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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.
![Leroy Hackley & Patti Tibaldi](/sites/default/files/2021-04/210406_Forsythe_2H.jpg)
Forsythe Honorees Give All to Educational Athletics
By
Geoff Kimmerly
MHSAA.com senior editor
April 6, 2021
At one time during his four tenures as a Michigan high school athletic director, Leroy Hackley Jr. hosted MHSAA Finals in tennis and track & field and Districts in baseball, softball and soccer – all on the same day.
Another time, a neighboring athletic director hosting a Regional basketball game called because a dunk had just broken a backboard. An hour after Hackley took the call, the entire game had been moved to his school and play resumed.
Patti Tibaldi moved to Traverse City in 1995 already a high school and college basketball coaching legend and with district-wide administrative duties her next mission after also having served as a college assistant athletic director.
But with West High School set to open for the 1997-98 school year, and the most experienced applicant for the girls basketball varsity job having no more than seventh-grade experience, she stepped in again to build another program and make sure that generation of students received a great experience as well.
For nearly the entirety of their careers, and in multiple roles, Hackley and Tibaldi have been immersed in improving educational athletics. To celebrate their continued dedication and contributions over the years, they have been named honorees for the Michigan High School Athletic Association’s Charles E. Forsythe Award for 2021.
The annual award is in its 44th year and named after former MHSAA Executive Director Charles E. Forsythe, the Association's first full-time and longest-serving chief executive. Forsythe Award recipients are selected each year by the MHSAA Representative Council, based on an individual's outstanding contributions to the interscholastic athletics community.
Tibaldi spent 40 years in educational athletics at Comstock Park, Grand Rapids West Catholic and Traverse City West and also Aquinas College in Grand Rapids, serving as a coach, athletic director and physical education specialist. Hackley has spent the last 22 years of more than 40 in sports as an athletic director at Byron Center, Jenison, Grant and currently Muskegon Orchard View, as well as serving as an MHSAA-registered game official for 37 years. Both are recognized statewide among the best in their various fields.
“Patti Tibaldi has given more to athletics in our state at the small college and high school levels than perhaps anyone over the last 40 years,” MHSAA Executive Director Mark Uyl said. “She was a pioneer in small-school college basketball at Aquinas College, and my wife Marcy played against her there, and 30 years ago you could see that passion for women's sports that was unmatched. During her time at Traverse City West, her passion for kids was unchanged, and most of her students had no idea she had been that pioneer. She was a trailblazer for women in leadership positions in coaching and administration.
“Leroy and I were first-year athletic directors together in the same conference in 1999, and it's been a pleasure to watch him grow into one of the most respected voices over the last 22 years,” Uyl said. “At its core, athletics is a people business, and Leroy is all about those relationships. He's a guy who genuinely enjoys going to work every day.
Hackley has served as an athletic director first at Byron Center for five years, then Jenison for seven, Grant for three and Muskegon Orchard View for the last seven. Before those stops he served as director of health, recreation & wellness at Grand Valley State University for 14 years after serving as assistant director of recreation/intramurals for four years at Eastern Michigan University. His first administrative experience came while as a graduate assistant at the University of Iowa serving as supervisor of officials for the recreational services department. He’s also served as an adjunct professor in physical education at GVSU, Aquinas College and Muskegon Community College.
As well as hosting numerous postseason events, Hackley has served on eight MHSAA committees over the years and four years on its Representative Council. He’s been a registered MHSAA official in boys and girls basketball, softball, baseball, swimming & diving, volleyball, cross country and track & field over 37 years and has officiated every collegiate level of women’s basketball including Division I in the Mid-American Conference. He has officiated three MHSAA Basketball Finals and NCAA Division III and NAIA national championship games.
Just this week he changed his spring break plans to step in and host a Boys Basketball Quarterfinal and serve as a manager at MHSAA Semifinals on Wednesday and Thursday at Van Andel Arena in Grand Rapids.
