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 Forsythe Award Celebrates Leinaar's 40 Years Dedicated to School Sports
By
Geoff Kimmerly
MHSAA.com senior editor
March 8, 2023
Few people in Michigan have had a longer-lasting influence on the rules and policies of educational athletics than Frankfort’s Karen Leinaar, who has served in several roles locally, statewide and nationally over more than 40 years contributing to the school sports community.
Thank you, Bill Baker.
The longtime teacher, coach, principal and superintendent during a career that stretched across multiple schools – including Leinaar’s growing up, Delton Kellogg – made an impression on the standout multi-sport athlete before she graduated from high school in 1977. Baker’s philosophy and work led Leinaar to study education at Michigan State University and then brought her back as Delton’s athletic director to begin four decades of making the same impact on children in her hometown and eventually in hometowns all over Michigan and beyond.
Baker died in 2009, but not before continuing to mentor Leinaar through many good times and tough ones.
“The man had two daughters that I grew up with, his wife was a teacher, and he demonstrated to all of us – he never missed an event – that we were important to him. That even though we weren’t his kids, we were his kids and athletics was a way to help kids become better people – and for some kids it was the only thing that they had positive in their life,” Leinaar said. “And he made it known just to that individual kid how important their participation was and their involvement, and how that helped them become the person that they were.
“That to me was such an example of how to help people be good people, that I just took that role on.”
It’s a role in which she continues to serve. Leinaar began her career as an athletic administrator in 1982, and as the interim athletic director currently at Frankfort High School is serving her fifth district in that position. Since June 2019, she also has served as executive director of the Michigan Interscholastic Athletic Administrators Association (MIAAA), the professional organization for school sports administrators in the state with a membership of nearly 700.
To recognize that longtime and continuing impact, Leinaar has been named the 2023 honoree for the Michigan High School Athletic Association’s Charles E. Forsythe Award.
The annual award is in its 46th year and named after former MHSAA Executive Director Charles E. Forsythe, the Association's first full-time and longest-serving chief executive. Forsythe Award recipients are selected each year by the MHSAA Representative Council, based on an individual's outstanding contributions to the interscholastic athletics community.
Leinaar also served 22 years on the MHSAA’s Representative Council and a four-year term from 2009-13 on the Board of Directors for the National Federation of State High School Associations (NFHS), and just last week was named to the 2023 class of the National Interscholastic Athletic Administrators Association (NIAAA) Hall of Fame.
“It is impossible even to estimate the number of students, coaches, administrators and others who have been affected by the work Karen Leinaar has done to make school sports the best they can be – not only in her communities, but across Michigan and throughout the country,” MHSAA Executive Director Mark Uyl said. “There are few who have equaled her dedication and her support and promotion of the ideals of school-based sports. She has always placed an emphasis on being in the room, on the field or at the arena, actively participating in her leadership roles, and our programs are better for it.”
Leinaar first served as athletic director at Delton Kellogg for nearly 17 years, from March 1982 through October 1998. She spent three years at Gaylord, then 8½ at Benzie Central before taking over at Bear Lake in November 2010 and spending the next decade organizing athletic programs for students in grades 5-12 before retiring in January 2021. She came out of retirement to return to the athletic director’s chair this past fall as interim AD at Frankfort. She has completed nearly four years as MIAAA executive director, moving into that position after previously serving nine years as an assistant to the executive.
Leinaar began her service on the Representative Council in Fall 1999 and completed her last term as a statewide at-large representative at the Fall 2021 meeting.
She has been honored several times for her contributions. She received the MHSAA’s Women In Sports Leadership Award in 1998, a Citation from the NFHS in 2000, and she was named MIAAA Athletic Director of the Year in 2001. She received an MHSAA’s Allen W. Bush Award in 2014 – recognition given for work done generally behind the scenes and with little attention.
“This is the top of the mountain, per se. This one does mean so much,” Leinaar said of the Forsythe Award. “The names that are associated with this over the years, I never thought I’d be put in that group.”
Leinaar remains a continuous source of support at a multitude of MHSAA championship events, and during her time on Council was one of the most frequent representatives handing out trophies and medals to champions and runners-up at Finals events. She began while athletic director at Delton Kellogg hosting the MHSAA Volleyball Finals in Class B and Class C and continues to assist with those championships now played at Kellogg Arena in Battle Creek.
