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.

2023 Scholar-Athlete Award Recipients Announced in Class B

By Geoff Kimmerly
MHSAA.com senior editor

February 14, 2023

The Michigan High School Athletic Association has selected eight student-athletes from Class B member schools to receive scholarships through the MHSAA/Farm Bureau Insurance Scholar-Athlete Award program. 

Farm Bureau Insurance, in its 34th year of sponsoring the award, will give $2,000 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 the number of student-athletes involved in those classes; also, there are two at-large honorees who can come from any classification.

Students applying for the Scholar-Athlete Award must be carrying at least a 3.5 (on a 4.0 scale) grade-point average and have previously won a letter in a varsity sport in which the Michigan High School Athletic Association sponsors a postseason tournament. Other requirements for the applicants were to show active participation in other school and community activities and produce an essay on the importance of sportsmanship in educational athletics.

The 32 scholarship recipients will be recognized March 25 during the MHSAA Boys Basketball Finals at the Breslin Student Events Center in East Lansing.

The Class B Scholar-Athlete Award honorees are Jordan Richie, Bloomfield Hills Cranbrook Kingswood; Carney Salo, Escanaba; Anna Smith, Clawson; Allison Tate, Whitehall; Jacob Fenbert, Dundee; Camden Johnecheck, Williamston; Isaiah Pelc, Portland; and Sreejay Ramakrishnan, Ada Forest Hills Eastern.

Overviews of the scholarship recipients of the Class B Scholar-Athlete Award follow. A quote from each recipient's essay also is included:

(NOTE: If an athlete intended to play and was part of a spring sports team in 2020, that sport is counted among the athlete’s total although the season was canceled due to COVID-19.)

Jordan Richie, Bloomfield Hills Cranbrook KingswoodJordan Richie, Bloomfield Hills Cranbrook Kingswood
Played four seasons of varsity volleyball, playing third of varsity basketball and will compete in fourth of track & field this spring. Served as captain of all three teams and earned all-county and all-region recognition in track while running on multiple school record-setting relays. Participating in fourth year in Cranbrook Business Club, including as president for second year, and co-founded and serves as president of school’s DECA chapter – and earned all-state recognition in the latter. Carrying 4.2 GPA and achieved highest possible score on three Advanced Placement tests. Will attend University of Texas and study chemical engineering.

Essay Quote: “We have all lost. Every athlete has experienced the frustration of a devastating loss, the pain of seeing a medal in another’s hands and not one’s own. I have never played a perfect game or run a perfect race. I have watched helplessly as a volleyball flew off my hand and into the net on a game point. I have stood idle as a player blew by me to score a buzzer-beater. But, when the final score favors my competitor, I know that taking accountability for my mistakes and appreciating the heart and hustle of the winner will teach me greater lessons than a simple scoreboard.”

Carney Salo, EscanabaCarney Salo, Escanaba
Played three seasons of varsity volleyball, is playing her third of varsity basketball and will play her third of varsity softball this spring. Helped softball and basketball teams to Regional championships and softball team reach Division 2 Semifinals in 2022; also helped volleyball team to multiple District titles. Earned all-state honorable mention and academic all-state in softball and all-league honors in volleyball and basketball, and served as team captain in all three sports. Serving second year on MHSAA Student Advisory Council and participating in second year of National Honor Society. Serving first year on student council, as class vice president. Participating in fourth year of Business Professionals of America and has qualified for state competition, and served as social media liaison for BPA chapter. Is undecided where she will attend college, but intends to study business administration.

Essay Quote: “Players are yelling at coaches, parents are heckling refs, and student sections are getting personal. I believe sportsmanship goes hand and hand with respect. You should treat others the way you want to be treated. Following this simple concept will ensure core values like caring, responsibility, and most importantly respect are being displayed.”

Anna Smith, ClawsonAnna Smith, Clawson
Played four seasons of varsity volleyball, playing third of varsity basketball and will play fourth of varsity soccer this spring. Earned all-league and all-District honors in soccer and all-league in volleyball, and earned all-state academic recognition and made league’s all-academic team. Helped all three varsity teams to league titles. Participating in second year of National Honor Society and third on student government, this year as secretary. Also serving fourth year on student senate and Trojans Leadership Council. Playing fourth year in school orchestra and attended Eastern Michigan University Honors Orchestra. Earned Clawson Youth Assistance Recognition Award. Will attend University of Michigan and study kinesiology.

