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. 

Scholars & Athletes 2017: Class B

By Geoff Kimmerly
MHSAA.com senior editor

February 13, 2017

By Geoff Kimmerly
Second Half editor

The MHSAA has selected nine student-athletes from Class B member schools to receive scholarships through the MHSAA-Farm Bureau Insurance Scholar-Athlete Award program.  

Farm Bureau Insurance, in its 28th year of sponsoring the award, will give $1,000 college scholarships to 32 individuals who represent their member schools in at least one sport in which the Association sponsors a postseason tournament. The first 30 scholarships are awarded proportionately by school classification and the number of student-athletes involved in those classes; also, there are two at-large honorees which can come from any classification.

Students applying for the Scholar-Athlete Award must be carrying at least a 3.5 (on a 4.0 scale) grade-point average and have previously won a letter in a varsity sport in which the Michigan High School Athletic Association sponsors a postseason tournament. Other requirements for the applicants were to show active participation in other school and community activities and produce an essay on the importance of sportsmanship in educational athletics.

Each of the scholarship recipients will be honored at halftime ceremonies of the Class C Boys Basketball Final game March 25 at the Breslin Student Events Center in East Lansing. Commemorative medallions will be given to the finalists in recognition of their accomplishments.

The Class B Scholar-Athlete Award honorees are: Michael Bian, Bloomfield Hills Cranbrook Kingswood; Morgan Colling, Houghton; Jasmine Harper, Clare; Sasha Hartje, Detroit Country Day; Brayden Huddleston, Benzonia Benzie Central; Adam Kozinski, Edwardsburg; Tait Morrissey, Big Rapids; Kim Anh Nguyen, Wyoming Kelloggsville; and Emma Nowak, Ann Arbor Gabriel Richard.

Overviews of the scholarship recipients of the Class B Scholar-Athlete Award follow. A quote from each recipient's essay also is included:

Morgan Colling
Houghton
Played four years of varsity basketball and ran two years each of varsity cross country and track & field, plus played two seasons of subvarsity volleyball. Qualified for the MHSAA Finals twice in both cross country and track and earned all-league recognition in basketball while helping that team to three league and two District titles during her first three seasons. Served as cross country and basketball captain. Participating in second year of National Honor Society and third of student government and key club. Serving as service project coordinator chair for NHS and vice president for key club, and has volunteered with Salvation Army and Copper Country Humane Society all four years of high school. Participated two years in Junior State of America and studied during the summer of 2016 in Hiroshima, Japan, after winning a Japan-America Friendship Scholarship. Will study microbiology at California Polytechnic State University.

Essay Quote: “When my vision cleared and I saw the winning team, overjoyed and grinning ear-to-ear, something inside me mended. I recognized the look on their faces; I had seen it many times before on my own teammates. It was then that I realized that the only difference between my team, and theirs, was our uniforms. As fellow basketball players, we shared the same passion, determination and yearning for success.”

Jasmine Harper
Clare
Ran four year of varsity cross country and will run her fourth of track & field, and has broken a total of four school records while earning a combined 10 all-state honors in those sports. Selected as the top academic all-state cross country athlete in Lower Peninsula Division 3 as a junior and capped her career this past fall by finishing ninth at the MHSAA Final in that division. Served as captain of both teams and ran for Michigan at the 2016 Mid-East Meet of Champions. Participated two years each in National Honor Society and student government, as her class president both years of the latter. Also participated in marching and symphonic band all four years of high school and theater for three years; earned 10 state merit awards and two national fourth-place finishes from the National Youth Ministries’ National Fine Arts Festival. Also served in leadership roles in her local Fellowship of Christian Athletes. Will attend Spring Arbor University and study elementary education. 

Essay Quote: “I was the conference champion my freshman year of cross country, but illness and injuries prevented me from keeping that title the next three years. I experienced what it was like to have a younger teammate beat me. But, I was reminded to treat everyone the same, whether I won or lost.”

