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.

MHSAA's Roberts to Retire in August

By Geoff Kimmerly
MHSAA.com senior editor

April 24, 2018

For 32 years, Jack Roberts has served as much more than a caretaker of the Michigan High School Athletic Association.

In announcing his retirement Tuesday, he called working for 1,500 schools and hundreds of thousands of student-athletes over three decades his "purpose." 

John E. “Jack” Roberts, who has served as executive director of the MHSAA since the fall of 1986, will retire in August.

Roberts will conclude his tenure as the second-longest serving full-time executive director during the MHSAA’s 94-year history. He is the fourth person to serve that leadership role full time, following Charles E. Forsythe (1931-42, 1945-68), Allen W. Bush (1968-78) and Vern L. Norris (1978-86). Roberts currently is also the nation’s longest-serving executive director of a state high school athletic association.

The MHSAA has enjoyed continued growth under Roberts’ guidance, particularly in the number of Michigan high school students participating in athletics and in the number of MHSAA-sponsored tournament sports available to them.

The Association also has made unprecedented advances in providing for the health and safety of athletes and promoting sportsmanship and the values of educational athletics and while working to preserve competitive equity for its more than 1,500 member high school and junior high/middle schools.

“I don’t think anybody could have been luckier than I to enjoy their work so much and to enjoy the people he worked with so much,” Roberts said. “It has been a blessing to be able to bring my passions to work every day and be able to act on my convictions. I don’t think anybody could ever feel more called to a job than I did."

Under Roberts’ leadership, overall participation in high school athletics in Michigan has increased 10 percent, and the MHSAA has added more than 200 schools in increasing its membership by more than 15 percent at the high school and junior high/middle school levels combined. Most recently, in 2016, 6th-graders were allowed to compete for member schools for the first time as a push was made to increase junior high/middle school membership and serve the state’s students earlier in their athletic careers.

His tenure has seen the addition of girls competitive cheer (1994), girls & boys bowling (2004) and girls & boys lacrosse (2005) to the tournament sport lineup, the creation of separate wrestling tournament to determine champions by team format (1988) and 8-player football (2010, first playoffs 2011) as many small schools across the state began having trouble fielding 11-player teams because of enrollment and population decreases. Meanwhile, also under his leadership, the 11-player Football Playoffs expanded, doubling to 256 teams in 1999.

A number of key rules changes came under Roberts’ watch and direction, including the addition of opportunities for multiple schools to create cooperative teams in sports where participation is lagging, as well as the creation of down time and dead periods (2006) to ease pressure for year-round activity. A comprehensive sportsmanship package enacted in 1996 set a statewide tone for appropriate behavior and perspective that continues to make an impact today.

But the most significant and arguably lasting work influenced by Roberts came on topics not related to specific sports or competition. The MHSAA has led nationally in concussion care with its first programming in 2000 and return-to-play protocols enacted in 2010, and with concussion pilot testing, mandated reporting and insurance for those who suffer head injuries rolled out in 2015.

A heat management policy and CPR requirements for coaches were introduced in 2013. The first program for coaches education was launched in 1987 and evolved into the Coaches Advancement Program that is now required for all newly-hired varsity head coaches, and all coaches (head or assistant) at all high school levels (varsity and subvarsity) are now required to take annual rules/health meetings.

The Women in Sports Leadership Conference was created in 1989 and remains the first, largest and longest-running program of its type in the country, regularly drawing upwards of 500 participants. The first of now-annual statewide Athletic Director In-Service Programs was conducted in 1992, and the MHSAA’s website – MHSAA.com – was launched in 1997. That same year the first of the now-annual Sportsmanship Summits was held, and Michigan remains a national leader in student services thanks to a variety of programs that have been introduced over the last three decades.

“We have accomplished a great deal over 32 years, but there is very much more to do – and it will always be that way,” Roberts said. “People ask me if I have any regrets, and I don’t have many. But two come to mind right now.

“I regret that I didn’t spend more time writing notes to the folks I’ve been serving at the local level who work so hard delivering the program every day, every week, every season, every year to the young people that we serve. I wish I’d done more of that – that encouraging word to people in the trenches doing the work.

“And I suppose the second regret is that in spite of everything that we’ve done, there’s still a lot more to do to keep school sports as safe, sane and sportsmanlike as it ought to be – as it must be for schools to continue to sponsor these programs. You see, school sports done right brings help and hope to parents and to schools who are trying as hard as they can to raise up and educate kids in very, very scary times. School sports helps parents and helps schools bring stability and engagement into young people’s lives that can provide them life lessons and turn some good athletes into great citizens down the road.”

Roberts privately made the decision to retire during May 2017. But even as he has prepared for his retirement this summer, he’s catalyzed a Multi-Sport Participation Task Force charged with promoting the benefits of playing more than one sport and led the facilitating of statewide discussion on a sport-based transfer rule proposal that will come before the MHSAA's Representative Council in May.

In addition to his work specifically in Michigan, Roberts has carried significant influence at the national level. With his retirement, he also will be leaving the National Federation of State High School Associations (NFHS) Board of Directors. He led the creation of the NFHS Network for video productions in 2012 and is finishing an extended term as that board’s chairperson. He also has served on the board of directors of the National Association of Sports Officials (NASO).

Roberts previously served as an assistant director for the National Federation from 1973-80. He came to the MHSAA in 1986 from the Fellowship of Christian Athletes, which he served as executive vice president. During the last 45 years, Roberts has spoken to education, business and civic groups in nearly every state and five Canadian provinces and continues to be hailed as one of the nation’s most articulate advocates for educational athletics.

"We have always felt that we had the best executive director in the United States. What he's done for interscholastic athletics in Michigan is incredible," said MHSAA Representative Council President Scott Grimes, who serves as assistant superintendent of human services for Grand Haven Area Public Schools. 

"Jack has always had student-athletes' best interests in mind when making all decisions, and he's had tough decisions to make. We certainly will miss his leadership in our state."

In addition to his MHSAA work, Roberts has served as board president for the Refugee Development Center in Lansing for nine years and this year is the chair of the board of trustees for the Capital Regional Community Foundation. He is a 1970 graduate of Dartmouth College and taught English and coached football at high schools in Milwaukee and Denver before joining the NFHS staff. He and his wife Peggy reside in East Lansing, and his late father, John Roberts, served as the executive director of the Wisconsin Interscholastic Athletic Association (WIAA) from 1957-86.

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.

PHOTOS: From left, Jack Roberts during an interview in 1986, at Ford Field in 2005 and during a Representative Council meeting in 2014.