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.
Scholar-Athlete Finalists Announced
By
Geoff Kimmerly
MHSAA.com senior editor
January 23, 2014
The 120 finalists for the Michigan High School Athletic Association's Scholar-Athlete Awards for the 2013-14 school year have been announced.
The program, celebrating its 25th anniversary, has recognized student-athletes since the 1989-90 school year and again this winter will honor 32 individuals from MHSAA member schools who participate in at least one sport in which the Association sponsors a postseason tournament.
Farm Bureau Insurance underwrites the Scholar-Athlete Awards and will present a $1,000 scholarship to each recipient. Since the beginning of the program, 608 scholarships have been awarded.
Scholarships will be presented proportionately by school classification, with 12 scholarships to be awarded to Class A student-athletes, six female and six male; eight scholarships will be awarded to Class B student-athletes, four female and four male; six scholarships will be awarded to Class C student-athletes, three female and three male; and four scholarships will be awarded to Class D student-athletes, two female and two male. In addition, the final two scholarships will be awarded at-large to minority recipients, regardless of school size.
Every MHSAA member high school could submit as many applications as there are scholarships available in its classification, and could have more than one finalist. Dearborn Heights Crestwood, Hastings and Marlette each have three finalists this year. Fourteen schools each had two finalists: Bay City Central, Bloomfield Hills Marian, Dearborn, Grand Haven, Grand Rapids West Catholic, Manistee Catholic Central, Marquette, Middleville Thornapple Kellogg, Midland Dow, Saginaw Swan Valley, Sturgis, Traverse City Central, Walled Lake Western and Yale.
Multiple-sport participation remains the norm among applicants. The average sport participation rate of the finalists is 2.70, while the average of the application pool was 2.16. There are 75 three-plus sport participants in the finalist field, and all but two of the 28 sports in which the MHSAA sponsors postseason tournaments are represented.
Of 407 schools which submitted applicants, 55 submitted the maximum allowed. This year, 1,701 applications were received. All applicants will be presented with certificates commemorating their achievement. Additional Scholar-Athlete information, including a complete list of scholarship nominees, can be found on the MHSAA Website.
The applications were judged by a 63-member committee of school coaches, counselors, faculty members, administrators and board members from MHSAA member schools. Selection of the 32 scholarship recipients will take place in early February. Class C and D scholarship recipients will be announced Feb. 4; Class B scholarship recipients will be announced Feb. 11, and Class A scholarship recipients will be announced Feb. 18. All announcements will be made on the MHSAA Website.
To honor the 32 Scholar-Athlete Award recipients, a ceremony will take place during halftime of the Class C Boys Basketball Final, March 22, at the Breslin Student Events Center in East Lansing.
To be eligible for the award, students must have a cumulative grade point average of 3.50 (on a 4.0 scale), and previously have won a varsity letter in at least one sport in which the MHSAA sponsors a postseason tournament. Students also were asked to respond to a series of short essay questions, submit two letters of recommendation and a 500-word essay on the importance of sportsmanship in educational athletics.
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.