Sasha Hartje
Detroit Country Day
Played three seasons of varsity volleyball and will pay her fourth of tennis and second of soccer this spring. Won Lower Peninsula Division 3 championship at No. 1 singles in 2016 after finishing runner-up in 2015, also leading Country Day to the team title. Earned all-state honors in tennis three times and all-region honorable mention in volleyball; served as captain of both teams and earned her school’s Scholar Athlete Award in 2016. Also plays ice hockey and was part of the 2014 bantam major national championship team, and serves as captain of her Little Caesars AAA hockey club. Serves as president of her school’s Current Events Club and lead instructor and coordinator for “Skate to be Great” in addition to volunteering with Big Brothers Big Sisters. Will attend Emory University in Georgia and major in pre-medical studies.

Essay Quote: “Over the years, these lessons I have been taught on the tennis court have rounded out not only my athletic education, but more importantly, my life. The lessons of sportsmanship and fair play on the field of battle, in the classroom or outside of both sports and school are always the same and carry the true measure of success.”

Kim Anh Nguyen
Wyoming Kelloggsville
Participated in varsity competitive cheer for three seasons, played two of varsity tennis and one of varsity volleyball. Earned all-conference honors in cheer as a sophomore and junior while helping her teams to league titles both seasons; served as captain of cheer and junior varsity volleyball teams. Participating in fourth year of student government and third of National Honor Society and is serving as president both of her class and NHS chapter. Also has participated in marching band four years including as drum major and for three years on her school’s Athletic Leadership Council. Will attend University of Michigan and study biochemistry.

Essay Quote: “When I am in a gym full of teams from all over the state, I see girls of different backgrounds, all wearing different uniforms. Despite this, we are unified by the same adrenaline that pumps through our veins as we approach an empty mat and staring faces. We are bound by the same passion and breathe as one before we perform. This sense of unity would not be possible without sportsmanship, for it creates memories that extend beyond titles and trophies.”

Emma Nowak
Ann Arbor Gabriel Richard
Played three seasons of varsity volleyball and will play her fourth of softball; also played freshman basketball. Started as setter of the volleyball team that finished 42-0 and won the Class B title in 2015 and three District and two Regional titles overall during her time on varsity; also expects to start at shortstop for her fourth season and helped her team to its first Detroit Catholic League title in 2015. Earned all-league honors in both sports, all-District in softball and all-Region in volleyball, and captained teams in all three of her high school sports and club volleyball. Participating in second year of National Honor Society and serves or has served in leadership positions for a number of efforts in her school and church including Be Love Revolution and as part of the Pine Hills Camp service team. Carries a 3.97 grade-point average and has earned multiple academic awards. Remains undecided on where she will attend college but intends to pursue studies in the medical field.

Essay Quote: “I have always been taught to compete hard, while respecting my opponent. What I have come to learn is you can also befriend your opponent and still compete every bit as hard … and that sportsmanship in athletics can lead to friendships and memories that I will always cherish.”

Michael Bian
Bloomfield Hills Cranbrook Kingswood
Played four seasons of varsity tennis, winning an individual Lower Peninsula Division 3 championship at No. 1 doubles in the fall after finishing runner-up at No. 3 singles twice; helped Cranbrook Kingswood to MHSAA team titles in both 2015 and 2016 and served as captain as a senior. Earned all-state recognition the last three seasons and his team earned all-academic honors as well the last three years. Also has participated on robotics and quiz bowl teams the last four years, helping robotics team to a state championship and VEX World Championship qualification three times. Serving as vice president of senior class while in fourth year of student government and is co-founder and president of his school’s philosophy club; also has been president of robotics and quiz bowl teams and of his school’s Future Business Leaders & Economists and Science & Engineering clubs. Named National Consumers League LifeSmarts state champion and ranked as ninth-best debater at 2016 state finals. Remains undecided where he will attend college, but intends to study philosophy, economics or political science. 

Essay Quote: “One of the greatest myths we hear about sportsmanship is that it is purely altruistic – that those who engage in it have nothing to gain. On the contrary, those who display sportsmanship gain important virtues.”

Brayden Huddleston
Benzonia Benzie Central
Ran four seasons of cross country, will run his fourth of track & field and played two seasons of varsity basketball. Earned all-state honors all four years of cross country, finishing seventh in Lower Peninsula Division 3 as a senior, and helped that team to two MHSAA championships. Also earned all-state five times in track and helped the basketball team to a District title, and has captained all three teams. Participating in second year of both National Honor Society and National Technological Honors Society; named “Student of the Year” at Traverse City’s Manufacturing Technology Academy. Serves as vice president of Interact Club which has raised more than $10,000 toward polio and multiple sclerosis research and has participated in “Back the Track” foundation that has raised more than $140,000. Will attend Bradley University and study mechanical engineering.

