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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.
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Rep Council Wrap-Up: Spring 2021
By
Geoff Kimmerly
MHSAA.com senior editor
May 6, 2021
The addition of a girls division to the Individual Wrestling Tournament series and approval of a common start date for all Fall sports highlighted actions taken by the Representative Council of the Michigan High School Athletic Association during its annual Spring Meeting on May 3.
The Spring Meeting of the 19-member legislative body of the Association’s more than 1,500 member schools is generally the busiest of its sessions each year. The Council considered 19 committee proposals and dealt with a variety of eligibility rule, postseason tournament and operational issues.
Beginning with the 2021-22 school year, a championship division for female competitors who participate on MHSAA member school teams will be added to the Individual Wrestling Tournament series. There will be 14 champions awarded, based on weight classes established by the National Federation of State High School Associations. Qualifiers will be determined via a sectional format, and girls will continue to compete on boys teams during regular-season and team tournament competition; girls also may choose to compete in the boys individual tournament instead of the girls bracket. A total of 401 girls competed in wrestling for MHSAA member schools during the 2019-20 school year, up from 250 in 2017-18 and then 327 in 2018-19. The girls division proposal had been put forth by the MHSAA Wrestling Committee.
The Council also voted to move the start of all Fall sports practices to the same day. Those sports now may begin on the 16th Monday before Thanksgiving. Previously, football started on a Monday and all other sports began Wednesday. For the upcoming school year, the Fall sports start date is Aug. 9, 2021.
As it has during most meetings over the 2020-21 school year, the Council continued to discuss possible adjustments because of the COVID-19 pandemic and disruption it has caused to Michigan high school athletics. Notably, the Council approved an extension of the waiver of the previous academic record regulation for sports played in Fall 2021. This is the third extension of the waiver. The previous academic record regulation requires participants to have received credit for at least 66 percent of a full credit load during the previous semester. As COVID-19 has resulted in various academic scheduling adjustments, schools will continue to determine if athletes have met the credit level necessary to be eligible for athletics this fall.
The Council also made permanent the allowance for cooperative programs in nine sports among schools of the same public school district regardless of the 3,500-student enrollment maximum. Those co-op programs were first allowed as part of a two-year experiment beginning with the 2016-17 school year to increase possibilities for participation in those sports – baseball, bowling, girls competitive cheer, cross country, golf, soccer, softball, tennis and wrestling. Schools taking part in these co-op programs must continue to show a demonstrated history of inadequate numbers of participants and apply for renewal every two years.
Here is a summary of other notable actions taken by the Representative Council at the Spring Meeting, which will take effect during the 2021-22 school year:
Athletic Equity
• The Council approved an Athletic Equity Committee recommendation to publish the following statement to suggest to local schools that they review nicknames and school logos that are considered offensive or hurtful to minority groups or demonstrate an insensitive bias:
“The MHSAA recognizes the importance of equity in high school sports. Schools and mascots are rich in tradition and unique to each community. Although we understand the tradition of those individual communities, we also wish to support and foster an environment of inclusion. It is in this spirit that the MHSAA encourages member schools and communities to evaluate and reconsider names and mascots that may be offensive to groups of individuals.”
Officials
• The Council approved an Officials Review Committee recommendation to adjust the officials rating system with the hope of encouraging more ratings and providing a more specific understanding of an official’s overall body of work. Instead of the current overall 1-5 rating system, officials will receive specific feedback in four categories: judgment, presence and demeanor, attitude and effort, and administration and communication.
Sport Matters
• In bowling, the Council approved a Bowling Committee recommendation to adopt the Phantom oil pattern for the 2021-22 season.
• In competitive cheer, the Council approved a Girls Competitive Cheer Committee recommendation to study a new choreography chart that will award points based on a variety of skills while also awarding a range of points to benefit both small and large teams which have various skill levels.
• Also in cheer, the Council approved a pair of Committee technical recommendations; the first allows for a connected tumbling skill to be considered a new variety point for Round 3, and the second allows four difficulty points for a one-leg flair at the elevator level for middle school competition.
• In golf, the Council approved the Golf Committee recommendation to require the use of the iWanamaker scoring program and app during the regular season, beginning in Fall 2021. The program and app became required during Regional and Finals play during the Fall 2020 season.
• In softball, the Council approved a Girls Softball Committee recommendation to add a suspended game policy to MHSAA playing rule adoptions in the MHSAA Handbook. This policy – which mirrors that approved for baseball in 2020 – provides a game will be suspended any time it is called before it reaches regulation, or if called any time when the score is tied.
• In tennis, the Council approved a Tennis Committee recommendation regarding instances when a seeded player withdraws from Regional or Finals competition before the first match is played. In those instances, the players seeded lower in that flight than the player who withdrew will move up one seed and be placed on the previously-determined lines for those seeds within the flight bracket. However, non-seeded players already drawn into the bracket will not be moved.
• Also in wrestling, the Council approved a late-arrival skin check on days – especially during weekends – when teams may be competing in multiple regular-season duals. An athlete who misses the scheduled morning skin check may, with coach’s notification to the official beforehand, receive a skin check upon later arrival to the event but prior to the start of the dual in which the wrestler may compete. This will allow an individual the opportunity to participate if that wrestler missed the scheduled morning inspection due to educational reasons or unforeseen circumstances.
The Council also discussed possible topics for presentation during this fall’s Update Meeting statewide tour, and took action to clarify Handbook language regarding a variety of topics. The Association’s $11.5 million budget for the 2021-22 school year also was approved.
The Representative Council is the 19-member legislative body of the MHSAA. All but five 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.