2013-14 Scholar-Athlete Award Finalists
BOYS CLASS A
Stone Manczak, Bay City Central
Zachary Segall, Berkley
Andrew Barton, Birmingham Seaholm
Rami Kadouh, Dearborn
Samuel A Mousigian, Dearborn
Jared Hagan, Dearborn Heights Crestwood
Jalal Taleb, Dearborn Heights Crestwood
Brad King, Garden City
Ryan S Fischer, Grandville
Kenneth Elkin, Grosse Pointe North
Chris Kruger, Holt
David Doyle, Linden
Craig Ekstrum, Marquette
David Walter III, Middleville Thornapple Kellogg
Nate Fisher, Midland
Vikram Shanker, Midland Dow
Tanner Vincent, Novi
Trevor Denoyer, Petoskey
Kellen Scott Michael, South Lyon
Kyle Dotterrer, Traverse City Central
Cody James McKay, Utica Ford
Devin Kimberlin, Walled Lake Northern
Mitchell Dennis, Walled Lake Western
David J Walczyk, Walled Lake Western
GIRLS CLASS A
Anna Haritos, Auburn Hills Avondale
Saige Tomczak, Bay City Central
Jessica Hacker, Bay City Western
Tatyanna Dadabbo, Bloomfield Hills Marian
Clare Nienstedt, Bloomfield Hills Marian
Tala Taleb, Dearborn Heights Crestwood
Caroline Ann Hagan, East Lansing
Elizabeth Cowger, Fenton
Paige Blakeslee, Gibraltar Carlson
Mallory Beswick, Grand Haven
Claire Elise Borchers, Grand Haven
Joslyn Mae TenBrink, Jenison
Jessica Graves, Lowell
Gabrielle Gencheff, Marquette
Fiona B Shea, Middleville Thornapple Kellogg
Kallisse R Dent, Midland Dow
Rachel Barrett, Milford
Grace Kao, Okemos
Kirsten Avery Chambers, Riverview
Meghan Datema, Rockford
Elianna Shwayder, Saline
Molly Peregrine, Traverse City Central
Sarah O'Connor, Waterford Kettering
Jenna Ciennik, Waterford Mott
BOYS CLASS B
Tye Wittenbach, Belding
Carl Steinhauser, Berrien Springs
Ryan Spaulding, Freeland
Joseph Corey, Grand Rapids West Catholic
Nicholas Linck, Grand Rapids West Catholic
John Gatti, Grosse Ile
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, Ogemaw Heights
Anthony William Canonie, South Haven
Trenton Karle, Three Rivers
Daniel Kosiba, Vicksburg
Noah Nicholl, Yale
GIRLS CLASS B
Greer Elizabeth Clausen, Bloomfield Hills Cranbrook-Kingswood
Abigail Brown, Caro
Lindsey Brewis, Dearborn Divine Child
Bailey Baker, Eaton Rapids
Callie Jensen, Gladstone
Grace Bosma, Hastings
Kylee Nemetz, Hastings
Amanda M Metz, Otsego
Alexandra J Grys, Portland
Kiersten Mead, Saginaw Swan Valley
Courtney T Reinhold, Saginaw Swan Valley
Roxane L Strobel, Spring Lake
Peyton Boughton, Sturgis
Alea Penner, Sturgis
Angela Maurer, Williamston
Alana Koepf, Yale
BOYS CLASS C
Ty Michael Rollin, Beal City
Matthew S Johnson, Fennville
Carter Ballinger, Jonesville
Luke Joseph Smigielski, Mancelona
Dakota Hall, Marlette
Bradley Schaub, Marlette
Kyle Baxter, Mayville
Stephen T Erwin, Royal Oak Shrine Catholic
Jason Beckman, Shelby
James Barber, St Charles
Devin Morrow, Three Oaks River Valley
Nicholas DeSimpelare, Unionville-Sebewaing
GIRLS CLASS C
Korinna Corbin, Addison
Kirsten Olling, Breckenridge
Elizabeth Baker, Bronson
Melissa Dowell, Clinton
Amanda Reagle, Homer
Mandy Haferkorn, Iron Mountain
Megan Chapman, Ishpeming Westwood
Keara Wilson, Marlette
Grace Leighton, Mendon
Allie Kendall, Saginaw Nouvel
Kari Feddema, Schoolcraft
Erin McDonnell, Traverse City St Francis
BOYS CLASS D
Grant Hohlbein, Adrian Lenawee Christian
Bret Hiveley, Au Gres-Sims
Tyler Anthony Johnson, Bear Lake
Jeremy Bigalke, Manistee Catholic Central
Ben Feliczak, Manistee Catholic Central
Steven McKenzie, Marcellus
Alec Firack, Pickford
Harding Fears III, Southfield Christian
GIRLS CLASS D
MacKenzie Ciganick, Bellaire
Julie Ahnen, Bessemer
Sara Inbody, Deckerville
Vanessa Freberg, Eben Junction Superior Central
Kari Borowiak, Gaylord St Mary
Lyvia Deaver, Jackson Christian
Erin Gast, Lake Linden-Hubbell
Jennifer Malcolm, Plymouth Christian