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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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Scholars & Athletes 2019: Class B
By
Geoff Kimmerly
MHSAA.com senior editor
February 11, 2019
By Geoff Kimmerly
Second Half editor
The Michigan High School Athletic Association has selected eight student-athletes from Class B member schools to receive scholarships through the MHSAA/Farm Bureau Insurance Scholar-Athlete Award program.
Farm Bureau Insurance, in its 30th year of sponsoring the award, will give $1,000 college scholarships to 32 individuals who represent their member schools in at least one sport in which the Association sponsors a postseason tournament. The first 30 scholarships are awarded proportionately by school classification and the number of student-athletes involved in those classes; also, there are two at-large honorees who can come from any classification.
Students applying for the Scholar-Athlete Award must be carrying at least a 3.5 (on a 4.0 scale) grade-point average and have previously won a letter in a varsity sport in which the Michigan High School Athletic Association sponsors a postseason tournament. Other requirements for the applicants were to show active participation in other school and community activities and produce an essay on the importance of sportsmanship in educational athletics.
Each of the scholarship recipients will be honored at a halftime ceremony during the Class C Boys Basketball Final, March 16, at the Breslin Student Events Center in East Lansing. Commemorative medallions will be given to the finalists in recognition of their accomplishments.
The Class B Scholar-Athlete Award honorees are: Lauren Anderson, Charlotte; Chloe Bartz, Edwardsburg; Olivia Haring, Clare; Zoe Neirink, Frankenmuth; Noah Doederlein, Carleton Airport; Justin Luo, Bloomfield Hills Cranbrook Kingswood; Pierce Morrissey, Big Rapids; and Connor Swinehart, Newaygo.
Overviews of the scholarship recipients of the Class B Scholar-Athlete Award follow. A quote from each recipient's essay also is included:
Lauren Anderson, Charlotte
Played fourth season of varsity basketball, played four of varsity volleyball and will run her fourth of track & field this spring. Earned all-league recognition in volleyball and academic all-league honors multiple seasons in all three sports plus academic all-state in basketball and volleyball. Served as captain of volleyball and basketball teams. Will graduate high school with 24 college credits and carries a 4.0 GPA. Participating in second year of National Honor Society and earned Distinguished Scholar Award from Oakland University. Participating in fourth years of marching band, symphony band and drumline and has served as the percussion section leader and lead snare in those respective groups. Volunteers in youth basketball and volleyball camps and serves as middle school track timer, and earned Junior Rotarian award. Will attend Oakland and study nursing.
Essay Quote: “High school athletics are a minefield. With the pressure of school and other commitments, we rarely have time to think outside ourselves, and that becomes a problem when one’s emotions are not taken into account. When people get stressed or anxious, we don’t perform to the best of our abilities; we lag in our skills. When we get to that point, we need someone to be there, to yank us back from that ledge, to remind us that we are not alone, to give us confidence in our ability to perform as an athlete.”
Chloe Bartz, Edwardsburg
Playing fourth season of varsity basketball, ran four of cross country and will participate in fourth of track & field this spring. Qualified for MHSAA Finals three times in track and holds school record as part of 3,200-meter relay. Helped basketball team to two league and two District titles and best finish in school history. Served as captain of all three teams and earned scholar athlete awards all four years. Serving fourth year on student council with two as vice president and participating in second year of National Honor Society with one as treasurer. Participating in third years on youth advisory council and yearbook staff – with two as editor – and fourth year as part of Students Against Destructive Decisions chapter with two as chairperson. Earned regional first place and qualified for state competition twice as part of Science Olympiad team. Will attend Loyola University Chicago and study biochemistry.
Essay Quote: “Sports are often said to reveal character, but I am of the opinion they build it. As student athletes we are reminded daily of the effort, time and passion needed to succeed on the sports field as well as in the classroom. It’s essential for sportsmanship to be practiced as much as a jump shot, for at the end of the game it won’t be a person’s last-second shot you remember in 20 years.”