Essay Quote: “The essence of an impressive sportsman stems back to one concept: the willingness to assist teammates. In order for a team to run cohesively, every player must sacrifice themselves for the good of the whole. This notion became extremely apparent following the diagnosis of my season-ending (knee) injury. Not only did I endlessly provide my own support throughout the next sports seasons, I felt that same emotion reciprocated. While I made an effort to attend all practices and games, ensuring my presence was not only seen, but felt, my teammates were displaying the same respect and encouragement towards myself.”

Allison Tate, WhitehallAllison Tate, Whitehall
Ran four seasons of varsity cross country and competed in two seasons of track & field. Also played junior varsity tennis. Earned all-conference in cross country and all-conference academic honors in cross country and track. Served as captain of both teams. Also has figured skated competitively throughout high school. Participating in second year of National Honor Society, and for legacy project restarted school’s youth cross country camp. Carrying 4.2 GPA and on track to graduate as class valedictorian.  Earned AP Scholar with Honor and National Merit Rural/Small Town Recognition. Serving fourth year as class president and also as student council president as a senior. Competed in three years on school’s National History Day and debate teams. Named National Endowment for the Humanities Scholar. Served as senior class representative of White Lake Interact Club, co-president of school’s environmental club, co-captain of quiz bowl team and school representative on Muskegon Community Foundation Youth Advisory Council. Undecided where she will attend college, but intends to study international relations.

Essay Quote: “And that is the very definition of sportsmanship ... the ability to compete as the best version of oneself, despite everything else. So, I suppose that, for me, sportsmanship is — in all of its forms — maintaining the tenacity, drive, determination, and self-awareness to ride out the cutting edges in the face of any and all adversity.”

Jacob Fenbert, DundeeJacob Fenbert, Dundee
Played two seasons of varsity football, is wrestling his fourth season on varsity and will compete in his third season of track & field this spring. Earned all-state in wrestling, helping that team to three straight Division 3 championships and reaching Individual Finals twice. Earned all-league in football and helped team to playoffs, and qualified for 2022 MHSAA Track & Field Finals in pole vault. Served as wrestling team captain. Earned National Merit Rural/Small Town Recognition and is on track to graduate as class valedictorian. Participating in second year of National Honor Society. Participated in Boy Scouts throughout high school, and was selected to Order of the Arrow Honor Society and National Eagle Scout Association. Earned State of Michigan Conservation Award. Will attend Michigan Technological University and study mechanical engineering.

Essay Quote: “Sportsmanship is not just shaking someone’s hand after a game or playing with courtesy and positive intentions toward others. Sportsmanship involves giving back to those within the athletic community so that they too can enjoy sports as much as I have. … I have only one (wrestling) season left and have come to appreciate all the wonderful memories the sport has given me. It is important to ensure my younger teammates get all they can out of the sport …”

Camden Johnecheck, WilliamstonCamden Johnecheck, Williamston
Ran four seasons of varsity cross country, wrestling his fourth season and will compete in fourth of track & field this spring. Earned all-state and academic all-state in both cross country and wrestling and reached MHSAA Cross Country Finals three times. Served or will serve at least two seasons as captain of all three varsity teams. Attended American Legion Auxiliary Boys State and was elected Speaker of the House. Participating in second year of Mu Alpha Theta mathematics honor society and as chapter vice president, and participating in fourth year of school’s math and science academy and had research project selected for publication in science journal. Is unsure where he will attend college, but intends to study civil engineering.

Essay Quote: “As (wrestling) practices wore on, we continued to push each other. But my attitude had changed. Now I encouraged him and even thanked him for not holding back. I understood that we were just trying to make each other better. … Retrospectively, I understand how much I learned from this part of my life. In the beginning, I forced myself to return my partner’s kindness, even when I didn’t want to, which is the foundation sportsmanship. The more I did this the easier it became.”

