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.
Legacies Live on in Matson's Work
By
Geoff Kimmerly
MHSAA.com senior editor
March 26, 2015
Hugh Matson was a sophomore on the 1951 Newaygo team that made the school's first trip to the MHSAA Boys Basketball Semifinals.
His team faced Dimondale in an auxiliary gym at Michigan State University’s Jenison Field House, but fell 56-54 in overtime when Dimondale scored the first basket of what was then a sudden-death extra period.
He watched the Class D championship game with some disappointment, knowing his team had come so close to playing on Jenison's main floor. But another highlight of that weekend has stuck with Matson, who has given back to high school sports as a teacher, coach, athletic director and official for more than 50 years.
After Matson and his team arrived in Lansing and checked into downtown’s Olds Hotel, they were directed to another room where they were welcomed by MHSAA executive director Charles E. Forsythe. It’s a memory Matson has enjoyed recalling recently – on Saturday, he will receive the honor bearing Forysthe’s name.
Matson will receive the 38th Charles E. Forsythe Award, for his long and various contributions to education athletics, during the first-quarter break of Saturday’s Class A Boys Basketball Final at the Breslin Center.
"That's very important to me. He was the big name in athletic administration when I got into it as an athletic director," Matson said. "He was known all over the United States as one of the great athletic directors, and I really feel honored. I'm humbled by it, naturally."
Forsythe was the MHSAA’s first full-time and longest-serving chief executive. Forsythe Award recipients are selected each year by the MHSAA Representative Council, based on an individual's outstanding contribution to the interscholastic athletics community.
Matson, 79, has deep roots in education. His mother Velma – who died in January at 104 years of age – was a longtime educator in Newaygo and with his father Francis established a scholarship for graduating seniors still awarded today. Hugh Matson took his first teaching job in 1957, at Mattawan, then followed older brothers Bill and Max to Saginaw Township Community Schools, teaching and coaching at Saginaw MacArthur High school from 1962-71 and then Saginaw Eisenhower from 1971-88.
Matson served as head varsity football and track and field coach at Mattawan and as head track and field coach at both MacArthur and Eisenhower, in addition to serving as an assistant football coach at both schools. He also became the first and only athletic director in Eisenhower’s history – holding that position from the school’s first day until the end of the 1987-88 school year, when he became co-athletic director of the new Saginaw Heritage High School, which was created from a merger of MacArthur and Eisenhower. Matson served as the sole full-time athletic director of Heritage for 1996-97 before retiring.
“Hugh has been dedicated to improving athletics in Michigan for more than 50 years, and his contributions stretch over every aspect of our games and beyond the Saginaw area,” MHSAA Executive Director John E. “Jack” Roberts said. “He showed leadership not only in his community for many years but at the statewide level among his colleagues, and continues his involvement as a valued official. We’re glad to honor Hugh Matson with the Forsythe Award.”
Matson has been a member of the Michigan Interscholastic Athletic Administrators Association (MIAAA) since 1970 and served as its president during the 1989-90 school year. He also was a member of the National Interscholastic Athletic Administrators Association (NIAAA) for three decades and has been a member of the Association of Track Officials of Michigan (ATOM) since 1993. Matson received distinguished service awards from both the MIAAA and ATOM and served as a representative and speaker for the MIAAA at regional conferences in Iowa and Wisconsin and to the NIAAA Leadership Forum in 1987.
During his time as athletic director, Matson hosted MHSAA Districts or Regionals for seven sports. He’s been an MHSAA registered official since 1970 and has officiated 25 MHSAA Regionals in either cross country or track and field and 12 MHSAA Finals. He also has officiated cross country and track and field at the Division I, II and III and NAIA collegiate levels.
“Hugh was excellent with students, parents and staff during his 42 years as a teacher and coach at Eisenhower and Heritage High School. He is extremely positive with the kids as an official,” said current Saginaw Heritage athletic director Peter Ryan, also a member of the MHSAA Representative Council. “Hugh has been dedicated to improving athletics in the state of Michigan, and his passion for athletic officiating is contagious.”
“I still think I have the energy for it, and I enjoy it a lot,” Matson said. “Every day before I go to a track meet, my (wife Jackie) says, ‘Have fun.’ And she says when I come home, ‘Did you have fun?’ And yeah, I have fun. Working with younger people also, it keeps me youthful.”
Matson received his bachelor’s degree in physical education with minors in English and history in 1957 from Western Michigan University. He taught English and history at Mattawan, and then English and physical education during his three tenures as part of Saginaw Township Community Schools. In addition to his mother and brothers, Matson’s sister Joelyn also worked in education, recently retiring from the University of Toledo.
Past recipients of the Charles E. Forsythe Award
1978 - Brick Fowler, Port Huron; Paul Smarks, Warren
1979 - Earl Messner, Reed City; Howard Beatty, Saginaw
1980 - Max Carey, Freesoil
1981 - Steven Sluka, Grand Haven; Samuel Madden, Detroit
1982 - Ernest Buckholz, Mt. Clemens; T. Arthur Treloar, Petoskey
1983 - Leroy Dues, Detroit; Richard Maher, Sturgis
1984 - William Hart, Marquette; Donald Stamats, Caro
1985 - John Cotton, Farmington; Robert James, Warren
1986 - William Robinson, Detroit; Irving Soderland, Norway
1987 - Jack Streidl, Plainwell; Wayne Hellenga, Decatur
1988 - Jack Johnson, Dearborn; Alan Williams, North Adams
1989 - Walter Bazylewicz, Berkley; Dennis Kiley, Jackson
1990 - Webster Morrison, Pickford; Herbert Quade, Benton Harbor
1991 - Clifford Buckmaster, Petoskey; Donald Domke, Northville
1992 - William Maskill, Kalamazoo; Thomas G. McShannock, Muskegon
1993 - Roy A. Allen Jr., Detroit; John Duncan, Cedarville
1994 - Kermit Ambrose, Royal Oak
1995 - Bob Perry, Lowell
1996 - Charles H. Jones, Royal Oak
1997 - Michael A. Foster, Richland; Robert G. Grimes, Battle Creek
1998 - Lofton C. Greene, River Rouge; Joseph J. Todey, Essexville
1999 - Bernie Larson, Battle Creek
2000 - Blake Hagman, Kalamazoo; Jerry Cvengros, Escanaba
2001 - Norm Johnson, Bangor; George Lovich, Canton
2002 - John Fundukian, Novi
2003 - Ken Semelsberger, Port Huron
2004 - Marco Marcet, Frankenmuth
2005 - Jim Feldkamp, Troy
2006 - Dan McShannock, Midland; Dail Prucka, Monroe
2007 - Keith Eldred, Williamston; Tom Hickman, Spring Lake
2008 - Jamie Gent, Haslett; William Newkirk, Sanford-Meridian
2009 - Paul Ellinger, Cheboygan
2010 - Rudy Godefroidt, Hemlock; Mike Boyd, Waterford
2011 - Eric C. Federico, Trenton
2012 - Bill Mick, Midland
2013 - Jim Gilmore, Tecumseh; Dave Hutton, Grandville
2014 - Dan Flynn, Escanaba
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.
PHOTOS: (Top) Hugh Matson continues as an MHSAA official and has worked at all levels of college as well. (Middle) Matson accepts his induction into the Saginaw Sports Hall of Fame in 2014. (Photos courtesy of Saginaw Heritage High School.)