She also hosted Competitive Cheer Finals at Delton Kellogg in 1996 and 1997, Ski Finals while at Gaylord, and many more championship events across the Lower Peninsula. She continues to assist at the MHSAA’s Lower Peninsula Cross Country and Track & Field Finals.
After attending Delton Kellogg High School, Leinaar earned a bachelor’s degree in physical education, health and recreation, with a minor in driver education, from MSU in 1982. She completed a master’s in athletic administration from Western Michigan University in 1994.
Leinaar has been a member for 40 years of both the MIAAA and NIAAA, and has served as chairperson of the MIAAA Annual Conference and awards chairperson for both the state and national bodies. She’s also served as chairperson of the MIAAA’s Exemplary Athletic Program.
Past recipients of the Charles E. Forsythe Award
1978 - Brick Fowler, Port Huron; Paul Smarks, Warren
1979 - Earl Messner, Reed City; Howard Beatty, Saginaw
1980 - Max Carey, Freesoil
1981 - Steven Sluka, Grand Haven; Samuel Madden, Detroit
1982 - Ernest Buckholz, Mt. Clemens; T. Arthur Treloar, Petoskey
1983 - Leroy Dues, Detroit; Richard Maher, Sturgis
1984 - William Hart, Marquette; Donald Stamats, Caro
1985 - John Cotton, Farmington; Robert James, Warren
1986 - William Robinson, Detroit; Irving Soderland, Norway
1987 - Jack Streidl, Plainwell; Wayne Hellenga, Decatur
1988 - Jack Johnson, Dearborn; Alan Williams, North Adams
1989 - Walter Bazylewicz, Berkley; Dennis Kiley, Jackson
1990 - Webster Morrison, Pickford; Herbert Quade, Benton Harbor
1991 - Clifford Buckmaster, Petoskey; Donald Domke, Northville
1992 - William Maskill, Kalamazoo; Thomas G. McShannock, Muskegon
1993 - Roy A. Allen Jr., Detroit; John Duncan, Cedarville
1994 - Kermit Ambrose, Royal Oak
1995 - Bob Perry, Lowell
1996 - Charles H. Jones, Royal Oak
1997 - Michael A. Foster, Richland; Robert G. Grimes, Battle Creek
1998 - Lofton C. Greene, River Rouge; Joseph J. Todey, Essexville
1999 - Bernie Larson, Battle Creek
2000 - Blake Hagman, Kalamazoo; Jerry Cvengros, Escanaba
2001 - Norm Johnson, Bangor; George Lovich, Canton
2002 - John Fundukian, Novi
2003 - Ken Semelsberger, Port Huron
2004 - Marco Marcet, Frankenmuth
2005 - Jim Feldkamp, Troy
2006 - Dan McShannock, Midland; Dail Prucka, Monroe
2007 - Keith Eldred, Williamston; Tom Hickman, Spring Lake
2008 - Jamie Gent, Haslett; William Newkirk, Sanford Meridian
2009 - Paul Ellinger, Cheboygan
2010 - Rudy Godefroidt, Hemlock; Mike Boyd, Waterford
2011 - Eric C. Federico, Trenton
2012 - Bill Mick, Midland
2013 - Jim Gilmore, Tecumseh; Dave Hutton, Grandville
2014 - Dan Flynn, Escanaba
2015 - Hugh Matson, Saginaw
2016 - Gary Hice, Petoskey; Gina Mazzolini, Lansing
2017 - Chuck Nurek, Rochester Hills
2018 - Gary Ellis, Allegan
2019 - Jim Derocher, Negaunee; Fredrick J. Smith, Stevensville
2020 - Michael Garvey, Lawton
2021 - Leroy Hackley Jr., Byron Center; Patti Tibaldi, Traverse City
2022 - Bruce Horsch, Houghton
PHOTOS (Top) Karen Leinaar, left, awards the 2022 Division 4 volleyball finalist trophy to Indian River Inland Lakes coach Nicole Moore. (Middle) Leinaar accepts the MHSAA's Women In Sports Leadership Award in 1998.