smith always thought back to something Lake Michigan Catholic coach Terry Rose once told him: when making decisions, do what's best for kids first. Smith did so while trying to consider the needs not just of the student-athletes in his community, but in the many communities all over the state.
Both Derocher and Smith served thousands of students locally over decades of service and provided statewide contributions that continue to guide educational athletics in Michigan today. In recognition of their dedication, Derocher and Smith have been named the 2019 recipients of the Michigan High School Athletic Association’s Charles E. Forsythe Award.
The annual award is in its 42nd year and named after former MHSAA Executive Director Charles E. Forsythe, the Association's first full-time and longest-serving chief executive. Forsythe Award recipients are selected each year by the MHSAA Representative Council, based on an individual's outstanding contributions to the interscholastic athletics community. Derocher and Smith will receive their honors during the break after the first quarter of the MHSAA Division 1 Boys Basketball Final on March 16 at the Breslin Student Events Center in East Lansing.
After beginning his career as a teacher and coach at L’Anse, Derocher went on to serve as athletic director and assistant principal at Ishpeming Westwood from 1989-94, then as superintendent at Brimley from 1994-98 and finally Negaunee from 1998-2014. He also represented the Upper Peninsula’s Class C & D schools on the MHSAA Representative Council from 2003-14 and served as its president from 2008-14.
Smith taught, coached and served as athletic director at St. Joseph Lake Michigan Catholic from 1981-91, then served as athletic director at Comstock from 1991-2007, Buchanan from 2007-2015 and Benton Harbor from 2015-17. He represented the Lower Peninsula’s Southwestern Class A & B schools on the MHSAA Representative Council from 2008-17, including serving as vice president his final four years.
“Jim Derocher was an outstanding Council president, always approaching things first as a superintendent and looking at the big picture,” MHSAA Executive Director Mark Uyl said. “He provided a statewide perspective through an Upper Peninsula prism, always considering how decisions would impact schools from Monroe to Menominee.
“Fred Smith is simply one of the best athletic directors I’ve gotten to work with during my career in athletics,” Uyl added. “I met him while he was at Comstock; from Comstock to Buchanan to Benton Harbor he was presented with and led his programs through different challenges. And he always served as a champion for those schools in that part of the state while keeping a statewide perspective when helping shape the Council’s work.”
Derocher finished his time at L’Anse earning the Copper Country Conference Coach of the Year award for boys basketball in 1989, and he also served as an MHSAA-registered official in football, boys and girls basketball from 1970-90. While on the Representative Council, Derocher served concurrently on the Upper Peninsula Athletic Committee.
He was a member of the Michigan Association of School Administrators from 1994-2014 and selected as its Region 1 Superintendent of the Year in 2013. He also received MASA’s 20-year Distinguished Administrator Award.
“I believe the experiences our student-athletes get in school athletics molds their future, whether they are the stars of the team or the supporting cast that make a team. This experience is no different for students in Brimley, Negaunee or Detroit," Derocher said. "I was always trying to work with other members of the Representative Council to recognize that these student-athletes are the same all over the state. I wanted to provide the best possible experience while also giving equality to all.”
Smith’s impact continues to be far-reaching. He remains active as part of the Michigan Interscholastic Athletic Administrators Association (MIAAA) and National Interscholastic Athletic Administrators Association (NIAAA), having served on the Board of Directors for both and recently named to the Strategic Planning Committee for the latter. He also continues to teach courses for the MHSAA’s Coaches Advancement Program (CAP) and taught the NIAAA’s Leadership Training Course at the national conference and via the internet in 13 states. He has presented at a number of MHSAA New Athletic Administrator In-Service programs and served as the co-chairperson of the MIAAA’s Professional Development Committee.
Smith has been a registered cross country and track & field official for more than 30 years, and while an athletic director at his various schools hosted a multitude of MHSAA Tournament events in cross country, volleyball, boys and girls tennis, boys and girls basketball, track & field, wrestling, baseball, boys and girls soccer and softball. He received the MHSAA’s Allen W. Bush Award in 2014 for his many contributions behind the scenes, was named the MIAAA’s Athletic Director of the Year in 2000 and George Lovich State Award of Merit winner in 2007, and received the Art Jevert/Bruce Jacobs Distinguished Service Award from the Association of Track Officials of Michigan (ATOM) in 2013. He was named Midwest Athletic Director of the Year in 2000 as well by the National Council of Secondary School Athletic Directors (NCSSAD), and recognized by the NIAAA with a special commendation in 1999, its Distinguished Service Award in 2000, its Thomas Frederick Award of Excellence in 2004 and its Frank Kovaleski Professional Development Award in 2012. Smith also is a member of the Battle Creek St. Philip and Comstock halls of fame.
