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.
Inglis Finds Next Home at MHSAA
December 4, 2013
By Geoff Kimmerly
Second Half editor
The theme chosen by Portage Northern’s student section for its hockey Regional Final in 1989 was “Kings of the Ice,” and as such they wore Burger King crowns as a sign of the royalty their classmates soon would earn.
Just before team captain Cody Inglis accepted the championship trophy, he skated to his friends and was anointed as well as one placed a crown upon his head.
Golden cardboard and all, Inglis received his team’s prize and circled the ice.
Inglis returned home that night eager to discuss the highlights with his dad Bill, a former professional player and one-time coach of the NHL’s Buffalo Sabres. But there was only one thing Bill had to say – and it’s a principle that’s continued to guide Cody throughout his career in high school athletics.
“I was really looking for his input and congratulations, and he looked at me and said very succinctly, ‘There’s a right way and a wrong way to do things. And you chose the wrong way,’” Inglis remembered this week. “At the time, I couldn’t see it with the perspective of a 17-year-old kid. But now I look back on it as the most valuable life lesson I’ve ever gotten.
“I knew he was proud of me. But the lesson he was trying to impart on me was doing things the right way is much more important than winning.”
Inglis has been doing things the right way for two decades while serving first at Suttons Bay and then Traverse City Central High School. He’ll bring a winning list of achievements and wealth of knowledge when he joins the Michigan High School Athletic Association staff as an assistant director in January.
Inglis, 42, has served as athletic director and assistant principal at Traverse City Central since February 2008, taking over after 11 years as athletic director at Suttons Bay. He also has served as secretary for both the Big North and Northwest Conferences and for 13 years as the northern Lower Peninsula representative of 125 athletic directors for the Michigan Interscholastic Athletic Administrators Association.
Inglis will serve as the MHSAA’s director of ice hockey, girls and boys cross country, girls and boys golf, and girls and boys bowling. In addition, he will assist in the direction of girls and boys skiing and girls and boys track and field, and be in charge of the junior high and middle school committee. Inglis also will assist with the administration of the MHSAA’s Coaches Advancement Program and provide his expertise as an instructor.
“We had more than 100 candidates, including a half dozen of the finest ADs in America – not just Michigan. They couldn’t be any better,” MHSAA Executive Director John E. “Jack” Roberts said. “Cody’s selection was based in part on his being just a slightly better fit to the job description we had in mind.
“He’s had to do some tough things as an administrator. But he’s got a personality that causes people to rally around him.”
On the move
Inglis’ dad, Bill, spent 50 years in pro hockey, most of his final 20 as general manager of the Kalamazoo K-Wings, and Cody grew up in lockerrooms around future pros like Ron Hextall, Dirk Graham and Marty Turco. When the Toledo Goaldiggers won the IHL’s Turner Cup when Cody was in sixth grade, he got to carry the cup through downtown. The family moved 17 times, and prior to the stop in Kalamazoo, Cody had never lived anywhere longer than 2½ years.
Inglis graduated from Portage Northern High School in 1989 and went on to Hope College, where he earned a bachelor’s degree in physical education and his teaching certification. He also was the captain of Hope’s 1992 men’s cross country team and captain of the men’s track & field team in both 1992 and 1993, and earned academic All-America honors for cross country.
Given his ties to pro hockey, Inglis might have had an opportunity to follow his dad. But it wasn’t for him. After graduating from Hope, Inglis enrolled at Western Michigan University to study sports management. He went to class for one day and withdrew – his heart just wasn’t into it.
Instead, Inglis hooked up with his Portage Northern cross country coach Bill Fries and found what he did want to do – coach, and in doing so, teach athletics.
The rest is northern Lower Peninsula history.
Inglis hooked on at Suttons Bay as a 23-year physical education teacher and head cross country and track & field coach, and two years later took over the athletic department.
“I was thrown into the fire right away, but I had a desire to be in sports somehow and coaching was a passion of mine,” Inglis said. “It was kinda sink or swim. I realized the craziness and hecticness of it, but it was something I embraced. I was lucky to have the opportunity to do it at Suttons Bay, to grow there and have people who were willing to let me make some mistakes, learn from my mistakes and become a better administrator.”
Inglis has supervised a group of more than 100 coaches while at Traverse City Central, plus a group of more than 20 teachers and staff as part of his assistant principal duties.
He’s managed more than 100 MHSAA Tournaments, including Ski Finals, Football Semifinals and Hockey Quarterfinals, and a variety of lower tournament levels for hockey, wrestling, track and field, cross country, basketball and golf.
His programs have achieved plentiful success under his leadership. Traverse City Central won the Big North Conference all-sport award every year from 2008-12 and earned six MHSAA Finals team championships during his tenure. The varsity programs have produced 34 academic all-state awards over the past three school years – including 14 in 2012-13 – and 62 percent of the student body was involved in athletics last school year.
While at Suttons Bay, Inglis led an athletic program that won the Northwest Conference sportsmanship trophy nine times and earned two MHSAA Finals championships. He also redeveloped athletic boosters programs, oversaw construction projects and was instrumental in the rewriting of athletic policies at both schools.
He was recognized in the spring with the MHSAA’s Allen W. Bush Award, which recognizes those who serve in high school athletics but do not always receive attention for their contributions.
Mentor to follow
Inglis was instrumental in the creation and later served as an assistant coach for the Traverse City Bay Reps ice hockey team, a co-operative headed by Traverse City St. Francis High School that’s now been in existence 15 seasons. He also was named Division 4 Girls Cross Country Coach of the Year in 2002 by the Michigan Interscholastic Track Coaches Association after leading his team to a runner-up finish at the MHSAA Finals.
Inglis coached a string of girls cross country teams that made the top 10 at MHSAA Finals five straight seasons, plus 25 all-state athletes in cross country and track and field including three individual MHSAA champions.
He has been a member of seven MHSAA sport committees, including for ice hockey. He’s been a frequent presenter at the MIAAA’s annual conferences, covering topics including fundraising, budgeting, organizing successful tournaments, balancing multiple roles and responsibilities, leadership and technology. He’s also taught MIAAA Leadership Training Courses.
Of little surprise, Inglis has been greatly impacted by growing up following his dad. While mother Jeris was the rock of the family, Bill was Cody’s idol and made a significant impact on the manager Inglis has become.
“My dad was so good at the way he treated people. I just saw how he treated them, whether it was the Zamboni drive or an assistant or secretary, he treated them with so much respect,” Inglis said. “That’s the part I’ve really taken from him, how he treated people and the relationships he made. How you treat people in athletics is so key; they’ll treat you the same way back, I’ve found most of the time.”
Inglis received minor degrees at Hope in business administration and communications, and has completed a number of courses toward a master’s in athletic administration from Ohio University.
He is married to Carrie (Ham) Inglis, an MHSAA Finals cross country individual champion for Big Rapids in 1987. They have three sons.
PHOTO: (Top) Traverse City Central athletic director Cody Inglis converses with a member of his staff Tuesday. (Middle) Inglis shares a laugh with an official before Tuesday's girls basketball games. (Photos courtesy of Rick Sack.)