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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.
![Lori Hyman](/sites/default/files/2022-02/220225_Hyman_2H.jpg)
2022 WISL Honoree Hyman Lauded for Lifetime of Leadership
By
Geoff Kimmerly
MHSAA.com senior editor
February 25, 2022
Lori Hyman was a sports standout in high school, then at Michigan State University. She then coached college basketball for 17 years, starting when she was only 23 years old, and surely could’ve continued down that path.
While always a leader, she decided to change gears in 1995 and provide guidance another way – coaching up coaches as a high school athletic director. Over the next 27 years, she became one of the most respected ADs in Michigan – and contributed in that role at her alma mater Livonia Stevenson over the last 22.
To celebrate her many contributions to school sports, at home but also statewide, Hyman has been named the 35th recipient of the MHSAA Women In Sports Leadership Award. She will receive the award during the Division 1 Girls Basketball Final on March 19 at Michigan State’s Breslin Center.
Hyman served her first five years as an athletic director at Dexter, making the move there after four college basketball coaching stops. After a memorable hoops career at MSU, she served as a women’s basketball graduate assistant at Ferris State University and then head coach at Northwood Institute (now University) from 1981-82 – when she was only 23 years old – through 1985-86.
She then served as an assistant at University of Illinois before returning as head coach at Ferris State from 1989-90 through 1994-95. In Fall 1995, she began at Dexter.
“Every part of my career I’ve been happy with, and honored, and just thoroughly enjoyed it,” Hyman said. “It’s been a passion of mine, every aspect.
“(Playing at Michigan State) was one of the best times, if not the best time, of my life as a youngster. And then being an athletic director has probably been the most rewarding as an adult. And being at Stevenson, coming back home, has been quite an honor and just a very rich experience for me.”
Each year, the Representative Council considers the achievements of women coaches, officials and athletic administrators affiliated with the MHSAA who show exemplary leadership capabilities and positive contributions to athletics.
Hyman is a 1975 graduate of Stevenson, where she also played softball and competed in track & field. She was named MSU’s Outstanding Athlete of the Year for women’s basketball in 1979, after serving as co-captain of the team that season but missing the majority of it with an injury.
As an athlete at MSU, she joined her teammates in filing a 1978 discrimination complaint that requested the women’s basketball team receive travel allowances equal to those received by the Spartans men’s team. “It is very meaningful that Michigan State is where they are now, not just in women’s basketball but the women’s sport program,” Hyman said. “I feel like we were part of that growing and moving forward in a positive way, and I thank Michigan State for recognizing that and moving it forward.”
She graduated with a bachelor’s degree in physical education and health in 1980 and has a master’s in athletic administration from Wayne State University. She received her certified master athletic administrator designation from the National Interscholastic Athletic Administrators Association (NIAAA) in 2006.
Back at Stevenson, Hyman has directed the athletic program for a high school with nearly 1,700 students, which by enrollment ranks 50th out of 750 MHSAA member schools.
She has hosted a multitude of MHSAA Tournament events while at both Dexter and Stevenson and has served on the MHSAA’s girls tennis, girls basketball and boys basketball committees. She also has served as the girls and boys tennis commissioner of the Kensington Lakes Activities Association, of which Stevenson is a member.
“Lori has been a leader and pioneer in the world of athletics, and in particular as an advocate for females and girls sports,” MHSAA Executive Director Mark Uyl said. “When she left coaching basketball to work as an AD, it was an incredible victory for kids in our state. She’s been dependable, loyal and just a model of consistency in running a first-class program.”
Hyman was named her region’s Athletic Director of the Year by the Michigan Interscholastic Athletic Administrators Association (MIAAA) in 2014 and received its Jack Johnson Distinguished Service Award in 2015.
As an instructor for the MIAAA, Hyman has provided training particularly to beginning athletic directors. She has served as a Leadership Training Institute instructor as well for the MIAAA and as a presider and speaker at the MIAAA’s annual conference. She also has spoken at the MHSAA’s Women In Sports Leadership Conference.
“I’ve always been an advocate for women in sports and equal opportunity,” Hyman added. “I treat all of the sports here equally, male and female. But if I feel that there needs to be a little bit more advocacy for women in sports, whether it’s coaching and getting more girls involved, or officiating, administration, any kind of leadership, I’m really big on that.”
“I’m a big advocate for women in athletics, but (also) just athletics in general.”
In addition to her vast school sports responsibilities and contributions, Hyman has volunteered with Special Olympics, Livonia’s Newburg United Methodist Church and Rotary Club.
The first Women In Sports Leadership Award was presented in 1990.
Past recipients
1990 – Carol Seavoy, L’Anse
1991 – Diane Laffey, Harper Woods
1992 – Patricia Ashby, Scotts
1993 – Jo Lake, Grosse Pointe
1994 – Brenda Gatlin, Detroit
1995 – Jane Bennett, Ann Arbor
1996 – Cheryl Amos-Helmicki, Huntington Woods
1997 – Delores L. Elswick, Detroit
1998 – Karen S. Leinaar, Delton
1999 – Kathy McGee, Flint
2000 – Pat Richardson, Grass Lake
2001 – Suzanne Martin, East Lansing
2002 – Susan Barthold, Kentwood
2003 – Nancy Clark, Flint
2004 – Kathy Vruggink Westdorp, Grand Rapids
2005 – Barbara Redding, Capac
2006 – Melanie Miller, Lansing
2007 – Jan Sander, Warren Woods
2008 – Jane Bos, Grand Rapids
2009 – Gail Ganakas, Flint; Deb VanKuiken, Holly
2010 – Gina Mazzolini, Lansing
2011 – Ellen Pugh, West Branch; Patti Tibaldi, Traverse City
2012 – Janet Gillette, Comstock Park
2013 – Barbara Beckett, Traverse City
2014 – Teri Reyburn, DeWitt
2015 – Jean LaClair, Bronson
2016 – Betty Wroubel, Pontiac
2017 – Dottie Davis, Ann Arbor
2018 – Meg Seng, Ann Arbor
2019 – Kris Isom, Adrian
2020 – Nikki Norris, East Lansing
2021 – Dorene Ingalls, St. Ignace
PHOTO Livonia Stevenson athletic director Lori Hyman (right) and Finals swimming champion McKenzie Siroky hold up a championship medal alongside photos honoring Siroky's achievements. (Photo courtesy of the Stevenson athletic department.)