“Looking back on the service, it goes back to something my mom taught me when I was young and tried to impress on my brothers and sisters – it’s better to serve than to be served,” Smith said. “I’ve always tried to serve. I was very blessed with good high school coaches, and I enjoyed my high school experience at St. Philip. I was wanting to give back and fell into that niche, and I really enjoyed it.”
Derocher graduated from L’Anse High School in 1970 and earned his bachelor’s in secondary education, mathematics and physics in 1975 and master’s in education in 1988, both from Northern Michigan University. He also earned education specialist certification in 2003. He was a member of the Lake Superior Community Partnership from 2003-14 and remains a member of the Negaunee Lions Club. He resides in Ishpeming and works as an account executive for SET SEG, which coordinates benefits for Michigan public schools and their employees.
Smith graduated from Battle Creek St. Philip in 1973 and Western Michigan University with his bachelor’s degree in 1979. He received the Certified Master Athletic Administrator designation from the NIAAA in 2004. He remains active through his church, Our Lady Queen of Peace Catholic Church in Bridgman, and resides in Stevensville.
Past recipients of the Charles E. Forsythe Award
1978 - Brick Fowler, Port Huron; Paul Smarks, Warren
1979 - Earl Messner, Reed City; Howard Beatty, Saginaw
1980 - Max Carey, Freesoil
1981 - Steven Sluka, Grand Haven; Samuel Madden, Detroit
1982 - Ernest Buckholz, Mt. Clemens; T. Arthur Treloar, Petoskey
1983 - Leroy Dues, Detroit; Richard Maher, Sturgis
1984 - William Hart, Marquette; Donald Stamats, Caro
1985 - John Cotton, Farmington; Robert James, Warren
1986 - William Robinson, Detroit; Irving Soderland, Norway
1987 - Jack Streidl, Plainwell; Wayne Hellenga, Decatur
1988 - Jack Johnson, Dearborn; Alan Williams, North Adams
1989 - Walter Bazylewicz, Berkley; Dennis Kiley, Jackson
1990 - Webster Morrison, Pickford; Herbert Quade, Benton Harbor
1991 - Clifford Buckmaster, Petoskey; Donald Domke, Northville
1992 - William Maskill, Kalamazoo; Thomas G. McShannock, Muskegon
1993 - Roy A. Allen Jr., Detroit; John Duncan, Cedarville
1994 - Kermit Ambrose, Royal Oak
1995 - Bob Perry, Lowell
1996 - Charles H. Jones, Royal Oak
1997 - Michael A. Foster, Richland; Robert G. Grimes, Battle Creek
1998 - Lofton C. Greene, River Rouge; Joseph J. Todey, Essexville
1999 - Bernie Larson, Battle Creek
2000 - Blake Hagman, Kalamazoo; Jerry Cvengros, Escanaba
2001 - Norm Johnson, Bangor; George Lovich, Canton
2002 - John Fundukian, Novi
2003 - Ken Semelsberger, Port Huron
2004 - Marco Marcet, Frankenmuth
2005 - Jim Feldkamp, Troy
2006 - Dan McShannock, Midland; Dail Prucka, Monroe
2007 - Keith Eldred, Williamston; Tom Hickman, Spring Lake
2008 - Jamie Gent, Haslett; William Newkirk, Sanford-Meridian
2009 - Paul Ellinger, Cheboygan
2010 - Rudy Godefroidt, Hemlock; Mike Boyd, Waterford
2011 - Eric C. Federico, Trenton
2012 - Bill Mick, Midland
2013 - Jim Gilmore, Tecumseh; Dave Hutton, Grandville
2014 - Dan Flynn, Escanaba
2015 - Hugh Matson, Saginaw
2016 - Gary Hice, Petoskey; Gina Mazzolini, Lansing
2017 - Chuck Nurek, Rochester Hills
2018 - Gary Ellis, Allegan
PHOTOS: (Top left) Fred Smith, left, congratulates Edwardsburg football coach Kevin Bartz after the 2017 Division 4 Final at Ford Field. (Top right) Jim Derocher, left, presents Tecumseh's Jim Gilmore with the Forsythe Award in 2013 at the Breslin Center.