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.
Rice Brings Officials Expertise to MHSAA
August 2, 2018
By Geoff Kimmerly
Second Half editor
Before starting down the path toward becoming one of the nation’s most respected trainers of baseball umpires, Brent Rice was a student at small-town Concord High School who didn’t have to put much effort into succeeding academically.
But he received a challenge that has continued serving him along the way.
It came from one of his high school coaches, who said he’d go to bat for the then-senior leaving school early to begin attending the prestigious Harry Wendelstedt Umpire School in Ormond Beach, Florida. But first, Rice would have to show the higher level of effort and commitment it would take to succeed on his quest to become a professional official.
That nudge from high school sports drove Rice’s surge into officiating, and also remained with him as he decided to come home and serve Michigan’s high schools – with nearly two decades of teaching and training experience to guide him as an assistant director for the Michigan High School Athletic Association.
Rice, who went on to umpire minor league baseball for 12 years and become administrative director and chief of instruction for the Wendelstedt school, has been named to an MHSAA assistant director’s position, effective August 13. He will be charged with supervising the nearly 10,000 registered officials in all sports and also serve as the MHSAA’s director of baseball and assist with softball.
“I went to a small school, and I learned a lot of life lessons through that and I want to be able to give back,” Rice said. “It’s where I got my start, and where I want to finish up.”
The Wendelstedt school is the most highly-attended professional umpire school in the world, and Rice has served as chief of instruction since Sept. 2000 while adding responsibilities as administrative director in Jan. 2005. Rice also umpired at various levels of minor league baseball from 2000-12, including as a crew chief, and has directed or contributed to training publications referred to by thousands of professional umpires worldwide.
Rice, 36, graduated from Concord High School in 2000 and has a bachelor’s degree from Western Michigan University. He began attending Wendelstedt as a student while a senior at Concord and currently umpires at the Division I college level in the Big Ten and Atlantic Coast Conference. He moved to Battle Creek from New Orleans four years ago, and since returning to this state has been registered as an MHSAA official for baseball, volleyball and 11 and 8-player football, working as part of a regular football crew.
He was selected for the assistant director position from a pool of nearly 70 applicants.
"Brent Rice has devoted his career to preparing the next generations of officials, and he will provide great expertise in growing our efforts to recruit, retain and train officials in all of our sports," said newly-appointed MHSAA Executive Director Mark Uyl, who formerly served as assistant director and the association's coordinator of officials. "He is a national leader in teaching and training and has been a much sought-after speaker and clinician for many years, yet brings knowledge and passion for Michigan and educational athletics.
“His experience, work ethic and relationship-building skills will make him a valuable addition to the MHSAA staff."
Rice will draw on nearly two decades of experience in administration and rules interpretation in addition to his on-field umpiring experience.
While at Wendelstedt, Rice supervised 30 Minor and Major League Baseball instructors and developed the curriculum for training future professional umpires. He led the day-to-day operations of the program, and also presented daily classroom lectures on rules and directed staff demonstrations of field mechanics.
As the school’s administrative director, Rice was responsible for maintaining registration and enrollment records and developing programs to increase enrollment. Among his successful initiatives were recruiting programs that focused on engaging college student-athletes and military veterans.
He has directed the design, composition and annual revision of the school’s Official Baseball Rules and Interpretation Manual, the go-to source for umpires at all levels across the country and internationally. Rice also is a regular contributor to officiating publications and in the production of video training packages, and has been commissioned to rewrite the Official Baseball Rules manual used at all levels of the professional game.
Additionally, Rice has worked with both Minor League and Major League Baseball to develop various protocols and has served as a consultant for the Chinese Professional Baseball League, Korean Baseball Organization and the summer collegiate Northwoods League, as well as USA Fencing.
One area Rice would like to start work on immediately at the MHSAA revolves around tackling poor sportsmanship – a main factor driving officials away from the avocation.
Rice doesn’t see recruiting officials as the most difficult part of bolstering the MHSAA’s ranks; it’s retaining them.
“For me, the challenge is to try to find incentives outside of the box in some way … find other things to bring them along, make them feel supported and ultimately stay with you,” Rice said.
Rice played football and baseball as a student at Concord. He is working toward a master’s degree in public administration to go with his bachelor’s from WMU in political science and sociology. He and his wife Jenna have two daughters.
PHOTOS: (Top) Brent Rice, left, instructs an umpire during a drill at the Wendelstedt Umpire School. (Middle) Rice, far left, speaks to a group of students under his supervision. (Photos courtesy of Wendelstedt Umpire School.)