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.
Hutcheson Eager to Serve Statewide
April 20, 2016
By Geoff Kimmerly
Second Half editor
On Tuesday, Dan Hutcheson was the public address announcer at a track and field meet. On Wednesday, he spent part of the morning painting a door.
As a teacher, coach, then assistant principal and athletic director, he’s performed in a wide variety of roles for Howell High School over the last two decades.
This fall, he’ll take on another set of similar but new and wide-ranging responsibilities as an assistant director for the MHSAA.
Hutcheson, who will join the staff in August, will take over administration of wrestling, girls and boys tennis and another sport to be determined. He’ll also contribute to the Coaches Advancement Program and Athletic Directors In-Service program among other duties.
“When I look at each step I’ve taken, it’s been an opportunity to serve more people,” Hutcheson said. “As a classroom teacher and a coach, and then moving up to assistant principal where I was serving more students. And then athletic director, where I was serving more students, and now serving the entire state. It’s pretty remarkable.”
The addition of Hutcheson is one of a few changes coming to the MHSAA staff for the start of the 2016-17 school year. Longtime official Sam Davis will join part-time in September to coordinate an expansion of services and support for officials, including in the key areas of recruitment and retention, while also assisting Hutcheson with wrestling.
Andrea Osters will be promoted in August to assistant director in charge of volleyball and another sport to be determined. Osters, the current social media & brand coordinator for the MHSAA and also the lead administrator for softball the last three years, will with Hutcheson take over most of the duties of current assistant director Gina Mazzolini, who will retire at the end of July.
At Howell, Hutcheson directs 90 athletic teams for grades 7-12. His high school, with more than 2,500 students, is one of the largest in our state. He has served as athletic director for the last decade after two years as an assistant principal, and he also coached the school’s wrestling program for eight seasons while teaching applied technology at the high school and later working for the Howell Recreation Department.
A plea from a professor during his first year as a student at Ferris State University set Hutcheson’s path toward education – although along the way he’s picked up a variety of skills that have benefitted his athletic program and the surrounding sports community as well.
He went to Ferris with thoughts of becoming a graphic designer and going into advertising. But by the end of his first term, as he watched classmates stay up into the morning hours working on projects while he was getting up at 6 a.m. for wrestling practice, he figured that career might not be the best fit.
Hutcheson still remembers the day in class when that instructor remarked that there was a huge need for technical education teachers. Hutcheson, who had always wanted to coach, saw that as his eventual niche.
He graduated with a bachelor’s degree in technical education with an associate’s in graphic arts and printing technology, and later earned a master’s degree in public and educational administration at University of Michigan-Dearborn.
Hutcheson recently was named his region’s Athletic Director of the Year by the Michigan Interscholastic Athletic Administrators Association, and with Davis will bring extensive wrestling experience to the MHSAA. After competing at Howell and then Holt High School as a senior – making the MHSAA Individual Finals and finishing third at his weight as a senior in 1988 – Hutcheson was three-time NCAA Division II wrestling All-American and two-time Academic All-American while at Ferris State, and a three-time Greco-Roman Open All-American at the collegiate and post-graduate senior levels.
Hutcheson served as an assistant wrestling coach at Ferris State during the 1994-95 season and then coached the Michigan Wrestling Club from 1997-2000 guiding athletes in World Team and Olympic Trials competition. He led the Highlanders to the Division 1 Quarterfinals his first season as a high school coach, and currently serves as wrestling commissioner and overall president of the 24-school Kensington Lakes Activities Association and on MHSAA committees for wrestling and lacrosse.
He took over as athletic director at Howell from longtime administrator Doug Paige and has relied in part on work ethic learned from parents Don and Lynne Hutcheson and mentoring from college coach Dr. Jim Miller, who also is a professor of Optometry and with whom Hutcheson remains in regular contact.
Hutcheson has relished opportunities to put on big events, and one of his last as Howell athletic director will be as host of both MHSAA Boys Lacrosse Finals on June 11.
And tapping into those technical and design skills, Hutcheson also serves as webmaster and historian for the KLAA and created one of the most detailed league websites in the state.
“When we were doing (Paige’s) going-away party, I said his were big shoes to fill but my goal wasn't to fill the shoes, but to keep walking in the same direction,” Hutcheson said. “I feel the next person up will have a great foundation that’s here and will take it to the next level.
“I’m very excited about (joining the MHSAA staff). But I’ll probably take the same approach as what I did as athletic director here. Things have been done a certain way for a reason, and then we can look for ways to tweak things, fine-tune things.”
Champions who champion our games
An MHSAA Wrestling Finals individual champion for Lansing Eastern in 1969, Davis went on to wrestle briefly at Michigan State University before an eye injury ended his competitive career in that sport. However, he instead took up judo, winning state championships in 1980 and 1981 and competing at the U.S. Olympic trials. After graduating from MSU with bachelor and master’s degrees in 1974, Davis began his teaching career at Lansing Everett High School. He also coached wrestling and football and later served as an assistant principal at the school before serving as principal at Dwight Rich Middle School and then district athletic director over a 32-year career with Lansing Public Schools that concluded in 2007.
Davis received the MHSAA’s Vern L. Norris Award in 2015 for his work in officiating, including the mentoring and educating of other officials. He has been an MHSAA registered official for 36 years, working wrestling during the entirety of his career and baseball most of the last decade. Davis has officiated in all but a few of the MHSAA’s annual Wrestling Finals since receiving his first championship-level assignment in 1983. He currently serves as a major with the Ingham County Sheriff’s Office, serving as jail administrator, and will remain employed by the county while joining the MHSAA staff.
Osters has worked as part of the MHSAA staff since 2005 and has presented multiple times at National Federation annual meetings on her work as a nationally-recognized leader in high school sports association social media. She is a member of the Leadership Council of the NFHS Network, the national digital broadcasting initiative of the National Federation of State High School Associations, and has worked in coordination and planning of the MHSAA’s Captain’s Clinic series and other student leadership programs.
She also launched the “Officials for Kids” statewide fundraising initiative and handles all venue-specific ticketing for MHSAA statewide tournaments.
She was a high school champion as a starter on the Okemos softball team that won the MHSAA Division 1 championship in 1999 and then graduated from Michigan State in 2004 with a bachelor’s degree in communications and concentration in public relations. She served as Okemos’ freshman softball coach for four seasons, from 2002-05, and also wrote a weekly sports column for a local magazine from 2009-11. Osters is a current member of the board of directors for the Michigan Society of Association Executives and was a founding member of the MSAE’s Emerging Professionals Committee.
“Dan Hutcheson, Sam Davis and Andrea Osters are passionate advocates for the values of high school athletics,” MHSAA Executive Director John E. Jack Roberts said. “Dan is one of the most respected athletic administrators in Michigan and brings a collection of experiences and skills that will benefit all of our schools in a variety of areas. Sam has long championed officiating, and we’re excited for the possibilities his experience and abilities bring as we intensify our recruitment of new officials statewide to join the more than 10,000 who annually work our games.
“Andrea has provided the MHSAA with a variety of skills and leadership over more than a decade of service and played a prominent role in the move of the MHSAA Baseball and Softball Finals to Michigan State two years ago. We anticipate she’ll make a smooth transition in taking over new and added responsibilities.”
PHOTO: Howell’s Dan Hutcheson coaches one of his wrestlers during his tenure running that program from 1997-2004. (Photo courtesy of Dan Hutcheson.)