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.
Record-Setting Coach, Championship Program Leader Selected for 2024 WISL Awards
By
Geoff Kimmerly
MHSAA.com senior editor
January 23, 2024
On the basketball court, no woman in Michigan high school history has led her team to more victories than Bloomfield Hills Marian’s Mary Cicerone. And few schools have stacked more championships over the last decade than Ann Arbor Pioneer under the guidance of athletic director Eve Claar.
To celebrate those accomplishments, and more significantly their impacts on thousands of students over decades in those leadership positions, Cicerone and Claar have been named the 37th and 38th recipients of the Michigan High School Athletic Association’s Women In Sports Leadership Award.
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. Cicerone and Claar will receive their awards during this year’s WISL Conference, Feb. 4-5 at the Crowne Plaza Lansing West.
Cicerone retired from coaching the Bloomfield Hills Marian girls basketball team after the 2021-22 season with a record of 707-233 since taking over the program in 1983 – making her the fourth-winningest coach in MHSAA girls basketball history, and the winningest woman to lead a program.
She guided the Mustangs to six Finals championships, in Class A in 1988, 1992, 1996 and 1998 and back-to-back in Division 1 in 2014 and 2015. Her teams also won 19 Catholic High School League Central division championships, 20 overall CHSL League titles and reached the MHSAA Semifinals seven times, also finishing Class A runner-up in 1997.
“Mary Cicerone is a legend because she’s won hundreds of games and many championships, and those measurables of her success speak for themselves,” MHSAA Executive Director Mark Uyl said. “But her commitment to her teams, her sport, and leadership in women’s athletics as a whole contributed just as significantly to her tremendous legacy.”
In addition to receiving several local and statewide coaching awards over the years, Cicerone has been inducted into Halls of Fame by the University of Detroit Mercy (2007) as a player and as a coach by the Catholic High School League (1998), Basketball Coaches Association of Michigan (2017) and Marian (2022).
She has served as an officer for the Catholic League Women’s Coaches Association and in 2009 received the CHSL’s Ed Lauer Person of the Year Award.
“Being a young girl wanting to play all kinds of activities, we never had much opportunity and I participated in whatever I was able and just felt like that was something that was important to me, my friends and everybody I was associated with was always part of the same group,” Cicerone said. “I felt like (advocating for women’s sports) was something I should do because it was so important for me, and I appreciated everything everybody did for me and my friends to be able to play.
“It’s not something I needed to do – just something I wanted to do. I stepped into that role, cherished it, worked really hard at it, and hopefully made great memories – for me, for sure – and for others.”
Claar is in her 21st year as an athletic director, and over the last decade has guided one of the state’s largest athletic programs in terms of both programs and student-athletes, with 36 varsity teams and nearly 1,110 participants. The Pioneers have had ample local and statewide success during her tenure, including claiming 16 MHSAA Finals championships across seven sports over the last eight school years (including this one). Most recently, Pioneer tied for most Finals championships among Lower Peninsula schools in 2020-21 with four, were second in 2021-22 with four more, and last school year tied for most in the Lower Peninsula again with three titles.
Claar began in athletic administration as Pioneer’s assistant director from 2003-06, and she became athletic director at Bloomfield Hills Lahser at the start of the 2006-07 school year. She took over the program at Ypsilanti Lincoln as athletic director in 2009 before returning to Pioneer in 2012.
“Eve Claar continues to show the way for her programs to succeed on the field while keeping in mind the big picture of what’s important in school sports,” Uyl said. “She’s invested in providing the best experiences for Pioneer’s student-athletes, and athletes competing throughout the Southeastern Conference, while also providing support to AD colleagues and coaches who look to her for leadership and expertise.”
Claar has served as the Southeastern Conference secretary since 2009 and is the league’s sport director for softball and field hockey. She has been president of the Michigan Field Hockey League since 2018 and has served on several MHSAA sport and site selection committees and as part of the MHSAA/Farm Bureau Insurance Scholar-Athlete Award selection committee. Before becoming an athletic director, Claar worked five years in the Detroit Pistons/Detroit Shock community relations department.
She was named a Regional Athletic Director of the Year in 2019 by the Michigan Interscholastic Athletic Administrators Association (MIAAA). In 2021, she helped found the Southeastern Conference’s Women in Sports Leadership Conference for student-athletes from the league’s 14 schools.
“I started with (longtime Pioneer AD) Lorin Cartwright before me, and she was always a mentor for me. I’ve always had female leaders and mentors whether in sports for high school, over to Pioneer, with the Shock with Nancy Lieberman – I’ve been around amazing female leaders,” Claar said. “I feel at this point, 21 years into doing this, now it’s upon me to do the same. I’ve been honored when I’ve had other athletic directors reach out, other female ADs ask for support, and I’ve been able to give the support that (my mentors) gave me.”
Cicerone is a 1978 graduate of Coopersville High School, where she was a basketball all-stater and ran track, and she then starred on the basketball court at Detroit Mercy, leading the Titans to three Association for Intercollegiate Athletics for Women (AIAW) state titles and graduating as Mercy’s all-time career assists leader while earning a bachelor’s degree in education. She won the 1982 President’s Award as U-D’s most outstanding female student-athlete.
She taught primarily physical education at Marian beginning with the 1983-84 school year through her retirement 39 years later, and also coached track & field for a season at the start of her teaching career.
Claar is a 1991 graduate of North Farmington High School and earned her bachelor’s degree in business administration from Central Michigan University and master’s from Detroit Mercy. She received a teaching certificate from Wayne State University and education leadership certificate from Eastern Michigan University, and earned her certified athletic administrator (CAA) designation in 2008. Claar played basketball, volleyball and softball at North Farmington and was a BCAM Miss Basketball Award finalist in 1990. She continued as a standout at CMU, finishing her playing career in 1995, and remains among the most accomplished 3-point shooters in program history. She also served as a graduate assistant women’s basketball coach at U-D for two seasons.
More than 800 participants – mostly female high school student-athletes from across the state – have registered to attend this year’s sold-out WISL Conference, the 26th in the series that remains the first, largest and longest-running program of its type in the country.
The opening address Feb. 4 will be presented by Cathy George, the all-time winningest volleyball coach in Michigan State University history and the first head coach of the newly-created Grand Rapids Rise professional volleyball franchise. Current MSU volleyball coach Leah Johnson will speak during the morning’s general session Feb. 5 on the conference’s theme “Share the Vision” – she finished her second season leading the Spartans in the fall after coaching Illinois State University from 2017-21 and taking ISU to the NCAA Tournament her last four seasons before leaving for East Lansing.
Several workshops will be offered over the two days, with topics including coaching, teaching and learning leadership; sports nutrition and performance, and empowerment and goal-setting. Presenters are accomplished in their fields and represent a wide range of backgrounds in sport. A complete itinerary is available on the WISL page.
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
2022 – Lori Hyman, Livonia
2023 – Laurie Glass, Leland
PHOTOS Bloomfield Hills Marian coach Mary Cicerone, left, huddles with her team during an MHSAA Finals weekend, and Ann Arbor Pioneer athletic director Eve Claar welcomes John and Jim Harbaugh into the school's Pioneer Hall of Fame. (Claar photo courtesy of Ann Arbor Public Schools.)