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.
Scholars and Athletes 2014: Class B
By
Geoff Kimmerly
MHSAA.com senior editor
February 11, 2014
By Geoff Kimmerly
Second Half editor
The Michigan High School Athletic Association has selected eight student-athletes from Class B member schools to receive scholarships through its Scholar-Athlete Award program.
Farm Bureau Insurance, in its 25th year of sponsoring the award, will give $1,000 college scholarships to 32 individuals who represent their member schools in at least one sport in which the Association sponsors a postseason tournament. The first 30 scholarships are awarded proportionately by school classification and number of student-athletes involved in those classes; also, there are two at-large honorees who can come from any classification.
Each of the scholarship recipients will be honored at halftime ceremonies of the Class C Boys Basketball Final game March 22 at the Breslin Student Events Center in East Lansing. Commemorative medallions will be given to the finalists in recognition of their accomplishments.
The Class B Scholar-Athlete Award honorees are: Bailey Baker, Eaton Rapids; Peyton Boughton, Sturgis; Courtney Reinhold, Saginaw Swan Valley; Roxane L. Strobel, Spring Lake; Anthony William Canonie, South Haven; John Gatti, Grosse Ile; Nicholas Linck, Grand Rapids West Catholic; and Noah Nicholl, Yale.
Overviews of the scholarship recipients of the Class B Scholar-Athlete Award follow. A quote from each recipient's essay also is included:
Bailey Baker, Eaton Rapids
Expects to graduate with a school-record 16 varsity letters – four each in volleyball, basketball, softball and track and field. Earned both all-state honorable mention in softball and was an MHSAA Finals runner-up in discus as a junior, when she made the Lansing State Journal all-area Dream Teams in both sports; also has earned all-league honors in both volleyball and basketball. Serving as captain of the basketball team for the second season and captained the volleyball team for three years. Participated in National Honor Society for three years and raised more than $1,000 for a food program among other volunteer efforts; also organized a fundraiser that led to the distribution of more than $6,000 in goods. Served on yearbook staff for three years including as editor, and also as a volunteer coach for numerous youth basketball and volleyball camps. Undecided on where she will attend college and her field of study.
Essay Quote: “Sportsmanship is the understanding that while you give everything on the court or field, at the end of the day, the opponents are the same as you – people with goals. This perspective has been reinforced through interscholastic sports – and I am better for the experience.”
Peyton Boughton, Sturgis
Ran four years of varsity cross country and will run her fourth of track and field this spring. Earned all-state in cross county the last two seasons and earned a 13th-place Finals finish as a junior. Served as captain of that team the last two years and ran her school’s record time this fall. Named academic all-state all four years of cross country and has participated in National Honor Society the last two years – serving as vice president as a junior and president this school year. She served in the same roles the last two years, respectively, with her Kiwanis Key Club and also is a member of the National Art Honor Society. Maintains all-A grades and earned an AP Scholar Award in 2013. Served on the Sturgis Area Community Foundation Youth Advisory Council for four years. Will attend the University of Michigan and study industrial design, engineering or architectural drafting.
Essay Quote: “As a runner, I’ve made it a habit to sincerely meet with and compliment my opponents on a race well run. Such an outlook on athletics has allowed me the opportunity to connect with friends I’ll never forget who’ve attended schools from 10 miles to more than 100 miles away.”
Courtney Reinhold, Saginaw Swan Valley
Played varsity volleyball for four seasons, basketball for two and will play her fourth of softball this spring. Earned all-state as a pitcher the last two softball seasons while leading the Vikings to MHSAA Division 2 Finals runner-up finishes at the end of both. Earned all-league in volleyball the last two seasons and helped her team to a Regional title in the fall. Served as team captain of all three. Maintains a 4.0 grade-point average and is a four-year member of her student government and Students Against Destructive Decisions chapter. Served as secretary of her Business Professionals of America state championship team and attended the Great Lakes Bay Regional Youth Leadership Institute. Volunteered for her community’s Make a Difference Day and youth sports camps. Will attend Grand Valley State University and study radiation therapy.
Essay Quote: “(After a volleyball District win) I looked down at my phone and I couldn’t believe what I saw: the girl, the one everyone had said we would battle it out, had sent me a personal message. She told me congratulations, and she said she could tell my teammates looked up to me and that I was a great leader. ... I was so taken back because this was also her senior year and last game, but she showed so much sportsmanship and grace to reach out to me.”
Roxane L. Strobel, Spring Lake
Played four years of varsity tennis and is in her fourth season of varsity swimming and diving. Qualified for MHSAA Tennis Finals as both a sophomore and junior and was a league or Regional singles flight champion all of her first three seasons. Also qualified for the MHSAA Swimming and Diving Finals all four years of high school and earned all-league honors her first three and all-state as a freshman. Maintains all-A grades since the beginning of high school, and participated in National Honor Society for three years including as her chapter’s vice president as a junior and president this school year. Also participated for three years as a member of the Grand Haven Community Foundation Youth Advisory Council and serves as co-chairperson. Played as principal violist in the Holland Area Youth Orchestra the last three years. Will attend the University of Michigan and study biochemistry and botany.
Essay Quote: “Through simple moments between opponents and teammates, a sense of commonality of purpose and an appreciation for the unique paths that athletes take in life can be experienced. Sportsmanship has acted, and will continue to act, as the catalyst for the development of stronger athletes, brighter scholars and better human beings.”
