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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 Connecting at Junior High Level
By
Geoff Kimmerly
MHSAA.com senior editor
June 6, 2017
By Geoff Kimmerly
Second Half editor
Signs and banners were displayed at stadiums. Announcements were made to the crowd.
And most of all, questions were answered concerning the current role of the Michigan High School Athletic Association in junior high/middle school athletics – and the increased role the Association would like to take on in the future.
Throughout May, the MHSAA served as presenting sponsor at junior high/middle school track & field meets at Ravenna, Harrison, Grand Blanc and Saginaw White Pine Middle School.
This sponsorship pilot program was a first step on the path to making stronger connections with student-athletes before they reach high school. The MHSAA provided meet management with banners and other signage to hang at the events, and public address announcements on sportsmanship, multi-sport participation, officials recruitment and other notable topics affecting competitors and their families.
Also made available were printed materials on sportsmanship, officials recruitment and the benefits of taking part in junior high/middle school sports. And as part of the opportunity, the MHSAA donated grants of $500 to help with the administration of those meets – again, all in the name of getting the MHSAA message in front of students years before they reach high school.
“I couldn’t believe how many people did not realize middle schools were connected to the MHSAA. That in itself was huge for publicity,” said Damon Amey, athletic director at White Pine. “I feel that if they know we are members, they immediately know we follow a set of rules. We are student-first oriented.”
The MHSAA served 740 junior high/middle school members, plus 24 elementary schools with 6th graders participating, during the 2016-17 school year – up from 705 junior high/middle schools only a year before.
Junior high/middle schools long have been eligible for membership in the MHSAA. An entire section of the MHSAA Handbook is dedicated to them. But the Association also has turned a heavier focus toward that level over the last four years.
The MHSAA Representative Council approved the creation of a Junior High/Middle School Task Force during its December 2013 meeting, and that task force was instrumental in the addition of 6th grader participation this past school year and the lengthening of contests in some sports. The Council this spring approved a recommendation by the Junior High/Middle School Committee (a permanent committee separate from the task force) urging all MHSAA sport committees to consider opportunities to add more games and dates to middle school schedules.
Last month’s sponsorship pilot program also stemmed from this recent work.
“We need to, for the future of high school sports, get more involved at the junior high/middle school level,” said MHSAA assistant director Cody Inglis, who oversees the Junior High/Middle School Committee and led the task force. “It’s not a matter of should we, but how quickly can we get involved.”
Inglis served as something of an ambassador in setting up and attending multiple sponsored junior high/middle school meets. Because of the perception that the MHSAA is mostly associated with high school athletics, Inglis noticed some curious and questioning looks in response to the visible presence of the Association at those meets.
But there were more positives, by far. On multiple occasions, the winners of the meets asked to have their team photos taken with the MHSAA banner on the field. One team took individual photos of each athlete holding the trophy in front of the banner as well.
While not many, Inglis did have conversations about officiating with a handful of interested people – good news as the MHSAA is always in pursuit of adding to those numbers. And his presence gave fans an opportunity to ask about the MHSAA’s role both at the high school and junior high/middle school level – and gave him the opportunity to explain how the Association works and dispel some myths.
“I love the fact that the MHSAA was at our conference track meet,” Montague NBC Middle School athletic director Jay Mulder said. “Cody did a great job in talking with parents, athletes and coaches. The presence was just enough to get people to take notice of the MHSAA.
“As a middle school AD and a middle school coach, I am very encouraged and excited to see the active role that the MHSAA is taking with middle school sports. I think that it bodes well for the future.”
Amey noted a number of opportunities with printed materials and championship medals that could further promote the MHSAA’s messaging at junior high/middle school meets. Also part of future plans is the recruitment of regional “ambassadors” – retired coaches, athletic directors and officials would be among candidates – who will travel to junior highs and middle schools in their areas and grow connections at that level.
As members, junior highs and middle schools receive the structure and support of MHSAA rules and governance, and every athlete receives catastrophic and concussion care insurance managed by the MHSAA. More interaction by these ambassadors could lead to more membership – the meet at White Pine, for example, included nearly half non-MHSAA schools – and also more benefit to members, be it additional sponsorship, off-field programs or even MHSAA-created championship events to give those athletes more opportunities to shine at this lower level and as they work toward taking that big step to high school.
“It’s been like a light bulb has gone off,” Inglis said. “The brand of the MHSAA is viewed as a high school-only brand, and it was humbling to see the power in that brand as people look to the ultimate goal.
“However we can parlay that into more of a presence and use that brand to get involved in school sports at the younger levels, that helps in that transition.”
PHOTOS: (Top) Students from Grand Blanc West Middle School, Fenton Schmidt Middle School and Linden Middle School stand together with an MHSAA banner during the Flint Metro League meet last month. (Middle) The Montague NBC Middle School girls track & field team poses with a banner after winning the West Michigan Conference championship. (Photos courtesy of the Grand Blanc and Montague schools’ athletic departments.)