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.
Retired MHSAA Executive Director Roberts Selected for NFHS Hall of Fame
By
Geoff Kimmerly
MHSAA.com senior editor
March 8, 2022
During an award introduction two years ago, MHSAA associate director Tom Rashid described his longtime close friend Jack Roberts as the leader who “took our darkest hours and problems and turned them into positives.”
The MHSAA has faced its share of challenging times, and those may have been among Roberts’ finest hours over 32 years as MHSAA executive director – and admittedly the times when his adrenaline flowed most. But there were many more good times and memorable advances for Michigan school sports under his leadership, and he will be recognized again this summer both for those and a lifetime of service to school sports in this state and across the nation.
John E. “Jack” Roberts was one of 12 honorees announced Tuesday as this year’s inductees into the National High School Sports Hall of Fame by the National Federation of State High School Associations (NFHS). He will be inducted as one of three former state association administrators selected for the 39th Hall of Fame class at a ceremony during the NFHS summer meeting July 1 in San Antonio, Texas.
He began his tenure as MHSAA executive director in 1986, and at the time of his retirement he was the nation’s longest-serving executive director of a state high school athletic association. He was the fourth person to serve the MHSAA in that leadership role full time, following Charles E. Forsythe (1931-42, 1945-68), Allen W. Bush (1968-78) and Vern L. Norris (1978-86).
Roberts will become the Hall of Fame’s ninth inductee from Michigan, joining Forsythe (inducted 1983), River Rouge boys basketball coach Lofton Greene (1986), Warren Regina athletic director, softball and basketball coach Diane Laffey (2000), Fennville basketball and baseball standout Richie Jordan (2001), Grosse Pointe Woods University Liggett boys and girls tennis coach Bob Wood (2005), Bloomfield Hills Cranbrook hockey standout Jim Johnson (2007), Owosso football, basketball and baseball all-stater Brad Van Pelt (2011); and Vermontville Maple Valley baseball national record holder Ken Beardslee (2016).
Roberts also follows in the footsteps of his late father, John Roberts, who served as executive director of the Wisconsin Interscholastic Athletic Association from 1957-85 and was inducted into the National High School Hall of Fame in 2000. They will be the first father-son team in the Hall of Fame.
Jack Roberts began his career serving as an assistant director for the National Federation from 1973-80. He was involved with the implementation of Title IX at the local and state levels and made immense contributions as the NFHS representative to the landmark Amateur Sports Act of 1978, and also played a significant role in the NFHS rules-writing process as the organization started writing and publishing rules for a number of new sports during the 1970s.
The MHSAA enjoyed continued growth under Roberts’ guidance, particularly in the number of Michigan students participating in athletics and in the number of MHSAA-sponsored tournament sports available to them. Several key rules changes came under Roberts’ watch and direction, and he made the MHSAA a national leader in health and safety efforts particularly in the areas of head injury care, heart safety initiatives and heat management strategies.
“I had a head start in this work. Growing up in the home of the executive director of the Wisconsin Interscholastic Athletic Association and then spending most of my 20s working for the National Federation office, and much of it with (longtime NFHS executive director) Cliff Fagan, was a jumpstart on this career,” Roberts said. “But I’m also satisfied at this point that, to paraphrase Hamilton in the musical ‘Hamilton,’ I didn’t give up on my shot. I was given a shot, I took it and I didn’t waste the chance.
“The job fit me, and I think I maxed the opportunity I had to serve educational athletics in this job, and that’s satisfying to think about at this time.”
Under Roberts’ leadership, overall participation in high school athletics in Michigan increased 10 percent, and the MHSAA added more than 200 schools in increasing its membership by more than 15 percent at the high school and junior high/middle school levels combined. His tenure saw the addition of girls competitive cheer (1994), girls & boys bowling (2004) and girls & boys lacrosse (2005) to the MHSAA Tournament sport lineup, the creation of a separate wrestling tournament to determine champions by team format (1988), and 8-player football (2010, first playoffs 2011) as many small schools across the state began having trouble fielding 11-player teams because of enrollment and population decreases. Meanwhile, also under his leadership, the 11-player Football Playoffs expanded, doubling to 256 teams in 1999.
