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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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Hoops, Hockey Prep for Playoff Changes
December 12, 2019
By Geoff Kimmerly
Second Half editor
The introduction of limited seeding at the District level for girls and boys basketball, and a shift in the postseason schedule for ice hockey, are among changes that will be noticed most this season by those who compete in and follow the 12 winter sports for which the Michigan High School Athletic Association sponsors postseason tournaments.
Girls basketball’s first games tipped off Dec. 2, followed by boys basketball openers Dec. 9. This winter, for the first time, the top two teams in every basketball District will be seeded and placed on the opposite sides of their bracket, making the District Final the earliest round they could play each other. Those top-seeded teams will be determined using the Michigan Power Ratings (MPR) computer formula based on regular-season results against other MHSAA Tournament-eligible teams and opponents’ strength of schedule. (Games against out-of-state or non-MHSAA opponents will not count in the MPR formula.)
The MHSAA will draw all brackets 15 days before the start of District play. After the top seeds are determined and separated to opposite sides of the bracket, the draw process will place the remaining teams on the bracket based on a randomly-selected order determined earlier in the season. MPR also was used to similarly seed Districts for boys soccer for the first time this past fall and in the spring for boys lacrosse.
Also undergoing a change this winter, the MHSAA Ice Hockey Tournament will be played over three weeks rather than two as in previous seasons. The traditional dates for the start of the regular season and Finals will remain the same, as will the total number of regular-season games allowed. However, the MHSAA Tournament will begin on the third Monday before the Finals instead of two weeks before, and the extended postseason schedule places the maximum of six games that may be played from the start of Regionals through Finals over 20 days instead of the previous 13.
While those changes will affect tournament structures, a handful of others affecting daily competition will be particularly noticeable as well this winter:
• As with Lower Peninsula girls swimming & diving season in the fall, a pair of changes for LP boys and Upper Peninsula girls will take effect this winter. For swimmers, the definition of a legal finish has changed to include a competitor touching any part of the finish end of the lane, not just the touch pad. In diving, the degree of difficulty was adjusted for back and reverse somersaults to provide consistency with difficulty of other dives.
• In hockey, the allowed stick length for a non-goaltender has been extended to 65 inches with a blade no more than 12.5 inches long and between 2-3 inches high. The allowances for a goaltender’s stick also were adjusted – the widened portion up to 28 inches from the heel and to 3.5 inches in width, with a blade at maximum 15.5 inches in length. These changes were made to accommodate the greater average height of today’s athletes.
• In girls competitive cheer, non-braced static inversions will be allowed only with the following stipulations: the original base or spotter maintains constant contact with the flyer, prior to the static inverted position the flyer must originate from below shoulder level, and the inversion must dismount to the cheering surface, cradle, any waist-level position or a non-inverted stunt at shoulder level. Also, twists from inversions and inversions released to extended level are illegal.
• A new rule in wrestling will allow for additional time to evaluate head and neck injuries. If an injury occurs involving the head, neck, cervical column and/or nervous system and an appropriate health care professional is present, that caregiver may request the traditional 90 seconds of injury time be extended up to a maximum of five minutes to evaluate the injury. Before that time expires, the wrestler must be ready and able to continue the match or it will be defaulted.
• Also for wrestling, a new criteria has been added to the tie-breaking system used when a dual meet finishes in a tied score. The new sixth criteria “f” states that the team giving up the fewest forfeits during a match shall be declared the winner.
The 2019-20 Winter campaign culminates with postseason tournaments beginning with Girls & Boys Skiing Regionals on Feb. 10, and wraps up with the Boys Basketball Finals on March 28. Here is a complete list of winter tournament dates:
Girls Basketball
Districts – March 2, 4 & 6
Regionals – March 10 & 12
Quarterfinals – March 17
Semifinals – March 19-20
Finals – March 21
Boys Basketball
Districts – March 9, 11 & 13
Regionals – March 16 & 18
Quarterfinals – March 24
Semifinals – March 26-27
Finals – March 28
Girls & Boys Bowling
Team Regionals – Feb. 28
Singles Regionals – Feb. 29
Team Finals – March 6
Singles Finals – March 7
Girls Competitive Cheer
Districts – Feb. 21-22
Regionals – Feb. 29
Finals: March 6-7
Girls Gymnastics
Regionals – March 7
Team Finals – March 13
Individual Finals – March 14
Ice Hockey
Regionals – Feb. 24-March 4
Quarterfinals – March 7
Semifinals – March 12-13
Finals – March 14
Girls and Boys Skiing
Regionals – Feb. 10-14
Finals – Feb. 24
Girls & Boys Swimming & Diving
U.P. Girls & Boys Finals – Feb. 15
L.P. Boys Diving Qualification Meets – March 5
L.P. Boys Finals – March 13-14
Wrestling
Team Districts – Feb. 12-13
Individual Districts – Feb. 15
Team Regionals – Feb. 19
Individual Regionals – Feb. 22
Team Quarterfinals – Feb. 28
Team Semifinals & Finals – Feb. 29
Individual Finals – March 6-7