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2018-19 Concussion Data Reinforces Trends
September 26, 2019
By Geoff Kimmerly
Second Half editor
Data on student-athlete concussions collected by the Michigan High School Athletic Association from member high schools during the 2018-19 school year further reinforced findings from the first three years of reporting, and will contribute significantly as a number of MHSAA-associated groups work during the coming year to reduce the incidence of those injuries.
The 2018-19 concussion report found student-athletes at MHSAA member high schools encountered a total of 3,686 head injuries during the past school year – 3.0 percent more than in 2017-18. But that slight increase barely affected two key ratios. The number of injuries per member school was 4.9, up just a tenth of a percent from 2017-18, and for the second straight year only 1.3 percent of participants in MHSAA sports experienced a head injury, still down from 1.4 in 2016-17 and 1.6 percent the first year of the study. Total participation in MHSAA sports for 2018-19 was 281,992 – with students counted once for each sport they played.
The MHSAA has continued 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. The 2018-19 results will be examined by the MHSAA’s newly-formed Sports Medicine Advisory Committee and also undergo analysis by representatives of Michigan State University’s Institute for the Study of Youth Sports. Furthermore, the MHSAA is directing its sport committees to study the data as they consider adjustments that could be made to rules for practice and competition.
“The 2018-19 concussion survey further reinforced the findings and trends we have seen emerge; not only in specific sports, but across all of our activities – and this latest set of results also raises new questions,” MHSAA Executive Director Mark Uyl said. “We must continue to look at how changes to playing rules and improvements in equipment may be beneficial moving forward, and also how we can further educate administrators, coaches, athletes and parents to identify and provide treatment for these injuries as soon as possible. We also are excited for the opportunity to have more eyes on these results as we continue to explore more ways to make our games safer.”
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 2018-19 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 on the Health & Safety page of the MHSAA Website.
Keeping with the first three years of this survey, the MHSAA continued to receive data from more than 99 percent of its member high schools after the fall, winter and spring seasons. Member junior high and middle schools also were allowed, although not mandated, to report their head injuries; and those findings are not part of the published report.
Boys in 2018-19 experienced 2,404 – or 65 percent – of concussion injuries, just a percent less than during 2017-18, and not surprisingly as boys have a much higher participation in contact sports. More than half of head injuries – 59 percent – were experienced by varsity athletes, a slight increase of three percent from the previous year. A total of 2,441 head injuries – or 66 percent – came in competition as opposed to practice. Just more than half took place during either the middle of practice or middle of competition as opposed to the start or end, and 51 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 returned to activity after either 6 to 10 days of rest (24 percent) or 11 to 15 days (23 percent). All of these findings were within 1-3 percent of those discovered from the 2017-18 data.
Contact sports again revealed the most head injuries. Ranking first was football, 11 and 8-player combined, with 44 head injuries per 1,000 participants – an increase of three per 1,000 from 2017-18 but the same ratio as 2016-17 and still down from 49 head injuries per 1,000 football participants shown by the first study in 2015-16. Ice hockey again revealed the second-most injuries per 1,000, with 35 (also up three from a year ago but still down from 36 injuries per 1,000 from 2016-17 and 38 per 1,000 in 2015-16), and girls soccer was third with 25 head injuries per 1,000 participants for the second year in a row. Wrestling followed with 22 head injuries per 1,000 participants.
Continuing a noticeable trend of the last few years, the next three sports to show the highest incidences of head injuries were girls sports – girls lacrosse, competitive cheer and basketball also revealed 20 per 1,000 participants, although basketball was down two injuries per 1,000 participants or nearly 10 percent from the previous year. Boys lacrosse (16), boys soccer (14), girls volleyball (11), softball (11) and gymnastics (10) also showed 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 nearly double the concussions per 1,000 participants as male soccer players (25 to 14), while female basketball players reported nearly triple the number of concussions per 1,000 participants (20 to 7). Softball players also reported nearly triple the concussions per 1,000 participants of baseball players (11 to 4).
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 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.
![William McKoy](/sites/default/files/2021-06/210623_McKoy_2H.jpg)
Summit Academy North's McKoy to Bring Vast Experiences to MHSAA Staff
By
Geoff Kimmerly
MHSAA.com senior editor
June 23, 2021
Will McKoy realized fairly early in his sports career at Northwest Halifax High School in Littleton, N.C., that he likely wouldn’t be picking up a college scholarship playing basketball or competing in track & field.