“I’ve always wanted to step in because I know what it’s like when you need help. I’m one of those guys who doesn’t like to say no. I try to find a way to lend a hand wherever I can,” Hackley said. “I’ve always enjoyed sports; all my free times has been spent watching sports or playing sports, and I’ve been fortunate enough to have a wife who enjoys watching sports. Pretty much my whole live has been centered around recreation and athletics. Coming from a big family (as one of 13 children), that’s one of the things we always did.”
Tibaldi spent 40 years in education and athletics at the high school and college levels, beginning first at Comstock Park from 1973-75 before spending the next six years at Grand Rapids West Catholic where she led the girls basketball team to the Class B championship in 1979 and the softball team to four league titles.
Simultaneously for the final three years at West Catholic, Tibaldi also served as women’s basketball coach, then also softball coach at Aquinas College, where she also became assistant athletic director in 1981. While at Aquinas she led the Saints to a 340-136 record on the court and the National Catholic Basketball Championship in 1984.
Tibaldi then moved to Traverse City Area Public Schools, first as the district’s K-12 physical education coordinator but eventually in multiple physical education specialist roles. She also was named the first varsity girls basketball coach at the new Traverse City West High School from 1997-2011 and served as West’s athletic director from 2004 until retiring in December 2014. As coach, she led the Titans to multiple league and District championships and the final few hundred wins of more than 800 total on high school and college basketball courts.
She’s also played a prevalent role in helping make MHSAA policy over her decades. She’s served on a variety of MHSAA committees, including the Basketball Committee, and served in multiple roles with the Basketball Coaches Association of Michigan including as president. She also served at the collegiate level on the NAIA Executive Committee, the Wolverine-Hoosier Athletic Conference (WHAC) Executive Council and as part of NAIA Women in Sports Leadership program and the Michigan Women’s Foundation Tribute to Women Athletes Committee.
Tibaldi has received various honors for her coaching and administrative contributions, including the MHSAA’s Women In Sports Leadership Award in 2011. She was The Associated Press’ Class B Coach of the Year in 1981 and twice earned special mention, and she’s a member of the BCAM Hall of Fame. She also was named state Coach of the Year for basketball by the National Federation of State High School Associations (NFHS) in 2004, and named Regional Athletic Director of the Year by the Michigan Interscholastic Athletic Administrators Association (MIAAA) in 2011. She also was named BCAM’s College Coach of the Year in 1988 and is a member of the NAIA’s National Coaches Hall of Fame. She earned multiple NAIA District Coach of the Year awards for both basketball and softball and was the WHAC Coach of the Year four times.
“To me, teaching life lessons is everything,” Tibaldi said. “I had great kids, and it makes me proud to see where they’re at – the things they’re doing are mind-boggling, and it makes me really proud. The thing they all tell me is they learned what hard work was, about teamwork and persistence, and resilience. That to me is what’s valuable.”
Tibaldi also co-authored and was granted a $1 million federal grant as part of the Every Step Counts program to provide the Traverse City community with funds to fight obesity, and wrote and coordinated a USDA-funded Michigan Fitness Foundation grant for promotion of healthy school environments in five high-needs schools. She’s been an active volunteer with the Boys and Girls Club and presented at the annual Girl-Tech Conference to encourage young women to choose non-traditional careers. She continues to do work with the Michigan Fitness Foundation.
Tibaldi is a graduate of the former Redford St. Mary’s High School in Detroit and earned her bachelor’s degrees in English and physical education from Aquinas in 1973. She was named Aquinas’ Outstanding Alumni of the Year in 1995 and is a member of that school’s Hall of Fame as well as Grand Rapids West Catholic’s and the Grand Rapids Sports Hall of Fame.
Hackley is a graduate of Culpeper County High School, located southwest of Washington, D.C. He earned his bachelor’s degree in recreation administration from Bethany College in Kansas and his master’s in recreation education from Iowa.
