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.
2020 Bush Awards Honor Dedicated ADs
By
Geoff Kimmerly
MHSAA.com senior editor
October 21, 2020
East Grand Rapids’ Tim Johnston, Maple City Glen Lake’s Mark Mattson, Vicksburg’s Michael Roy and Gaylord’s Christian Wilson all lead programs that frequently earn headlines for success in competition.
But these four athletic directors also are known in their local and statewide sports communities for the positive experiences they help provide students, their own as well as those who take part in the same leagues or tournament events they frequently host.
To honor their often unsung work in creating these experiences for athletes, all four have been named recipients of the Michigan High School Athletic Association’s Allen W. Bush Award for 2020.
Al Bush served as executive director of the MHSAA for 10 years. The award honors individuals for past and continuing service to prep athletics as a coach, administrator, official, trainer, doctor or member of the media. The award was developed to bring recognition to men and women who are giving and serving without a lot of attention. This is the 29th year of the award, with selections made by the MHSAA's Representative Council.
“Leaders among peers, ceaseless dedication, never saying ‘no’ when needed – these are how this year’s Bush Award honorees are described by their colleagues, and how we’ve come to know them as well,” MHSAA Executive Director Mark Uyl said. “What they give willingly for school sports goes far beyond awards they’ve received, and at the same time often receives little attention. We’re delighted to recognize all of their continuing contributions.”
Johnston has begun his 39th year in education, with the last eight for East Grand Rapids Public Schools, where he has led one of the state’s most successful athletic programs – EGR, which offers 34 varsity sports, was named a Michigan Exemplary Athletic Program in 2018 by the Michigan Interscholastic Athletic Administrators Association (MIAAA). Johnson was chosen as his region’s Athletic Director of the Year by the MIAAA in 2017. He previously served as a teacher and coach at Grand Rapids Catholic Central, and then as an athletic director and principal at Hastings.
He has made significant contributions to Michigan’s largest high school league, having served as president, vice president, secretary and realignment chairperson for the Ottawa-Kent Conference, and hosted various MHSAA Tournament competitions for the District, Regional and Finals rounds. Johnston also has served on multiple MHSAA sport committees and its board of canvassers, and as part of the Scholar-Athlete Award selection committee. Additionally, he has served as an instructor for the MHSAA’s Coaches Advancement Program (CAP) and as a program presenter at conferences for both the MIAAA and National Interscholastic Athletic Administrators Association (NIAAA) – and served as Michigan’s delegate to the latter.
After graduating from Grand Rapids Catholic Central, Johnston earned an associate degree from Grand Rapids Junior College and a bachelor’s from Grand Valley State University, and then a master’s in education leadership from Michigan State University. He earned his certified athletic administrator (CAA) designation from the NIAAA.
“Tim has always been incredibly positive in advocating for kids,” MHSAA Executive Director Mark Uyl said. “I’ve known Tim for years as a principal and as an athletic director, and there’s absolutely no one who better sees the big picture of how academics and athletics fit together.”
Mattson is into his 22nd year coaching, teaching or serving as an administrator in Michigan high schools, and in his second tenure as athletic director at Maple City Glen Lake. He previously served in the same role and others at Marquette High School for 11 years and then as athletic director at Traverse City Central before returning to Glen Lake as athletic director and assistant principal. He also coached and taught in Rhinelander, Wis., to begin his career, and served as an undergrad men’s basketball assistant coach at Northern Michigan University.
Mattson also is a frequent MHSAA Tournament host and participated on sport committees for skiing, football, basketball, cross country and track & field, and has served as an MIAAA regional representative and as secretary for the Big North Conference. He received MIAAA regional Athletic Director of the Year awards in both 2008 and 2018, and was selected as the Upper Peninsula Athletic Director of the Year in 2006.
A current member of the MHSAA Representative Council – representing Class C and D schools in the northern Lower Peninsula – Mattson is a graduate of L’Anse High School and earned his bachelor’s degree and then his master’s in educational administration both from NMU. While at NMU and into his tenure at Marquette, Mattson also was a registered MHSAA official in football and basketball for a decade and briefly for softball and volleyball.
“Mark, having served his career in northern Michigan and the Upper Peninsula, always brings a unique perspective on how the largest schools survive in northern Michigan,” Uyl said. “Schools like Marquette and Traverse City Central face a unique challenge. He’s always been an advocate for schools with those unique circumstances – but also for all schools up north, and especially now as part of the Representative Council.”
Roy is a graduate of Paw Paw High School who returned to Michigan after earning bachelor’s and master’s degrees – the latter in curriculum and instruction – at the University of Nevada-Las Vegas, where he also was a member of the football team for two years. He is into his 22nd year as an athletic administrator, serving three years at Lawton before joining the Vicksburg administration at the start of the 2001-02 school year. He has hosted more than 100 MHSAA postseason events and numerous CAP sessions while also serving as a CAP instructor, and his Vicksburg program received the Exemplary Athletic Program award in 2020.
Roy served as president of the MIAAA during the 2019-20 school year and has made vast contributions as part of the athletic directors’ professional organization with more than 15 years as a regional representative and 10 times serving as the state’s NIAAA delegate at the National Federation of State High School Associations (NFHS) national conference. He has served more than a decade as a Leadership Training Institute instructor for the MIAAA and as part of the NIAAA national teaching faculty.
He has received three certifications from the NIAAA including the certified master athletic administrator designation in 2005. Roy was named his region’s Athletic Director of the Year by the MIAAA in 2009 and state Athletic Director of the Year in 2012 – when he was also a finalist for national Athletic Director of the Year from the National High School Coaches Association.
“Mike has been incredibly giving with his time, especially with his leadership with the MIAAA,” Uyl said. “He has a can-do attitude, whether it be in hosting events or with other problem-solving he’s provided our entire MHSAA staff over many years.”
Wilson is into his 19th year in education, serving as athletic director and assistant principal for Gaylord Community schools; he also briefly served as athletic director at Novi High School and as high school athletic director in Mount Gilead, Ohio, and taught in Auburndale, Wis.
Wilson also is a frequent host of MHSAA Tournament events – he hosted more than 10 during the 2019-20 school year alone – and also has served on various MHSAA committees. He has served as president of the Big North Conference and provided his expertise to the local Little League and youth football boards. He was named his region’s Athletic Director of the Year by the MIAAA in 2016.
A graduate of Chassell High School, Wilson then earned his bachelor’s degree from Northern Michigan University and a master’s in athletic administration from Western Michigan University. Prior to beginning his career in education, Wilson served as an assistant men’s basketball coach at both Michigan Technological University and Western Michigan. He played at Michigan Tech before finishing his career at NMU.
“Christian has been a successful administrator for many years because of his outstanding temperament and the way he connects with people,” Uyl said. “He’s someone who takes the work seriously, but never takes himself too seriously. He has served as a mentor to so many, and he’s very gifted at building relationships. At the end of the day, that’s what our business is about – those relationships.”
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.