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.
Honoree Leads from Behind the Scenes
January 28, 2014
By Geoff Kimmerly
Second Half editor
Off to the side somewhere, where athletic directors generally reside, Teri Reyburn often enjoys her favorite part of leading DeWitt’s athletic department – watching her school’s athletes shine.
As head of one of the Lansing area’s most successful programs, she has celebrated more often than not. But while her contributions to those successes usually fall outside of fanfare, they hardly go unappreciated by those who understand the inner workings of high school sports.
Reyburn's faithful support of her school and continuous service to Michigan High School Athletic Association programs will be celebrated Sunday, when she receives the MHSAA’s 27th Women In Sports Leadership Award during the WISL banquet at the Crowne Plaza Lansing West.
In addition to heading a department since 1999 that annually produces winning teams, Reyburn was a key voice in the creation and growth of the Capital Area Activities Conference a decade ago and has hosted more than 80 MHSAA tournaments at various levels in various sports.
“I absolutely love the kids. And I take a huge amount of pride in being able to put on and prepare an event, have hundreds or thousands walk in and sit down, enjoy themselves and walk out and leave not knowing the amount of work it took,” Reyburn said. “We have a large amount of volunteers who make that happen. I have some of the most amazing coaches, and the parents support their kids too. It doesn’t get any better than here, and I love what I do.”
Each year, the Representative Council considers the achievements of women coaches, officials and athletic administrators affiliated with the MHSAA who show exemplary leadership capabilities and positive contributions to athletics.
Both DeWitt’s girls and boys golf teams have won two MHSAA Finals championships apiece during her tenure. The football program has played in four Finals and both the boys basketball team and competitive cheer teams have finished MHSAA runners-up.
The Panthers girls basketball team has advanced to three MHSAA Semifinals, and the boys and girls soccer teams and baseball team have combined for five Semifinal appearances during her time guiding the program.
DeWitt has a strong athletic tradition going back decades. But there’s no question Reyburn has played her part well in continuing that legacy.
“DeWitt teams are always hard-working and always the model of good sportsmanship. Many people would assign the credit to the coaches for such behavior,” wrote Lansing Catholic athletic director Rich Kimball is recommending Reyburn for the WISL award. “Having been a coach, I know they deserve a lot of credit for how their teams perform and act, but without the leadership from the ‘boss’ those things don’t usually happen. Teri makes sure her program operates with class at all times.”
Her contributions to athletics off the field of play have been similarly significant, if also understated.
Since taking over the DeWitt program as interim athletic director in March 1999, and then fulltime that summer, Reyburn regularly has hosted five MHSAA tournaments per school year plus a total of more than 20 rules meetings and a number of clinics in coordination with statewide coaches and officials associations.
Reyburn, 59, also was among athletic directors who played a significant role in the formation of the CAAC, which combined schools from four leagues into one in 2003. She also was a leading voice in the formation of DeWitt High School’s Hall of Fame, which has inducted 35 athletes and nine teams since 2008.
Reyburn has spoken at WISL conferences on both the role of Title IX in high school athletics and “Tackling the Media Blitz” for young coaches and athletes. She has served on the WISL planning committee as well as on Scholar-Athlete Award, athletic equity, competitive cheer rules, site and officials selection committees.
“Teri Reyburn has provided nearly two decades of quiet, steady leadership in her school district and serves as a mentor for those who are following her in the athletic director role,” said John E. “Jack” Roberts, executive director of the MHSAA. “She’s a role model for not just women, but anyone who aspires to a career in educational athletics. We’re pleased to honor her with the Women In Sports Leadership Award.”
Reyburn graduated from Cedar Springs High School in 1972, the same year as the enactment of Title IX and the first MHSAA tournaments in girls sports. Her school offered three sports, and she played intramural volleyball and was a cheerleader. She also was a championship-caliber horseback rider during high school summers.
Soon after graduation, Reyburn married her high school sweetheart Kris (they will celebrate their 41st anniversary in November). Hers sons were born not long after – Mike, now a lieutenant colonel in the U.S. Army stationed in South Korea, and then D.J., who will begin his first fulltime season as a Major League Baseball umpire this spring.
Reyburn took college classes, worked as a study hall aide at Cedar Springs and later served on the Portland Public Schools board of education for 11 years before her family moved to DeWitt. She had intentions of earning a college degree, and discussed the possibility again after joining DeWitt schools a media specialist, middle school sports coordinator and assistant to the high school athletic director in 1994. But after five years in those roles, a sad circumstance led to her taking over the DeWitt program fulltime.
She was brought into athletics initially by previous director Jim Lutzke, who also worked in the human resources department and served as the Panthers boys basketball coach. He relied on Reyburn to coordinate middle school events and serve as a game manager for many at the high school.
Lutzke was diagnosed with cancer early in the 1998-99 school year, and Reyburn took on additional roles including game setup and equipment ordering. Lutzke died that March, and Reyburn and girls basketball coach Bill McCullen took over the high school athletic director duties on an interim basis. She was then hired as Lutzke’s successor for the following fall – and continues to employ lessons she learned under his mentoring.
“The biggest thing I got from Jim was just learning not to react quickly. To think, to understand a situation and know all of the facts before I do anything,” Reyburn said. “Jim was extremely good at that. He was even keel and level with everything he did.”
Reyburn also received plenty of tutelage and support from local athletic directors including longtime Haslett leader Jamie Gent, Williamston’s Jeff Lynch and then-Fowlerville athletic director Jack Wallace.
Now Reyburn is among those passing the knowledge forward. She’s one of the longest-serving athletic directors in the CAAC and was recognized as her region’s Athletic Director of the Year in 2006 by the Michigan Interscholastic Athletic Administrators Association.
“There are few, if any, athletic directors who are more capable, more organized or more in touch with high school sports than Teri,” Lansing Catholic’s Kimball also wrote. “Teri is the perfect person to win this award – passionate, smart, humorous, organized, but most of all an advocate for educational athletes.”
Past Women In Sports Leadership Award recipients
1990 – Carol Seavoy, L’Anse
1991 – Diane Laffey, Harper Woods
1992 – Patricia Ashby, Scotts
1993 – Jo Lake, Grosse Pointe
1994 – Brenda Gatlin, Detroit
1995 – Jane Bennett, Ann Arbor
1996 – Cheryl Amos-Helmicki, Huntington Woods
1997 – Delores L. Elswick, Detroit
1998 – Karen S. Leinaar, Delton
1999 – Kathy McGee, Flint
2000 – Pat Richardson, Grass Lake
2001 – Suzanne Martin, East Lansing
2002 – Susan Barthold, Kentwood
2003 – Nancy Clark, Flint
2004 – Kathy Vruggink Westdorp, Grand Rapids
2005 – Barbara Redding, Capac
2006 – Melanie Miller, Lansing
2007 – Jan Sander, Warren Woods
2008 – Jane Bos, Grand Rapids
2009 – Gail Ganakas, Flint; Deb VanKuiken, Holly
2010 – Gina Mazzolini, Lansing
2011 – Ellen Pugh, West Branch; Patti Tibaldi, Traverse City
2012 – Janet Gillette, Comstock Park
2013 – Barbara Beckett, Traverse City
PHOTO: DeWitt athletic director Teri Reyburn walks the Ford Field sideline before the Panthers Division 3 Final against Zeeland West this fall. (Click to see more at HighSchoolSportsScene.com.)