A member of the West Michigan Officials Association (WMOA) and National Association of Sports Officials (NASO), Hackley was co-founder and has been co-director of the Michigan Intramural and Recreation Sports Association (MIRSA) basketball officials camp and served on six committees as part of the National Intramural and Recreation Sports Association (NIRSA). He also was appointed to the Board of Directors of the West Michigan Sports Commission.
He’s also volunteered with Michigan Special Olympics, Georgetown Little League, National Kidney Foundation and Habitat for Humanity, served three years on the Board of Directors for the Downtown Metro YMCA in Grand Rapids and nine years on the Board of Directors at Bethany College.
Hackley was named WMOA Athletic Director of the Year in 2011 and an MIAAA Regional Athletic Director of the Year in 2018. He also has received MIRSA’s Tom Jones Service Award.
Past recipients of the Charles E. Forsythe Award
1978 - Brick Fowler, Port Huron; Paul Smarks, Warren
1979 - Earl Messner, Reed City; Howard Beatty, Saginaw
1980 - Max Carey, Freesoil
1981 - Steven Sluka, Grand Haven; Samuel Madden, Detroit
1982 - Ernest Buckholz, Mt. Clemens; T. Arthur Treloar, Petoskey
1983 - Leroy Dues, Detroit; Richard Maher, Sturgis
1984 - William Hart, Marquette; Donald Stamats, Caro
1985 - John Cotton, Farmington; Robert James, Warren
1986 - William Robinson, Detroit; Irving Soderland, Norway
1987 - Jack Streidl, Plainwell; Wayne Hellenga, Decatur
1988 - Jack Johnson, Dearborn; Alan Williams, North Adams
1989 - Walter Bazylewicz, Berkley; Dennis Kiley, Jackson
1990 - Webster Morrison, Pickford; Herbert Quade, Benton Harbor
1991 - Clifford Buckmaster, Petoskey; Donald Domke, Northville
1992 - William Maskill, Kalamazoo; Thomas G. McShannock, Muskegon
1993 - Roy A. Allen Jr., Detroit; John Duncan, Cedarville
1994 - Kermit Ambrose, Royal Oak
1995 - Bob Perry, Lowell
1996 - Charles H. Jones, Royal Oak
1997 - Michael A. Foster, Richland; Robert G. Grimes, Battle Creek
1998 - Lofton C. Greene, River Rouge; Joseph J. Todey, Essexville
1999 - Bernie Larson, Battle Creek
2000 - Blake Hagman, Kalamazoo; Jerry Cvengros, Escanaba
2001 - Norm Johnson, Bangor; George Lovich, Canton
2002 - John Fundukian, Novi
2003 - Ken Semelsberger, Port Huron
2004 - Marco Marcet, Frankenmuth
2005 - Jim Feldkamp, Troy
2006 - Dan McShannock, Midland; Dail Prucka, Monroe
2007 - Keith Eldred, Williamston; Tom Hickman, Spring Lake
2008 - Jamie Gent, Haslett; William Newkirk, Sanford Meridian
2009 - Paul Ellinger, Cheboygan
2010 - Rudy Godefroidt, Hemlock; Mike Boyd, Waterford
2011 - Eric C. Federico, Trenton
2012 - Bill Mick, Midland
2013 - Jim Gilmore, Tecumseh; Dave Hutton, Grandville
2014 - Dan Flynn, Escanaba
2015 - Hugh Matson, Saginaw
2016 - Gary Hice, Petoskey; Gina Mazzolini, Lansing
2017 - Chuck Nurek, Rochester Hills
2018 - Gary Ellis, Allegan
2019 - Jim Derocher, Negaunee; Fredrick J. Smith, Stevensville
2020 - Michael Garvey, Lawton
PHOTOS: Muskegon Orchard View athletic director Leroy Hackley Jr., left during his time at Jenison High, and retired Traverse City West athletic director and basketball coach Patti Tibaldi are the 2021 Charles E. Forsythe Award honorees. (Hackley photo by Rob Kaminski; Tibaldi photo courtesy of Traverse City Record-Eagle.)