Essay Quote: “One of my biggest role models was a runner from another team. I remember watching, as a freshman, him dominate the field. It wasn’t how fast he ran or the distance he put on the second-place kid that made him stick out to me. … He was modest, never wanting to talk about himself. He had a way of making you feel just as fast or (like you had) the same potential as he did. At these realizations, I aspired to model my athletic career after him.”

Adam Kozinski
Edwardsburg
Played three seasons of varsity soccer and basketball and will play his third of varsity golf; also played a season of varsity tennis. Earned all-league honors in basketball and tennis and academic all-state in basketball and soccer while his team earned academic all-state in golf. Helped his basketball team to two District titles and has served as a captain of the soccer, basketball and golf teams. Serves as secretary of his National Honor Society chapter and as a committee chairperson for Students Against Destructive Decisions. Assisted in NHS fundraising of more than $30,000 for “Operation Christmas” event to benefit less-fortunate families and represented his school at a Hugh O’Brian Youth Leadership conference. Has volunteered at a local food pantry and churches and serves as Sunday morning head chef at University of Notre Dame’s Corby Hall, where he prepares meals for priests. Will attend Central Michigan University and study business.

Essay Quote: “Having an opportunity to play varsity sports since my freshman year, I have experienced a variety of ways senior and junior teammates treat underclassmen. Throughout the years, I have observed seniors that are very positive and uplifting to underclassmen, but then some other senior teammates are negative. … I decided when I was a senior, I would try to be the most positive and encouraging teammate on the team.”

Tait Morrissey
Big Rapids
Played four seasons of varsity tennis, two of varsity basketball and will play his fourth of varsity golf this spring. Earned all-conference honors in golf his first three seasons and helped that team to league, District and Regional championships and a third-place MHSAA Finals finish last season. Also helped his basketball team to league, District and Regional titles and a Class B Semifinal berth in 2016. Earned academic all-state honors in tennis his last two seasons; served as captain of that team and will serve as golf captain this spring. Serving second year as his class’ vice president and also has served as a representative for Fellowship of Christian Athletes, the Mecosta County Youth Advisory Council and his schools “Climate Crew” and in a number of leadership roles including as patrol leader of his Boy Scout troop. Participating in National Honor Society, key club, Students Against Destructive Decisions and attended American Legion Boys State in 2016. Also is a member of the Boy Scouts’ Order of the Arrow honor society. Will attend Alma College and major in pre-medical studies. 

Essay Quote: “Although high school athletics are highly competitive, and emotions tend to run high, standard values such as sportsmanship are necessary in order to embrace and give meaning to the event. In turn, athletes learn integrity, ethics and values.” 

Other Class B girls finalists for the Scholar-Athlete Award were: Michel Faliski, Bloomfield Hills Cranbrook Kingswood; Madeline Filiatraut, Dearborn Divine Child; Noelle Kraus, Edwardsburg; Peyton Rellinger, Gladwin; Lindsey Shearer, Gladwin; Erika Freyhof, Hamilton; Haley Heldt, Midland Bullock Creek; Megan Aalberts, Otsego; Raechel K. McKiernan, Richmond; Kylie Hutchinson, Shepherd; and Gabrielle Smith, Yale.

Other Class B boys finalists for the Scholar-Athlete Award were: Michael J. Gussert, Cadillac; Christopher A. Roush, Chelsea; Collin Lieber, Croswell-Lexington; Evan Latham, Dearborn Divine Child; Patrick Johns, Marine City; Richard Dominick Reo III, Paw Paw; Brendan Gered Fraser, Pontiac Notre Dame Prep; Ryley Alaspa, Sault Ste. Marie; Ryan Sanderson, Sault Ste. Marie; Josef Hissom, Spring Lake; Andrew D. Marten, Tecumseh; and Cade Smeznik, Yale.

The Class C and D scholarship award recipients were announced Feb. 7, and the Class A honorees will be announced Feb. 21.

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