Olivia Haring, Clare
Playing third season of varsity basketball, ran four of cross country and will participate in fourth of track & field this spring; also played junior varsity softball as a freshman. Qualified for MHSAA Finals in cross country all four seasons and track her first three and helped those teams to a combined seven league championships. Earned all-conference, all-region and academic all-conference and all-state honors in those two sports, and has served as captain of all three of her varsity teams. Serving fourth year on student council and as student body president, and fourth year as part of Business Professionals of America and as co-president. Qualified for state BPA competition. Participating in second year of National Honor Society and has served as treasurer. Earned Presidential Scholarship and named Junior Business Student of the Year both by Northwood and carries a 3.96 GPA while dually enrolled at Mid Michigan College. Led fundraiser that collected more than $1,000 for breast cancer awareness. Will attend Northwood University and study finance with the intention of earning a master’s in business administration.
Essay Quote: “The high stakes of competitive athletics demand excellent sportsmanship. Failure to meet such expectations can be detrimental to the athlete, team and community. Witnessing unsportsmanlike conduct prompted positive change in my hometown.”
Zoe Neirink, Frankenmuth
Ran four years of varsity cross country and will play her fourth of varsity soccer this spring. Served as captain of cross country team and qualified for MHSAA Finals in that sport all four seasons. Earned all-league recognition in both sports and all-state in soccer. Earned AP Scholar with Honor recognition and participates in National Honor Society. Competing in fourth years of quiz bowl and Science Olympiad; earned all-league honors and served as team captain for quiz bowl and medaled in regional competition and served as vice president for Science Olympiad. Playing fourth year in marching band and second as part of pit orchestra and served as marching band pit percussion section leader. Participating in volunteer and community service efforts and as part of 2019 Graduation Committee as selected by her teachers. Will attend Kenyon College in Ohio and study English, and intends to pursue a law degree.
Essay Quote: “The workload of being a student-athlete can be taxing, but things become easier when one stops regarding school and sports as two separate things. I see the same respect in my teammates cheering for all the runners in a cross country race as I do in a student helping another study for a hard test. The things that make us good students, good sports, and good people are all interwoven.”
Noah Doederlein, Carleton Airport
Ran four seasons of varsity cross country and will run his fourth of track & field; also played junior varsity basketball as a sophomore. Earned all-league and all-academic honors for cross country and helped track team to conference championship in 2018. Earned AP Scholar with Distinction. Served as a team captain of both varsity teams, taking part as well on school’s Captains Council. Serving as class president for third year and also president of National Honor Society chapter. Served on Monroe County Youth Leadership Board and Monroe County 4-H Council. Selected for the 4-H State Youth Leadership Council and 4-H Capitol Experience Steering Committee, and as part of Michigan delegation to multiple national events. Participating in fourth year of Interact club and third of Michigan Youth Leadership (MYLead), and earned multiple local awards for academics and community involvement and also a 2017 Michigan Key Club Award. Will attend Michigan State University and study political science.
Essay Quote: “The communication, teamwork, and goal-setting skills that accompany educational athletics are inherent, while hard work and dedication teach students integrity. But, when poor sportsmanship infects athletics, the lessons being taught are misconstrued. When players, parents, and coaches begin to attack, taunt, or humiliate competitors, petty differences become more important than the skills players are attempting to learn.”
Justin Luo, Bloomfield Hills Cranbrook Kingswood
Played four seasons of varsity tennis, helping team to three MHSAA Finals and Regional championships and earning an individual league title playing singles. Earned all-state and all-league honors and served as team captain. Participating in fourth year of debate and earned one gold and three silver bids to national Tournament of Champions. Qualified for National Catholic Forensics League Tournament and National Speech and Debate Association Tournament, and was named top speaker at 2017 debate state championship. Playing fourth year of clarinet for school’s band, orchestra and pit orchestra and has earned a number of solo/ensemble prizes and served as concertmaster. Participating in third year of American Youth Leadership Foundation and fourth tutoring as part of school’s Horizons Upward Bound program. Serves as president of Horizons and as Peer2Peer student leader. Will attend Princeton University and study operations research and financial engineering.
