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 C, D

By Geoff Kimmerly
MHSAA.com senior editor

February 6, 2017

By Geoff Kimmerly
Second Half editor

The Michigan High School Athletic Association has selected 10 student-athletes from Class C and D 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 C Scholar-Athlete Award honorees are: Hope Baldwin, Kalamazoo Hackett Catholic Prep; Clark Brady, Bad Axe; Tyler Brant, Watervliet; Jacob Shoop, Scottville Mason County Central; Khora Swanson, Ishpeming; and Madeline Wu, Grosse Pointe Woods University Liggett.

The Class D Scholar-Athlete Award recipients are: Grace Alvesteffer, Pentwater; Mary Leighton, Mendon; Elijah Newton, Central Lake; and Seth Polfus, Powers North Central.

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

Hope Baldwin, Kalamazoo Hackett Catholic Prep
Played two years of varsity volleyball, three of basketball and will play her fourth of soccer this spring. Served as captain of her varsity volleyball and basketball teams and has earned some level of all-conference recognition in all three sports. Served as president of her junior class and is serving as vice president of the student body this school year; also serving as vice president of her National Honor Society chapter. Earned outstanding achievement awards in science, literature, math and Spanish at her school and National Spanish Exam honorifica three years. Also participated in Student Athletic Advisory Board three years and Student Leadership team the last two, as part of her school’s Respect Life Club and migrant ministry both for four years, and has logged more than 220 volunteer hours assisting a number of causes and projects. Will attend either University of Notre Dame or University of Michigan and study neuroscience or biology. 

Essay Quote: “Of course everyone wishes to beat their rivals, but this desire to win should not negatively impact someone’s behavior – because athletics aim to build character, not to diminish it. … When athletes are able to put the importance of winning in perspective, it makes it clear how much more valuable the actual experience of competing is than the outcome.”

Khora Swanson, Ishpeming
Ran four seasons of varsity cross country and will run her fourth this spring of track & field; also played three seasons of varsity basketball. Became the first girl at her school to win an individual MHSAA Finals championship in cross country, taking first in Upper Peninsula Division 2 in 2015, and helped the Hematites to three team titles. Also has won six individual MHSAA Finals track championships and helped her team to two titles in that sport, and earned all-league and all-Upper Peninsula recognition in basketball. Served as captain of all three teams at least two seasons. Carries a 4.0 grade-point average and also participates in her school’s select chorus. Is serving her second year as student body vice president, youth advisory council president and key club secretary, and has volunteered both as a peer-to-peer and Special Olympics mentor. Will attend either Northern Michigan University or St. Norbert College (Wis.) and study education. 

Essay Quote: “Choosing to exemplify outstanding sportsmanship will transfer to daily life as well as future life, when playing sports may not be routine anymore. … Learning the importance of a great attitude at a young age just may be the key to keeping competition healthy at all ages.”

Madeline Wu, Grosse Pointe Woods University Liggett
Ran four seasons of varsity cross country and will play her fourth season this spring of varsity soccer. Served as cross country captain in the fall and will serve as soccer captain this spring. Helped both teams to league and Regional titles and last year’s soccer team to the MHSAA Division 4 Final championship. Earned all-state recognition in soccer twice and made the MHSAA Finals in cross country all four seasons. Carries a 4.1 grade-point average and was a National Merit Scholarship Program semifinalist as a junior. Has participated in theater and acapella group all four years of high school and received numerous awards and ratings for piano; served as student music director for her theater troupe and acapella group leader the last two years. Also has served four years as a student commissioner and set a school record fundraising for the American Cancer Society’s Relay of Life. Will attend Princeton University and study educational policy. 

Essay Quote: “My coaches have acted as role models for me, and I am now a role model for my fellow student athletes. Through practicing good sportsmanship, my team and I have become ambassadors that represent my school and the sport of cross country.”

