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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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Adrian Madison's Isom Leads at All Levels
February 21, 2019
By Geoff Kimmerly
Second Half editor
Over more than three decades, Adrian Madison athletic director Kris Isom has taken on responsibilities not only in her league and regionally, but statewide as a member of the MHSAA Representative Council – in addition to her athletic department responsibilities at the high school and junior high.
And yet, she still teaches multiple classes and coaches at least one of the district’s teams every year, serving and building relationships at the most local level of her wide influence on educational athletics.
She’s made those relationships a priority, also serving as class advisor to Madison students through last year when her daughter Rachel graduated. One year during the 1990s, in fact, the graduating class even dedicated its yearbook to her.
“I like being in the classroom and coaching because I still have a connection with kids, know who they are,” Isom said. “Being at a smaller school, you’re able to know who kids are, but at the middle school especially I don’t know a lot. Getting involved in coaching has helped me put a name with a face so I will know them coming up.”
She continues to impact students at Madison and beyond, and will be recognized for her many contributions with the 32nd Women In Sports Leadership Award during halftime of the Division 3 Girls Basketball Final on March 23 at Calvin College’s Van Noord Arena.
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.
Isom is in her 33rd year as athletic director at Adrian Madison, taking over athletics for the high school and junior high after serving as a teacher and coach for a year at Clinton. She has served as part of the MHSAA Representative Council since 2008, representing Class C and D schools from the state’s southeastern section.
“I’m very honored by this award, not only because it’s for women in leadership. I’ve been doing this 33 years and I’ve seen more and more women in this profession … that for all things considered is a man’s profession,” Isom said. “Having a daughter, who while she’s not following my footsteps, but getting her in the business world eventually, it’s a good feeling.”
Isom’s contributions to high school sports and its participants are many and at all levels. Within her district, she has coached basketball, volleyball, sideline cheer, track & field and softball – at least one sport every year, including as the eighth grade girls basketball coach this season.
At the league level, Isom has served as president of the Tri-County Conference since 2002 after previously serving as vice president and secretary/treasurer. Serving more of her neighboring districts, Isom has hosted numerous District, Regional and Quarterfinal competitions and MHSAA Coaches Advancement Program (CAP) sessions.
At the statewide level, Isom has provided her expertise as a member of the Representative Council and as a 33-year member of the Michigan Interscholastic Athletic Administrators Association and National Interscholastic Athletic Administrators Association. She also assists MHSAA staff annually in selecting members of the 16-student Student Advisory Council.
She was named the MIAAA’s Region 6 “Athletic Director of the Year” in 2000 and received the MHSAA’s Allen W. Bush Award in 2016 to recognize her many behind-the-scenes contributions.
“Kris Isom continues to provide a steadying presence on our Representative Council. She researches issues and really brings a voice of reason to the discussion – not only to the full Council, but to the Executive Committee as well,” MHSAA Executive Director Mark Uyl said. “She does a great job representing the southeastern corner of the state, bringing a small-school perspective to the table time after time. We’re thankful for her leadership and glad to present her with the Women In Sports Leadership Award.”
Part of leadership is being an example, and Isom has served as one for many. Of course that growing group included her daughter who this year left home to study in the dental hygiene program at Jackson College but has frequently been by Mom’s side for the many activities.
“Hopefully, (she learned) to be assertive, that she needs to be a good listener, and obviously you have to be a mediator,” Kris Isom said. “Hopefully seeing all those aspects, and dealing with situations and different issues, she’ll be a better problem solver, be more open (to the idea) that there is more than one side of a story.”
A graduate of Clinton High School, Isom received her bachelor’s degree in science and teaching certification in physical education and health in 1984 from Michigan State University. She earned her master’s in elementary education in 1986 from Eastern Michigan University and also has completed graduate courses from Fresno Pacific University.
In addition to the MIAAA and NIAAA, Isom is a member of the Michigan Association for Health, Physical Education, Recreation and Dance (MAHPERD) and the Michigan State University Alumni Association. She’s active with The Clinton United Church of Christ in various service projects, including an annual fundraiser for cancer research, and also participates in local Meals on Wheels, American Red Cross and Habitat for Humanity projects.
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 Notre Dame Prep
2017 – Dottie Davis, Ann Arbor Huron
2018 – Meg Seng, Ann Arbor Greenhills
PHOTO: Adrian Madison athletic director Kris Isom, right, presents the Division 8 football championship trophy to Reading coach Rick Bailey in November at Ford Field.