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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 Approves Expanded Basketball Schedules, Classification Changes at Winter Meeting
By
Geoff Kimmerly
MHSAA.com senior editor
March 29, 2022
An increase in the number of regular-season games high school basketball teams are allowed to play may be the most visible action taken by the Representative Council of the Michigan High School Athletic Association during its annual Winter Meeting on March 25 in East Lansing. However, a change in classification procedure expected to bring more equity to tournament groupings should have the most far-reaching effects across all sports.
The Winter Meeting frequently serves as an opportunity for the Council to discuss items expected to come up for action at its final meeting of the school year, scheduled for May 1-2. However, the Council took a number of actions at this meeting as they relate to scheduling currently underway for the 2022-23 school year, or Spring tournaments this May.
The Council approved a Basketball Committee proposal that will allow, beginning with the 2022-23 season, high school basketball teams to play up to 22 regular-season games at every level (varsity, junior varsity and freshman). Teams previously played a maximum of 20 games during the regular season; this adjustment brings MHSAA school schedules in line with what is allowed in most other Midwest states. Additionally as part of that proposal, mandatory preseason practice was reduced by one week, allowing teams to begin playing games after 14 days instead of 21.
The Council also approved a proposal by the Classification Committee that will result in postseason divisions more reflective of the number of schools actively sponsoring teams for that season. Divisions are assigned by taking the number of teams playing a sport and dividing equally by the number of team championships awarded in that sport (for example, four in baseball and softball). Previously, by the time seasons started the smallest-school divisions in many sports ended up with fewer teams than larger-school divisions because several small schools would declare they would be sponsoring a team during the classification process in March but then be unable to do so because of lack of participation or other reasons.
With this change, schools that have indicated they will sponsor a sport but haven’t participated in that sport as a team or with individual qualifiers over the previous two years will be removed from the classification process before divisions are determined. Those schools that have been removed must then notify the MHSAA they have an active team before being added back into the tournament.
A number of other actions will affect competition as quickly as this spring’s MHSAA Tournaments, and into the 2022-23 school year.
The Council approved a Cross Country/Track & Field proposal to allow for more MHSAA Tournament opportunities for wheelchair athletes. Starting with this Spring 2022 season, Regional and Final meets will include four events for wheelchair participants – 100, 200 and 400-meter races and shot put. These events will be open to wheelchair track & field athletes at MHSAA member schools. Additionally, the Council approved the expansion of postseason Paralympic opportunities in swimming, adding a 100-yard freestyle heat to the 50-yard freestyle heat that has been offered at Finals since 2020.
In baseball and softball, the Council approved committee proposals in those sports to allow District first-round games to be played during the week before Memorial Day. Baseball may play first-round games that previous Thursday, Friday or Saturday, and softball may play that previous Thursday and Friday, beginning this upcoming season. Previously, all first-round games were played the Tuesday after Memorial Day. This change is expected to alleviate pitch count concerns in baseball and provide scheduling flexibility for later District rounds that could allow athletes – especially at small schools where baseball and softball players frequently participate in track & field – opportunities to compete in both sports during the week following Memorial Day.
Another change proposed by the Classification Committee and approved by the Council will raise the enrollment cap for cooperative hockey programs, potentially allowing for more opportunities for schools to contribute athletes who wish to play the sport. Nearly 50 percent of hockey teams playing in the MHSAA Tournament are cooperatives made up of students from multiple schools, and for hockey those schools’ enrollments now may total up to 5,500 students, an increase of 2,000 students for hockey only. Schools participating in a cooperative hockey program must continue to receive Executive Committee approval and show a demonstrated lack of participation in hockey.
The Council also approved a Classification Committee proposal that will allow football teams to opt up in division after the annual release of classifications for the upcoming season in late March/early April. Football teams may opt up one division, with Executive Committee approval, and must show reason and rationale for their request. All football opt ups will be for a minimum of two years, and the Executive Committee will consider those opt-up requests at only its April and May meetings each year.
The Council approved a number of increased benefits for MHSAA-registered game officials, including raises in postseason game fees paid to officials across all sports. Also moving forward, MHSAA officials will be provided membership in the National Association of Sports Officials (NASO), which will provide expanded liability insurance plus additional resources and professional services for all MHSAA registered officials. The Council also approved a change to the registration process and fees that will automatically provide each official registration in two sports. All three changes were proposed by the Audit & Finance Committee.
The Council also approved a rule change allowing the use of school transportation during summer, but it must be funded from school-approved activities of booster clubs, school teams, student groups and community, civic or service groups. This includes the use of busses, vans and other vehicles owned or leased by the school district or operated by any entity with which the district contracts to provide transportation services.
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.