But he did figure out during those experiences what he wanted to do in college and after, thanks to the impact made on him by his basketball coach.
“He was the athletic director as well, and I thought that was the coolest job,” McKoy said. “From early on, when I was in high school, I knew that’s what I wanted to do – be a basketball coach and athletic director.”
McKoy got a taste of coaching while a student assistant from 2006-09 at Wayne State University. And when he graduated that spring, that’s what he figured he’d do next – teach physical education and coach basketball, landing a job at Detroit Henry Ford Academy School for Creative Arts. He would work toward landing an athletic director’s job eventually.
Two weeks after he was hired, and before school had even begun, eventually showed up – his new school needed an AD, and McKoy jumped in.
He learned quickly, and on the fly. And a decade later, his role in school sports has grown to include a statewide voice with an opportunity to make that level of impact daily, drawing on experiences as district athletic director, conference president, member of the MHSAA’s Representative Council as well as a Division I college football official and sergeant in the U.S. Army.
McKoy has been named to an assistant director’s position with the MHSAA, effective in mid-July. He will serve as the administrator for football and girls and boys basketball, among other responsibilities. He will be taking up many of the duties of current assistant director Nate Hampton, who will be retiring in July after 32 years on staff.
McKoy has served as district athletic director for Summit Academy North Schools in Romulus since 2011 after previously serving two years as athletic director at Henry Ford Academy. He also has served as president, vice president, and commissioner of multiple sports for the Charter School Conference, while working as an NCAA football official since 2009.
He has provided advocacy for schools statewide and perspective particularly from the Metro Detroit and charter school communities during his two years serving on the Representative Council, and those connections will continue to be valuable in his new role, as will his variety of past experiences.
“To me, the opportunity to affect change at the next level, and then working with a diverse group within the entire state – not just my niche, but the entire state – is exciting to me,” McKoy said. “Vitally for me, and I think part of the attraction of the position, was trying to figure out ways to bridge the gap between the suburbs, rural schools and city schools, particularly with some of the needs of the Detroit Public Schools and charter schools as well, trying to help them be successful with everything the MHSAA does to support those schools.”
Summit Academy North opened in 1996 for students grades K-5 and expanded instruction to include K-12 the following year, and athletics have increased their overall success substantially under McKoy.
He has increased the number of opportunities at all levels – notably with the creation of elementary intramurals and expansion of the middle and high school athletic program from 19 to a peak of 41 teams for grades 7-12, including 17 on the varsity level. Nine of those varsity teams have won a league title during his tenure. The baseball team has won eight conference championships with McKoy as AD, the softball team six and the boys cross country team last fall won its 10th-straight league title and sent a runner to the MHSAA Finals for the second-straight year.
The school’s boys basketball varsity advanced to the Division 2 Quarterfinals this season, after winning its first District and Regional championships. The football team has amassed its best four-year stretch (25-13), the bowling programs have sent at least one competitor to the Finals four straight seasons and the girls track & field team this spring won its first league title. The volleyball, girls soccer, boys soccer, girls cross country and wrestling teams also have won either a league or District title under his leadership of the department.
McKoy also oversaw the expansion of the Charter School Conference from eight to its current 16 member schools.
“We’re tremendously excited to have Will joining our staff,” MHSAA Executive Director Mark Uyl said. “His background, experience and energy are something we are thrilled to have in our building.”
McKoy received his certified athletic administrator (CAA) designation from the National Interscholastic Athletic Administrators Association (NIAAA) in 2014. He was named his region’s Athletic Director of the Year in 2019 by the Michigan Interscholastic Athletic Administrators Association (MIAAA). In addition to the MIAAA and NIAAA, McKoy is a member of the Michigan Collegiate Football Officials Association (MCFOA) and Basketball Coaches Association of Michigan (BCAM).
His officiating experience has included working at the Division I level in the Mid-American Conference and Missouri Valley Conference. He also worked from 2014-16 and again during 2017-18 with the National Football League as an instant replay booth and field communicator and K-Ball coordinator.
McKoy is honorably discharged from the U.S. Army, having served as a human resources sergeant from 1999-2004 with assignments in Germany, Kuwait and also Iraq for 13 months during Operation Iraqi Freedom. He earned a bachelor’s degree in physical education in 2009 from Wayne State University, and a master’s in sports administration from Wayne State in 2011.
McKoy is married to wife Terri McKoy and the father of sons William Jr. and Winston.
PHOTOS courtesy of William McKoy and Romulus Summit Academy North schools.