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.
3 Sports Secure New Homes for 2017-18
May 9, 2017
By Geoff Kimmerly
Second Half editor
Championship rounds for girls basketball, team wrestling and individual wrestling will have new homes for the 2017-18 season, as approved by the Representative Council of the Michigan High School Athletic Association during its annual Spring Meeting, May 7-8, in Glen Arbor.
The Girls Basketball Semifinals and Finals, played from 2004-06 and then 2010-17 at the Jack Breslin Student Events Center at Michigan State University, will move to Van Noord Arena on the campus of Calvin College in Grand Rapids. The Team Wrestling Finals, contested the last two seasons at McGuirk Arena at Central Michigan University after a long run at Battle Creek’s Kellogg Arena, will begin at least a four-year engagement at Wings Event Center in Kalamazoo.
The Individual Wrestling Finals, previously a three-day event hosted by The Palace of Auburn Hills from 2002 through this March, will be contested at Ford Field in Detroit over two days.
In addition to those changes, the Representative Council also approved keeping the MHSAA Boys Basketball Semifinals and Finals at the Breslin Center for the 2017-18 season and approved a return to Northern Michigan University’s Superior Dome as the host of both 8-Player Football Finals in 2017. NMU hosted the first 8-Player Final in 2011; the 8-Player Football Playoffs will move from one to two divisions beginning this fall.
The moves of the Girls Basketball and Individual Wrestling Finals were made necessary by conditions outside of MHSAA control. The Girls Basketball Finals weekends in 2018 and also 2020-22 will conflict with the NCAA Division I Women’s Basketball Tournament and an opportunity for Michigan State’s women’s team to host first and second-round games should it qualify and earn a top-16 overall seed. The Individual Wrestling Finals – formerly held at multiple sites before moving together to Joe Louis Arena in 1999 – needed a new host as the Palace is expected to close before next season.
“It is with much gratitude to our recent hosts of the Girls Basketball and Wrestling Finals that we make these changes. But although we have enjoyed our time and relationships built, we also are excited to work with these next facilities and their staffs, who are similarly passionate about creating the finest experiences for our athletes and fans,” MHSAA Executive Director John E. “Jack” Roberts said. “We received interest from a number of facilities and managers who also value what our championship events provide for teams and their communities, and we’re eager to begin working with Calvin College, Wings Event Center and our familiar friends at Ford Field and Northern Michigan University on these endeavors.”
Roberts noted that contracts for the girls and boys basketball and individual wrestling tournaments are for 2017-18 only, but with the possibility of remaining at those sites additional years. The Council also discussed the possibility of changing both girls and boys basketball tournament schedules beginning with the 2018-19 season to help keep more Division I college and commercial venues available to host those events. The MHSAA will investigate alternative sites and develop an adjusted basketball season schedule for Council consideration in December. The Boys Basketball Finals weekend in 2019 as scheduled also conflicts with the NCAA Division I Women’s Basketball Tournament.
Although Van Noord Arena has never hosted an MHSAA Final, it twice has hosted NCAA Division III Women’s College Basketball Finals. The 5,000-seat arena hosted its first game in 2009, and while smaller than Breslin, is expected to provide a festive atmosphere with the possibility of being filled to near capacity for many of the MHSAA’s tournament games. Attendance at this past season’s MHSAA Girls Basketball Finals was 24,120 over three days – just shy of an all-time record – with a high of 5,272 fans for the Class A/D Finals session March 18.
"To host the MHSAA girls basketball state championship weekend is an honor for the Calvin College community," said Donna Joyce, Calvin's Business Development Manager. "We can't wait to welcome teams and their fans, and our goal is to provide first-rate hospitality to all who visit our beautiful campus next March."
Wings Event Center will allow the MHSAA to again stage all four championship matches on adjacent mats simultaneously – the format for most of the first 29 years of the Team Finals, but not last season as the Finals were split into two two-match blocks to help accommodate for attendance after the Team Finals session sold out in 2016. Wings has seating for 5,100 fans and additional standing-room capacity for 1,000 more.
"We are excited the MHSAA has awarded this prestigious state championship to Wings Event Center," said Greg Ayers, President & CEO for Discover Kalamazoo. "This venue and our community will provide for an excellent location for both the participants and fans attending this event. We look forward to working with the MHSAA in creating an outstanding championship site."
Ford Field, which has hosted MHSAA football championship games since 2005, will be configured for placement of up to 20 mats covering approximately half the football playing surface area. Seating will be configured to a capacity of roughly 24,000 in the lower bowl. The tournament schedule, which previously included one round of wrestling on the first day, followed by four rounds on both the second and third days of the event, will be adjusted to begin with four rounds Friday, March 2, 2018, and end with five rounds on Saturday, March 3. The three-day wrestling event drew 37,013 fans this past winter.
"We are excited to expand our existing relationship with the MHSAA to host the Individual Wrestling Finals at Ford Field in 2018," said Detroit Lions’ Senior Vice President of Business Development Kelly Kozole. "Since opening the stadium in 2002, it's been an honor to host the MHSAA Football Championships and a pleasure to see many MHSAA alumni come back to Ford Field as NFL players. As a professional sports franchise, we have the utmost appreciation for the significant role high school athletics play in the community and will continue to embrace opportunities to support them."
The 14,579-seat Breslin Center has been home to the Boys Basketball Finals since 1994. The event drew 53,990 fans over three days of Semifinals and championship games this winter, the largest overall attendance since 2012. The Class D/A Finals session drew 13,251 fans.
For 8-player football, the Council discussed long-distance travel possibilities to both sites that previously have hosted MHSAA Finals – the Superior Dome hosted the first 8-player championship game in 2011, and Greenville High School’s Legacy Field served as host from 2012-16. The 8-player tournament will move to two divisions this fall after playing with only one division during the first six years of its tournament history, and both championship games will be played during the same weekend at NMU.
“We’re excited for the opportunity to host the 8-Player Finals, along with the opportunity to continue hosting 11-Player Semifinals as well,” said Carl Bammert, NMU’s Associate Athletic Director and supervisor of its sports complex, including the Superior Dome. “We’re always excited for the opportunity for exposure from getting high school students and their families on campus and at the Superior Dome.”
The MHSAA is a private, not-for-profit corporation of voluntary membership by more than 1,400 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.