Isaiah Pelc, PortlandIsaiah Pelc, Portland
Wrestling fourth season this winter, will play his second season of varsity baseball this spring and also played two seasons of subvarsity football. Earned all-state in wrestling and qualified for MHSAA Individual Finals his first three seasons. Earned National Wrestling Coaches Association/U.S. Marine Corps High School Scholar All-American honors three times, and academic all-state in baseball. Served as wrestling and baseball captain. Participating in fourth year of student government and has served as class president and student body president. Participating in third years of National Honor Society and Ionia County Youth Advisory Council, as NHS class trustee and co-chairperson of YAC. Has participated in Boy Scouts throughout high school, earning Eagle Scout rank and serving twice on Mackinac Island Governor’s Honor Guard. Participating in fourth year of BIONIC school suicide prevention and mental health group, serving as co-chairperson. Will attend University of Notre Dame and study business.

Essay Quote: “Throughout my high school career, I have witnessed and been a part of both outstanding sportsmanship and poor sportsmanship. I realized through many competitions that one cannot control their opponents, officials and the calls they make, the outcomes of the competition, and many other factors. But one thing I can control is my composure before, during, and after competition despite the uncontrollable factors that occur.”

Sreejay Ramakrishnan, Ada Forest Hills EasternSreejay Ramakrishnan, Ada Forest Hills Eastern
Played four seasons of varsity tennis and will compete in his second of varsity track & field this spring. Also has played on school’s boys club volleyball team. Earned all-state honors in tennis three times and academic all-state all four seasons. Helped track & field team to Regional championship and 2022 Lower Peninsula Division 2 Finals runner-up finish. Served as captain of tennis team and upperclassmen leader in track. Participating in second year of National Honor Society, serving as chapter president, and third on school’s Student Advisory Council. Participating in fourth year of student government, as co-president. Co-founded school’s Kids Food Basket club and youth action board. Playing fourth year in concert and symphony orchestra, as concert master and first chair violinist, and qualified for state competition in solo ensemble. Participating in third year of Model United Nations and serving as club treasurer. Won Grand Valley State University Teen Entrepreneurship Summer Academy pitch competition. Is unsure where he will attend college, but intends to study business, public policy and psychology.

Essay Quote: “Sportsmanship is a pillar of integrity, virtue, ethics, and morale – though it is merely a choice. … It is commendable when an athlete shows composure and respect to their opponents. Learning from a loss and congratulating an opponent on a victory shows growth. Winning with humility and class is inspiring.”

Other Class B girls finalists for the Scholar-Athlete Award were Elaina Bortolini, Kingsford; Claire Filpus, Houghton; Rylie Haist, Big Rapids; Lauren Harrold, Flint Powers Catholic; Devin Johnston, Almont; Tiffany Keller, Frankenmuth; Molly McNitt, Paw Paw; Matelyn Midkiff, Midland Bullock Creek; Rachel Niskanen, Negaunee; Ainsley VandenBrink, Holland Christian; Ella Wagner, Essexville Garber; and Chesney Wilke, Tecumseh.

Other Class B boys finalists for the Scholar-Athlete Award were Michael App, Grand Rapids Catholic Central; Aldo Barba, Tecumseh; Matthew Bowman, Milan; Evan Jose Evans, Bloomfield Hills Cranbrook Kingswood; Grant H. Harkness, Newaygo; Nathan Hooker, Bloomfield Hills Cranbrook Kingswood; John Kersh, Bloomfield Hills Cranbrook Kingswood; Nicholas Liparoto, Pontiac Notre Dame Prep; Philip Nelson, Negaunee; James Oosterhouse, Holland Christian; Jacob Pallo, Ada Forest Hills Eastern; Aiden Eric Smith, Adrian.

The Class C/D scholarship award recipients were announced Feb. 7, and the Class A honorees will be announced Feb. 21.

Farm Bureau Insurance of Michigan was founded in 1949 by Michigan farmers who wanted an insurance company that worked as hard as they did. Those values still guide the company today and are a big reason why it is known as Michigan’s Insurance Company, dedicated to protecting the farms, families, and businesses of this great state. Farm Bureau Insurance agents across Michigan provide a full range of insurance services—life, home, auto, farm, business, retirement, Lake Estate®, and more—protecting nearly 500,000 Michigan policyholders.

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 1.3 million spectators each year.