Essay Quote: “When sportsmanship is not upheld, people begin to solely focus on winning and forget why we play sports. Cheating offers an easy escape for players to avoid dealing with adversity and learning a valuable lesson. Rather than have fun and build friendships, people become angry and are hurt. I have felt the pain firsthand and would not want that for anyone else. Thus, we must preserve sportsmanship in order to maintain the educational value of athletics.”
Pierce Morrissey, Big Rapids
Will play fourth year of varsity golf this spring and has served as captain every season, and also played varsity basketball as a junior and varsity tennis as a freshman. Earned all-state golf honors his first three seasons and made all-state “Super Team” the last two as one of the top golfers regardless of division. Won Lower Peninsula Division 3 Final individual championship in 2018. Serving fourth year on student council and Mecosta County Youth Advisory Council and second on MHSAA’s Student Advisory Council. Also serving fourth year on school’s Athletic Leadership Council and Climate Crew. Participating in fourth year of Project Outreach and this year as president, and was class representative for Fellowship of Christian Athletes chapter as freshman and sophomore. Participates in a number of volunteer projects including as mentor for youth golf. Will attend Michigan State University and study business.
Essay Quote: “A fundamental standard of educational athletics, sportsmanship is a code to separate the good athletes from exceptional athletes. A true "sportsman" has no room in their heart for selfish ambition. Of course, this selflessness doesn't happen in the blink of an eye. Most student-athletes would admit that their younger version of themselves had an abundance of maturing to do to become who they are today as a senior athlete.”
Connor Swinehart, Newaygo
Playing third season of varsity basketball, played three of varsity football and will play third of varsity baseball this spring. Earned all-league honors a total of five times and all-state recognition in basketball, and all-state academic honors in baseball. Served as team captain multiple seasons for all three sports. Served three years as student council president and is participating in second year of National Honor Society. Has earned all As throughout high school. Participates is a variety of sports-related and community volunteer projects including as a peer math tutor. Will attend University of Michigan and study biomedical engineering.
Essay Quote: “I knew I could finish the game, but another victory meant more for me than the actual win. Sitting in the dugout was a teammate of mine who has stuck with baseball his whole life and loves the game with all of his heart. He is a special education student with disabilities, which limits him from consistent playing time, but that does not mean he cannot throw the ball. My teammate has one of the biggest arms on the team. … I tell (my coach) I want (my teammate) to finish the game. I want him to get the victory. He deserves the victory. … These are the moments where sportsmanship is important. Putting a teammate’s needs and desires before your own.”
Other Class B girls finalists for the Scholar-Athlete Award were: Kamryn Cushway, Big Rapids; Salena Prakah-Asante, Bloomfield Hills Cranbrook Kingswood; Eleri Giem, Boyne City; Daisy Ansel, Comstock; Sarah Bidgood, Comstock Park; Bridget Kohane, Grand Rapids West Catholic; Dana Wila, Grand Rapids West Catholic; Lindsey Jurecki, Grosse Ile; Robin LeFevere, Imlay City; Sophie Moccio, Milan; Emily Unger, Montague; and Mallory Kean, Yale.
Other Class B boys finalists for the Scholar-Athlete Award were: Sam Bussler, Battle Creek Harper Creek; Clark Doman, Bloomfield Hills Cranbrook Kingswood; Alex Netzley, Cadillac; Adam Bruce, Gladstone; Jack Perry, Michigan Center; Michael Gormley, North Branch; Isaac Waffle, Olivet; Tommee Smith, Sparta; Cooper Clark, Stevensville Lakeshore; Dillon Mochty, Tawas; Dylan Day, Tecumseh; and Ethan McKenzie, Whitehall.
The Class C and Class D scholarship award recipients were announced Feb. 5, and the Class A honorees will be announced Feb. 19.
Farm Bureau Insurance of Michigan was founded in 1949 by Michigan farmers who wanted an insurance company that worked as hard as they did. Those values still guide the company today and are a big reason why it is known as Michigan’s Insurance Company, dedicated to protecting the farms, families, and businesses of this great state. Farm Bureau Insurance agents across Michigan provide a full range of insurance services—life, home, auto, farm, business, retirement, Lake Estate®, and more—protecting nearly 500,000 Michigan policyholders.
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.