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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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MHSAA Remembers Late Director Norris
February 12, 2018
By Geoff Kimmerly
Second Half editor
Jack Roberts always was astonished at the amount of detail his predecessor Vern Norris could recall about the people he’d met over many years contributing to high school athletics at the state and national levels.
When the Michigan High School Athletic Association executive director last spoke with his predecessor, Norris had been in contact with past counterparts from Kansas, Iowa and the National Federation – although Norris had retired from the MHSAA more than three decades ago.
“He was genuinely interested in people and their backgrounds and their families,” Roberts said. “He had good friends. He was good at being a friend, and colleague. I think he genuinely cared about relationships between people.”
And he built many over 23 years at the MHSAA office.
Norris, who led the MHSAA from the fall of 1978 through the summer of 1986, died early Monday morning in Lansing. He was 89.
Norris joined the MHSAA staff on July 15, 1963, as Assistant State Director of Athletics under longtime Executive Director Charles E. Forsythe and then-Associate Director Allen W. Bush. Norris was promoted to Associate Director when Bush was appointed Executive Director in 1968, then took over as Executive Director upon Bush’s retirement in 1978. Forsythe, Bush, Norris and Roberts are the only full-time executive directors to serve during the MHSAA’s 94-year history.
Norris brought to the MHSAA a wealth of experience having coached at Traverse City, Rockford and Hillsdale high schools. He served as Assistant Director of Placement at Western Michigan University for the five years prior to joining the MHSAA staff, and during that time Norris built a reputation as a highly-regarded game official in the Kalamazoo area – and worked as a referee during the 1963 MHSAA Class A Boys Basketball Final.
Norris served on a number of national rules-making bodies during his 23-year tenure with the MHSAA, and as president of the Executive Board of the National Federation of State High School Associations (NFHS) during the 1983-84 school year. But he was best known for his work with Michigan’s coaches and especially officials. An award bearing Norris’ name is presented by the MHSAA each spring to a veteran official who has been active in a local officials association, has mentored other officials, and has been involved in officials’ education. The award has been given since 1992 at the annual Officials’ Awards & Alumni Banquet, which was begun during Norris’ tenure in 1980.
“Vern was respected and admired widely by contest officials, and it was because of that that I asked the Representative Council to approve an award for leaders who were especially involved in mentoring and training officials,” said Roberts, who succeeded Norris in 1986. “A total of 26 officials have received the Norris Award, and more than 10,000 officials have been honored at our annual banquet recognizing a group of contributors especially close to his heart.”
Norris shepherded a number of key advances during his tenures both as associate and executive director. The early 1970s saw the addition of MHSAA tournament events in girls sports, and football playoffs were added in 1975. Membership also grew during his time with the association; the MHSAA had 682 member high schools at the start of 1963-64, and 713 when Norris stepped down.
During his time at the MHSAA, Norris also served as a member of the NFHS Basketball Rules Committee from 1978-82, on the NFHS Constitution Revision Committee in 1979 and as a member of the editorial staff of the NFHS Rules Committee from 1980-82.
He served on the NFHS Executive Board representing Michigan’s section of five Midwestern states during a four-year term that concluded with his year as president, and he also served as chairperson of the NFHS Telecommunications Committee in 1972.
After leaving the MHSAA, Norris served as Commissioner of the Great Lakes Intercollegiate Athletic Conference from fall of 1987 through the close of the 1991-92 school year.
In retirement, Norris kept in touch with MHSAA staff. He and Roberts spoke every few months throughout the years. And, “he could not have been more gracious when he retired and I was hired. He gave me total support and just the right amount of advice,” Roberts added.
When Norris announced he was leaving the MHSAA early in 1986, then-Lansing State Journal Prep Editor Bob Gross wrote “his integrity is beyond question. He has never shown favoritism to a school, and he has never bent the rules. It’s always been strictly business, exactly what it should be. … That’s why I liked Vern Norris so much. He has always been fair.”
A graduate of Grand Rapids Godwin Heights High School, Norris earned his bachelor’s degree in physical education from Western Michigan University and a master’s in school administration from the University of Michigan.
In addition to his MHSAA and NFHS work, Norris served as a football or basketball rules clinician in various states and multiple provinces of Canada, and served on amateur basketball’s rules-making body at the time – the National Basketball Committee of the United States and Canada – from 1972-76. He contributed during the late 1960s and 1970s on the National Alliance Basketball Advisory and National Alliance Football Rules committees. Norris also served on the United States Olympic Committee’s House of Delegates in 1985.
A Service of Coronation will be held at 11 a.m. Friday at Trinity Lutheran Church in Lansing, with family receiving friends from 2-4 and 6-8 p.m. Thursday at Estes-Leadley Greater Lansing Chapel and at 10 a.m. Friday at the church.
PHOTOS: (Top) Then-Associate Director Vern Norris and Executive Director Al Bush hold up trophies to be awarded at the 1974 Boys Basketball Finals. (Middle) Bush, Charles E. Forsythe and Norris. (Below) Bush, current Executive Director Jack Roberts and Norris in 1988.