Among rules changes put in place during Roberts’ tenure was the addition of opportunities for multiple schools to create cooperative teams in sports where participation is lagging. He also helped Michigan become a national leader in improving sportsmanship; a comprehensive package enacted in 1996 set a statewide tone for appropriate behavior and perspective that continues to make an impact today.
Perhaps the most significant influences by Roberts came on the topics of health and safety. The MHSAA has led nationally in concussion care with its first programming in 2000 and return-to-play protocols enacted in 2010, and with mandated concussion reporting and insurance for those who suffer head injuries rolled out in 2015. A heat management policy and CPR requirements for coaches were introduced in 2013.
Also under this leadership, the first program for coaches education was launched in 1987 and evolved into the Coaches Advancement Program, with nearly 34,000 courses administered as part of CAP since 2004-05. The Women in Sports Leadership Conference was created in 1989 and remains the first, largest and longest-running program of its type in the country, regularly drawing upwards of 500 participants. The first of now-annual statewide Athletic Director In-Service Programs was conducted in 1992, and Michigan also remains a national leader in student services thanks to a variety of programs that were introduced under Roberts’ leadership.
Internally, he put the MHSAA on the leading edge nationally when it came to use the technology, especially in the realm of communications, where he put special emphasis on telling the story of school sports. “I think I was considered a conservative as to rules for eligibility and competition, and a progressive in how we delivered services to schools and school sports,” Roberts said.
In addition to his work specifically in Michigan, Roberts carried significant influence at the national level. He served as part of the NFHS Board of Directors and led the creation of the NFHS Network for video productions in 2012, serving as that board’s chairperson. He also has served on the board of directors of the National Association of Sports Officials (NASO).
“For 32 years, Jack Roberts was the epitome of what leadership looks like. He was the strongest advocate for high school sports that anyone could ever hope for,” said MHSAA Executive Director Mark Uyl, who succeeded Roberts in 2018. “He is without question one of the preeminent pioneers and difference-makers in the world of high school sports over the past 100 years.
“And other than my father, there has not been a man who has had a bigger impact and positive influence on my life personally than Jack Roberts.”
The National High School Hall of Fame was started in 1982 by the NFHS, and the rest of this year’s class is made up of athletes, coaches, administrators and an official. The 12 individuals were chosen after a two-level selection process involving a screening committee composed of active high school state association administrators, coaches and officials, and a final selection committee composed of coaches, former athletes, state association officials, media representatives and educational leaders. Nominations were made through NFHS member associations. Also chosen for this class were athletes Notah Begay (New Mexico), Walter Payton (Mississippi), Sanya Richards-Ross (Florida) and Thurman Thomas (Texas); sport coaches Ray Crowe (Indiana), Ron Kordes (Kentucky) and Lamar Rogers (Tennessee); administrators E. Wayne Cooley (Iowa) and Becky Oakes (Missouri), official Jeff Risk (North Dakota) and speech/debate coach Susan McLain (Oregon). (Click for more.)
Roberts came to the MHSAA in 1986 from the Fellowship of Christian Athletes, which he served as executive vice president. He is a 1970 graduate of Dartmouth College and taught English and coached football at high schools in Milwaukee and Denver before joining the NFHS staff.
He and his wife Peggy reside in East Lansing, and in retirement they together have increased their contributions to environmental matters and international refugee issues while both serving in leadership roles. Jack Roberts has served as board president for the Refugee Development Center in Lansing for 13 years, and Peggy Roberts served six years as chairperson of the board for Lansing’s Fenner Nature Center. As part of their environmental work, the Roberts are working within a small group of organizations to help them acquire and preserve land.