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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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Rep Council Wrap-Up: Fall 2017
December 7, 2017
By Geoff Kimmerly
Second Half editor
A change in format for the Michigan High School Athletic Association Baseball Tournament was among notable actions taken by the Representative Council during its annual Fall Meeting, Dec. 1 in East Lansing, in addition to MHSAA basketball schedule changes for 2018-19 announced in a previous release Dec. 4.
Beginning with the 2019 tournament, baseball will move from its current one-day Saturday Regional and Quarterfinal the following Tuesday to a two-day “Super Regional” format. The Super Regional will begin with a Regional Semifinal on the Wednesday following District Finals, followed by two Regional Finals at the same site on Saturday. The winners of those two Regional Finals will then meet that same Saturday in a Super Regional championship game, with Super Regional winners then moving on directly to MHSAA Semifinals the following Thursday and Friday.
Both Regional champions will continue to receive trophies. No trophy will be awarded for the Super Regional champion. The MHSAA Softball Tournament, which runs concurrently with baseball’s event, will continue with the traditional schedule of Saturday Regionals followed by Tuesday Quarterfinals and then Semifinals and Finals the final weekend of the season.
The change for baseball is intended to provide teams more opportunities to use their top pitchers in the most meaningful games of the season, and was proposed by the MHSAA Baseball Committee prior to the Representative Council’s May 2017 meeting. However, the proposal was tabled at that time to give MHSAA staff an opportunity to observe how a new pitch-count rule – mandated to begin with the 2017 season by the National Federation of State High School Associations – might figure into possible changes to the tournament schedule.
The Council also took action in 8-player football, following up its decisions at earlier 2017 meetings to add a second division of playoffs and play this past season’s Finals at the Superior Dome in Marquette.
The Council’s latest actions dealt with schools’ eligibility to compete in the postseason. The Council voted to continue using the maximum enrollment for a Class D school as the limit to participate in the MHSAA 8-Player Football Playoffs. However, the Council also approved an allowance for schools that sponsored 8-player with a Class D enrollment one year to remain eligible for the 8-Player Playoffs the next year even if the school’s enrollment rises above the Class D limit. That allowance lasts only one year; the school’s enrollment must fall back below the Class D limit after for it to remain eligible for the 8-player postseason.
Generally, the Council takes only a few actions during its Fall Meeting, with topics often introduced for additional consideration and actions during its meetings in winter and spring.
The Council began conversation on a possible MHSAA role providing assistance to schools for scheduling regular-season football games, a task often cited as among the most difficult for administrators and especially those whose programs are among the most successful. The Council considered approaches used in other states and two options of what could be done to assist MHSAA member schools. A trial run paper study will be conducted for scheduling 8-player football for the 2018 season, distributed to Class D 8-player schools in April. The study will consider an option where schools would be split into two equal divisions, then four regions per division, from which each school would then schedule seven of its nine games for the upcoming season while leaving the other two dates open to play schools from other regions, the other division or other states.
Following up its request of staff at the May meeting to conduct a review of the MHSAA transfer rule, the Council discussed possible revisions to the rule that would make it sport-specific. The changes would allow for immediate eligibility for a transfer student in sports he or she had not participated in at the high school level prior to the transfer – which is more lenient than the current rule – but also stipulate a one-year period of ineligibility in those sports the transfer student had played in at the high school level during the school year prior to transferring, which is a longer period of ineligibility than currently required. The possibility of a sport-specific transfer rule has been discussed at league meetings and athletic director in-service and MHSAA UPDATE meetings over the last six months and will continue to be discussed at multiple venues this winter including the League Leadership meeting and Michigan Interscholastic Athletic Administrators Association conference, with a possible Council vote at its 2018 March or May meetings.
The Council as well continued its recent work on junior high/middle school athletics, examining survey results and other discussion on the possibility of allowing athletes in any sport except football to participate in a maximum of two non-school events during the school season in that sport, after tabling in May a Junior High/Middle School Committee recommendation to approve that proposal. The Council also discussed increasing the number of contests allowed each season and adding more MHSAA sponsored events at the junior high/middle school level, with action on all three topics possible in March or May.
In addition, the Council discussed the potential for beginning volleyball season two days earlier and also ending it seven days earlier, supported by 90 percent of athletic directors who responded to a survey on the topic but opposed by the Michigan Interscholastic Volleyball Coaches Association; and continued an ongoing discussion of options for potentially seeding basketball at the District level. The Council also began discourse on the process for identifying potential athletic programs and additional student populations the MHSAA could serve during the decade ahead.
The Fall Meeting saw the addition of Justin Jennings, superintendent for Muskegon Public Schools, to the 19-person Council. He was appointed to a two-year term. Jennings fills the position formerly held by Cheri Meier, assistant superintendent for Okemos Public Schools, whose term ended. Also, Courtney Hawkins, athletic director at Flint Beecher High School, was re-appointed for a second two-year term.
The Council re-elected Scott Grimes, assistant superintendent of human services for Grand Haven Area Public Schools, as its president; and Vic Michaels, director of physical education and athletics for the Archdiocese of Detroit, as secretary-treasurer. Saginaw Heritage athletic director Pete Ryan was elected as vice president.
The Representative Council is the legislative body of the MHSAA. All but five members are elected by member schools. Four members are appointed by the Council to facilitate representation of females and minorities, and the 19th position is occupied by the Superintendent of Public Instruction or designee.
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.