Clark Brady, Bad Axe
Played three seasons of varsity football and basketball and will play his third of baseball this spring; also ran track as a freshman. Earned all-conference recognition in baseball and academic all-state also in that sport, and academic all-conference in basketball. Helped basketball team to league and District championships and baseball to a District title as well. During four years in student government has served as class president three years, fundraising president two years and student council president two years, and also serves as National Honor Society chapter secretary. Has received multiple academic awards, including the National Academy of Future Physicians and Medical Scientists Award of Excellence. Served two years on Huron County Community Foundation Youth Advisory Council. Volunteered as tutor/mentor and church acolyte, and has served as a referee and umpire during all four years of high school. Will attend Oakland University and study pre-medicine. 

Essay Quote: “I believe it is the job of us, the athletes, to be the example for future athletes by showing good sportsmanship so they too understand that by doing so they are building themselves to have good character. … If this lesson can be taught, athletes will look at sportsmanship as more of a great quality rather than being ‘overrated.’”

Tyler Brant, Watervliet
Played two seasons of varsity football and basketball and will play his third season of varsity baseball this spring. Set multiple school receiving records in earning all-state recognition in football and also has earned all-conference and academic all-state in baseball. Served as captain of all three teams. Is serving his second term as class co-president and also has served as class vice president. Participated on Watervliet’s leadership council for three years and is in his third of National Honor Society. Also is participating in his second year in the Whirlpool Engineering Apprenticeship Program and has led various group projects as part of that effort; earned a third place at the Michigan Industrial and Technology Education Society state competition in 2015. Will attend Trine University and study business administration. 

Essay Quote: “The value I place on sportsmanship cannot be pinpointed to one specific person or game, but rather to a culmination of every practice and game experience throughout my life. I have been fortunate to have had numerous coaches who have always placed the qualities of sportsmanship – fairness, hard work and handing every situation with dignity – above winning or losing.”

Jacob Shoop, Scottville Mason County Central
Ran four seasons of varsity cross country and will participate in fourth of track & field, and also competed in four seasons of varsity wrestling. Qualified for MHSAA Finals in cross country and wrestling four times and won a Division 3 individual wrestling title as a senior; also had earned all-conference honors seven times over his three sports entering this winter and academic all-conference seven times as well. Served as captain of both the cross country and wrestling teams. Serves as an officer in the FreeSoil Friendly Farmers 4-H Club and also participates in National Honor Society. Has earned multiple academic awards and also multiple awards for showing animals; has taught area youth how to show animals as part of 4-H and students how to wrestle and referee the sport as a team leader for Mason County Central recreation wrestling. Will attend Grand View University (Iowa) and study either nursing or pre-chiropractic. 

Essay Quote: “Scholar-athletes take the higher ground in all cases, whether academic or athletic, always looking for the best possible scenario for all involved. Sometimes it takes a lot of guidance before you reach the higher ground. … Everyone around me has been teaching me good sportsmanship since the day I started athletics.”

Other Class C girls finalists for the Scholar-Athlete Award were: Kelsey Wyman, Blissfield; Quinn Epkey, Kalamazoo Hackett Catholic Prep; Keilene Renae Elmer, Lincoln Alcona; Bailey Downs, Munising; Maysa Sitar, Newberry; Mary Hoopes, North Muskegon; Brenna Wirth, Pewamo-Westphalia; Sidney Linck, Ravenna; and Madison Bryce, St. Charles.

Other Class C boys finalists for the Scholar-Athlete Award were: Spencer Fisher, Blissfield; Jonathan Lutchka, Grass Lake; Sam Bailey, Harbor Springs; Ashok Ravindran, Ishpeming; Joseph Rigling, Leroy Pine River; Alexander Dixon, Madison Heights Bishop Foley Catholic; Bryce J Thelen, Pewamo-Westphalia; Nicholas Hammond, Riverview Gabriel Richard; and Cameron Rendo, Watervliet.

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

Grace Alvesteffer, Pentwater
Played two seasons of varsity volleyball, three of varsity basketball and will participate in a third season of varsity track & field this spring; she’s also cheerleading this winter and intends to play softball in the spring. Advanced to MHSAA Finals two seasons for shot put and earned all-conference honors twice in that event and once in discus. Served as basketball team captain and is currently her school’s student council president. Participating in third year of National Honor Society and third with The Oceana Prevention Partnership for Change, and is co-founder and president of Oceana County’s 4-H Teen Leadership & Fun Finders Club. Earned 4-H and county medals for community service, civic involvement and teen leadership and also has participated in a variety of volunteer efforts. Will attend West Shore Community College and then Ferris State University to study pre-mortuary science. 

