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.
Legacy Speaks for Allen's Service
January 31, 2014
By Geoff Kimmerly
Second Half editor
Randy Allen was a face seen and a voice heard by thousands during the first two decades of his career in athletics, when he worked as a TV sports anchor and radio play-by-play personality.
But it’s fair to assume his son Dean has watched his dad at work more than anyone over the latter’s most recent 20-plus years serving high school athletic associations, including the last 13 as an assistant director at the MHSAA.
Dean Allen, now an assistant athletic director at Pontiac Notre Dame Prep, remembers many trophy presentations over the years and how his dad would step back and make sure the tournament manager or athletic director was the one handing the hardware to those who deserved the spotlight.
Randy Allen embraced a behind-the-scenes role after joining the high school association side in 1992. And as he retired from the MHSAA on Friday, it was no doubt the athletic directors, officials and coaches who worked with him behind the scenes over the last 13 years who most appreciated his many contributions to making his seasons run smoothly.
“The biggest smile you’d see on him was when the tournament was over and the kids were out there tackling each other, the excitement, the smiles on their faces when they get their medals and raise the trophy,” Dean Allen said. “For him, that’s most worth it. To see it run well, and when it’s over, seeing the kids and the community and parents and coaches, celebrating the successes they’ve had. Seeing the smiles on kids’ faces is really what it’s all about.”
Randy Allen’s name surely isn’t as recognizable to sports fans in Michigan as it was during the 1970s and 80s in Wisconsin.
That was by design.
Allen set that tone almost immediately at his first meeting as a member of the MHSAA staff – during the Michigan Interscholastic Athletic Administrators Association annual summer retreat.
“I remember telling them how glad I was to be here, and how much I looked forward to serving the membership. I just felt that was our main focus here, was to serve schools,” Allen said. “I’ve kept that thought in mind day in and day out.”
Allen knew only a handful of Michiganders when he joined the MHSAA staff. But he knew the job – and was ready for the challenges of fulfilling an aspiration while gaining knowledge of his new home on the fly.
His roots in high school athletics already dug deep.
Allen officiated baseball and softball for 25 years and also some of both at the college level. He also worked as a TV sports anchor at multiple stations near Madison, Wis., for 15 years while radio broadcasting high school football, basketball, baseball and hockey games on three networks and University of Wisconsin hockey games during the era of legendary coach Bob Johnson.
Allen went on to work in various other media roles as a producer, director and station manager, and broadcasted and produced Wisconsin high school tournament games – which led in part to his joining the Wisconsin Interscholastic Athletic Association staff as communications director in 1992.
In 2000, Allen became a seven-state regional director for iHigh.com. But an opportunity at the MHSAA two years later allowed him to pursue a goal going back to his days at the WIAA.
“I had always hoped I would get a chance to manage a sport in a state association,” Allen said. “When I came here, I went to heaven. I got to manage sports, and they were sports I knew like the back of my hand.”
Allen joined the MHSAA staff as assistant director in charge of baseball, softball, hockey and team wrestling. But that was just a start; Allen later traded in baseball and team wrestling for golf and played a leading role in the addition of bowling, which he has directed since its inception.
Allen also coordinated the junior high/middle school and MHSAA awards committees and served as staff liaison to the MIAAA, among other duties.
“Randy has been a perfect fit for his major sport responsibilities here,” MHSAA executive director Jack Roberts said. “He is a very hard worker, and he is very well liked by the coaches, officials and administrators he has served so well.”
It was during a trip to visit potential Hockey Finals sites roughly a decade ago that Roberts first brought up to Allen the possibility of bowling becoming the next MHSAA tournament addition – and the question of who on staff could run it. Roberts asked if Allen had experience in the sport.
Allen had an uncle in the bowling business and had been rolling since he was 4. “Bowling has been in my DNA since I was (a child),” Allen said. “I speak their language.”
He directed the MHSAA’s first Bowling Finals in 2004. Participation in the sport has continued to grow to 6,700 students in 2012-13.
Bowling also played a big part in making Allen something of an ambassador for the MHSAA, in that he reached out to an entire group of sports people who had not been in MHSAA conversations before.
He played a similar key role in serving others who also often work under the radar, providing training to the athletic department secretaries and middle school athletic directors during MIAAA conferences. And his experience in multiple states allowed him to provide a valuable and varied perspective.
“He always was willing to talk to someone – answer an MHSAA rules or regulation question, provide a quick fix to a school/league issue, give an anecdote to make a bad day better with a smile,” said Bear Lake athletic director Karen Leinaar, who also serves on the MHSAA Representative Council and is assistant to the executive director of the MIAAA. “And he always was a welcoming voice on the phone. No question, no person was ever a bother. He always took time and provided some type of direction.”
He’ll continue to do so.
Allen will begin Monday as commissioner of the Capital Area Activities Conference, the 27-school league that includes most of the biggest in the Lansing and Jackson areas.
“My entire life has been school sports. Not college sports, not professional sports. School sports,” Allen said. “It was my passion, what I was comfortable with as an official; I coached a little bit, I played a little bit (and) as a broadcaster.”
PHOTO: Retired MHSAA assistant director Randy Allen (left), with official Dan Dicristofaro, managed his final Hockey Finals in 2013.