Anthony William Canonie, South Haven
Played four seasons of varsity soccer and varsity basketball and expects to play his fourth varsity baseball season this spring. Served or will serve as captain of each team for two seasons. Named all-state in soccer twice and owns his school’s goals and overall points records and is tied for the assists record; also named all-league three seasons in both basketball and baseball. Named academic all-state for soccer and is a three-year member of the National Honor Society. Has achieved all-A grades since the start of high school. Participated in the Youth Enrichment Services (YES) student community service organization and Fellowship of Christian Athletes both for four years and also volunteers as both a member of his church’s youth group and the Lil’ Rams Basketball Organization. Undecided on where he will attend college, but intends to study finance and accounting.
Essay Quote: “On the court, I saw (Lil’ Rams) kids running around, each trying to be superstars and not working as a team. There were sore losers and boastful winners, and I knew what my role in this program would be. I would teach the kids the importance of teamwork and good sportsmanship, just as my idols had taught me.”
John Gatti, Grosse Ile
Playing his second season of varsity ice hockey and will play his fourth season of golf this spring, and also played three seasons of varsity tennis. Qualified for the MHSAA Tennis Finals as both a sophomore and junior and was named his team’s Most Improved Player both of those seasons while earning all-league honors. Won his hockey team’s Coaches’ Award as a junior and is captain this winter; also will be captain of the golf team this spring. Served in student government four years including as executive board president. Also serves as vice president of the Michigan Associations of Student Councils and Honor Societies state board. Participated in National Honor Society the last two years and as a section leader of his marching band. Served two years as communications officer of his school’s Students Taking a New Direction organization and received a Ronald Reagan Student Leader Award. Undecided where he will attend college but will study biochemistry.
Essay Quote: “What those players seemed to understand is that the way one wins and the way one conducts himself during competition is more important than the outcome. ... Ideally, all student athletes would take the lessons learned from sports and use them to positively influence our peers by setting a good example.”
Nicholas Linck, Grand Rapids West Catholic
Participated in four varsity seasons of tennis and swimming and diving and also participated in track and field for two seasons. Helped the tennis team win its first Regional title ever as sophomore, then served as captain as a junior and senior and finished Lower Peninsula Division 4 runner-up this fall at No. 3 singles. Set a conference swimming and diving record in the 100-yard freestyle and broke two school records as a junior, when he qualified for the MHSAA Finals in three events. Serves as captain of the swimming and diving team. Ranks as salutatorian of his class and serves as vice president of his National Honor Society chapter. Participated in Interact Rotary with the Rotary Club of Grand Rapids and on the Kids Food Basket Youth Action Board. Helped in raising more than $8,000 for a greenhouse designed by his pre-engineering class. Undecided where he will attend college, but plans to study environmental engineering.
Essay Quote: “In educational athletics, winning is certainly not everything. Winning does not raise our salaries. It is just something that we can take pride in. .. Sportsmanship on these teams is something that can truly define us. The level of sportsmanship one has is seen through a fair line call, an extended hand to help out an opponent or through simply a smile.”
Noah Nicholl, Yale
Played three years of varsity football and two of varsity basketball plus participated two seasons in track and field. Made his all-league first team as both a junior and senior and was named his team’s Most Valuable Player this fall, when he also served as captain. Helped his basketball team to a conference championship as a junior. Served in student government the last two years including as class vice president, and also participated in National Honor Society three years and as his chapter’s vice president. Participated as a Michigan Youth Leadership (MYLEAD) ambassador and was named a State of Michigan Patriot Contest essay honoree. Serves as chief deputy squire of his Knights of Columbus chapter and participates as a mentor for his school’s Promoting Academic and Social Success program; also has served as a youth basketball camp instructor for four years. Undecided on where he will attend college, but plans to study chemistry.
Essay Quote: “The attribute of sportsmanship is what allows athletes to compete with tenacity while there is still time on the clock, and yet, allows them to respectfully shake hands after the final whistle, commending the opponent on a contest hard fought. It definitively identifies the values of a true champion.”
Other Class B girls finalists for the Scholar-Athlete Award were: Greer Elizabeth Clausen, Bloomfield Hills Cranbrook-Kingswood; Abigail Brown, Caro; Lindsey Brewis, Dearborn Divine Child; Callie Jensen, Gladstone; Grace Bosma, Hastings; Kylee Nemetz, Hastings, Amanda M. Metz, Otsego; Alexandra J. Grys, Portland; Kiersten Mead, Saginaw Swan Valley; Alea Penner, Sturgis; Angela Maurer, Williamston; and Alana Koepf, Yale.
Other Class B boys finalists for the Scholar-Athlete Award were: Tye Wittenbach, Belding; Carl Steinhauser, Berrien Springs; Ryan Spaulding, Freeland; Joseph Corey, Grand Rapids West Catholic; Matt Johnson, Hastings; Richard Cassell, Jackson Lumen Christi; Ben Woodruff, Jackson Northwest; Ismail Aijazuddin, Madison Heights Lamphere; Zachary A. Ohs, Monroe St. Mary Catholic Central; Michael T. von Kronenberger, West Branch Ogemaw Heights; Trenton Karle, Three Rivers; and Daniel Kosiba, Vicksburg.
The Class C and D scholarship award recipients were announced Feb. 4, and the Class A honorees will be announced Feb. 18.
Farm Bureau Insurance, one of Michigan's major insurers, has a statewide force of more than 400 agents serving more than 380,000 Michigan policyholders. Besides providing life, home, auto, farm, business and retirement insurance, the company also sponsors life-saving, real-time Doppler weather tracking systems in several Michigan communities.
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.