Essay Quote: “My time on the bench gave me a new perspective, and I realized that true team spirit and sportsmanship are demonstrated by the athlete who never sees a minute of playing time yet is faithfully there to support her teammates in practice, games, class and wherever needed.”

Mary Leighton, Mendon
Ran four years of varsity cross country, will run her fourth of track & field this spring and also played two full seasons of varsity basketball after moving up as a sophomore. Won the 100-meter hurdles and set the meet record in that event at last season’s Lower Peninsula Division 4 Finals. Also earned all-state in the 300 hurdles and cross country and all-conference in all three sports. Served as team captain for varsity and junior varsity basketball teams. Serving as a class officer and member of student senate both for the fourth year and is participating in her second of National Honor Society, with leadership positions in both student government and NHS. Attended classes as a dual enrollee at Glen Oaks Community College for two years, making president’s honor roll both years; also has earned academic all-state in cross country and basketball. Will attend Indiana Institute of Technology and study either mechanical or chemical engineering.

Essay Quote: “Sportsmanship taught me that if I win, I should win humbly. And if I lose, I should do so gracefully. With this attitude, I can live life successfully and accept the results of life and move on to improve them.”

Elijah Newton, Central Lake
Played three seasons of varsity football and basketball and will play his fourth of varsity baseball, earning all-conference honors in football three seasons and basketball once. Served or will serve as team captain of all three teams as a junior and senior. Serving as student body and National Honor Society president as a senior and was class president as a freshman, sophomore and junior. Has participated for three years on quiz bowl and his school’s first robotics teams. Volunteered for four years for Big Brothers Big Sisters and Central Lake Pop Warner football and this year coordinated an American Red Cross blood drive. Earned Charlevoix-Emmet Drafting & Design Technology Award and Daughters of the American Revolution Good Citizens Award. Will attend Michigan Technological University and study mechanical engineering. 

Essay Quote: “Good play, coupled with great sportsmanship, is the true definition of a winner. However, when it’s all over and the bleachers have cleared, the ability to deal with the most difficult losses in a classy manner is far more important than any championship trophy.”

Seth Polfus, Powers North Central
Ran four years of varsity cross country, will play his fourth of baseball and is in his second season on the boys basketball team; also played varsity golf and participated in track & field as a freshman. Has contributed to MHSAA Finals champions in cross country and basketball. Earned cross country all-state honors three seasons and was his league’s individual champion in the fall; earned academic all-state as a junior. Served as team captain for cross country all four years and two years for his junior varsity basketball team. Serving his fourth year as class president and second as president of his school’s National Honor Society chapter, and was an American Legion Boys State representative as a junior. Participated in key club, quiz bowl and yearbook all for four years. Earned SAT national achievement award. Organized local 5K run/walk to raise cancer awareness. Will attend University of Wisconsin-La Crosse and major in exercise science with a minor in photography. 

Essay Quote: “When a team has sportsmanship, (athletes) are learning more than just the athletic value of sports. They are learning a lesson about life. They are learning that one should treat others how one would want to be treated.”

Other Class D girls finalists for the Scholar-Athlete Award were: Rachel Hiveley, Au Gres-Sims; Allyson Richards, Fruitport Calvary Christian; Alexa Destrampe, Lake Linden-Hubbell; Jade Sibley, Marcellus; Alexis McConnell, Mt. Pleasant Sacred Heart; and Rhiley Hubert, Rapid River.

Other Class D boys finalists for the Scholar-Athlete Award were: Jacob Single, Adrian Lenawee Christian; Jacob Martin, Athens; Richard Steffan, Auburn Hills Oakland Christian; Jace Feldpausch, Fowler; Brian A Price, Mio; and Nicholas Morgenstern, Muskegon Catholic Central.

The Class B scholarship award recipients will be announced Feb. 14, and the Class A honorees will be announced Feb. 21.

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The MHSAA is a private, not-for-profit corporation of voluntary membership by more than 1,400 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.