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From the Director: Back to School
August 7, 2020
By Mark Uyl
MHSAA Executive Director
Since March 12, our world has been anything but normal. These times have tested most everything in life, and as summer turns toward fall, we find ourselves still with far more questions than answers. It has been said that an abnormal reaction to an abnormal situation is normal behavior.
Let me start with these abnormal times. I’ve had many conversations with administrators over the past month about the start of school and school sports. The one constant theme is these are anything but normal times. Many of these conversations have moved to the issue of schools starting the academic year virtually while considering whether or not to offer school sports opportunities this fall. Let me share the things that have been part of almost all conversations on this topic.
The loudest message I hear is kids are going to be playing sports this fall someplace. Period. If we believe that kids are going to take the fall off if school sports aren’t offered, we haven’t been paying much attention since May. Since that time, athletic activity has taken place in the club, travel, AAU and non-school space nearly every day. From first-hand experience, many of these events have implemented ZERO of the safety standards and protocols that businesses and schools have adopted for their plans of return. The non-school world generally has plowed ahead this summer with few-to-no rules, regulations, enforcement, oversight and accountability to anyone. If kids are going to be playing sports, our member schools are telling us that activity needs to be in the safest environment possible – which is with professional educators and trained coaches in our school sports world.
Schools are quick to point out that kids have been conditioning and training with school coaches in school-sponsored workouts most of the summer. We believe that the absence of virus outbreaks among our 749 high schools’ summer activities, involving thousands of kids, has been because schools have been following the return-to-activity plans. Districts have told us they can continue doing what they’ve been doing safely since June by following all COVID guidance and regulations we have put in place with government’s leadership and partnership.
Schools starting the year virtually are telling us they will use the lessons learned from the start of sports for when students return to campus later in the fall. School administrators have shared this view privately as this has become a highly-charged topic among various groups within our school communities. Sports allow schools to bring students back to campus in small, consistent and defined groups with the same adults working with those students each day. In school sports, there is little mixing of students from one sport with those students in another – making it much easier to monitor, track and trace kids when needed than if all students were in the buildings, hallways and classrooms all day. We hear from administrators that valuable lessons can be learned with athletics in August and September for a successful school start-up with students back on campus in October.
All of us share the fundamental belief that we must protect the health and safety of individuals first. This doesn’t include only COVID prevention measures, but also the mental health of teenage students and adults as well. In districts that are starting the school year online, they see athletics being the one shred of normalcy students, and staff members who choose to coach, will have during the fall. It’s a chance to safely interact with peers and get needed physical activity that hasn’t been happening for some kids since March. Health and safety has to include all facets of the individual, and more research is being shared each day about how mental health is becoming a critical issue. For many at-risk kids, sports is the one motivating factor to keep them in school and progressing toward graduation. Given the challenges of all online education for these at-risk kids, sports and the daily routine they bring perhaps would be more important for this group of students than ever before.
With no school sports, the affluent communities and families can navigate online learning during the day and then afford the non-school athletic opportunities that kids and families in less-affluent areas simply cannot. In many communities, school sports can provide opportunities and open doors that would not appear if kids become priced-out from participating and competing.
The past five months have been the most abnormal in a century. School sports being the one pathway back to school for students in our state – the one norm for this fall – run by professional educators who put kids first, would be an incredible boost to the physical and mental health of all of us. We believe that school sports can be done safely and smartly, and the MHSAA has developed plans that do just that. While the optics of sports taking place while waiting for in-person education is not what any of us prefer, we believe we must react to these abnormal times by thinking differently and looking at these unique times through a unique lens.
Trying to find one normal for our kids in these abnormal school days might just be the best thing we can do.
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2017-18 Report Shows Fewer Concussions
August 8, 2018
By Geoff Kimmerly
Second Half editor
Concussions are down, according to data compiled by the Michigan High School Athletic Association during its third year of collecting head injury reports from member high schools.
The work is not done – but this year’s data reinforces trends that emerged during the first two years of reporting and will assist the MHSAA as it explores solutions to continue reducing the incidence of head injuries in school sports.
The 2017-18 concussion report found a 9.6-percent decrease in the number of confirmed concussions from the previous year. Student-athletes at MHSAA member high schools encountered during 2017-18 a total of 3,580 head injuries – or 4.8 per member school, compared to the 2016-17 average of 5.2. Total participation in MHSAA sports for 2017-18 was 284,920 – with students counted once for each sport he or she played – and only 1.3 percent of participants experienced a head injury, down from 1.4 in 2016-17 and 1.6 percent the first year of the study.
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 2017-18 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 by clicking here.
Consistent with the first two years of the study, the MHSAA received data from more than 99 percent of its member high schools after the fall, winter and spring seasons and continued to track each injury report through its conclusion this summer. Member junior high and middle schools also were allowed, although not mandated, to report their potential head injuries; and those findings are not part of the published report.
The decrease in overall head injury reports collected for 2017-18 follows a similar reduction from 2015-16 to 2016-17 – and brings the total decrease to 19.6 percent fewer reports since the first year of the study.
MHSAA Executive Director John E. “Jack” Roberts noted that the decreases in reports, both year to year and since the first year of the survey, likely have some relation to year-to-year fluctuation, refinement of the follow-up reporting process and a better understanding by schools of what is not to be included for the survey – including head injuries not diagnosed as concussions and head injuries that did not take place during MHSAA-sponsored activities.
However, the findings of this year’s study – and their similarities to the findings from the first two surveys – has begun to clarify the identification and understanding of trends. Continuing to emerge perhaps most prominently is the higher incidence of concussion reports from girls sports – and pertinent questions about physiological and social causes behind those results.
“With three years of reporting by virtually 100 percent of our high schools, what we’re learning is no longer anecdotal; the results are beginning to identify valid trends and genuine issues that need to be addressed,” Roberts said. “For example, it’s even clearer than before that girls are reporting three times the number of concussions as boys when comparing similar sports – soccer, basketball and baseball versus softball. As a result, we’ve already begun to incorporate these gender differences into our coaches education, and the writers of high school playing rules are obligated to focus on these gender differences as well.”
Although the total number of confirmed concussions was significantly lower again in 2017-18, a number of findings detailing those injuries fell in line with results of the first two surveys.
Boys experienced 2,373– or 66 percent – of those injuries, the same ratio as 2016-17, and not surprisingly as boys have a much higher participation in contact sports. More than half of head injuries – 56 percent – were experienced by varsity athletes, which for the second year also fell within a percent difference of the previous year’s findings.
A total of 2,330 head injuries – or 65 percent – came in competition as opposed to practice. More than half took place during either the middle of practice or middle of competition as opposed to the start or end, and 52 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, both at 24 percent, returned to activity after either 6 to 10 days of rest or 11 to 15. All of these findings were within 1-3 percent of those discovered from the 2016-17 data.
Contact sports again revealed the most head injuries. Ranking first was football, 11 and 8-player combined, with 41 head injuries per 1,000 participants – a decrease for the second straight year, this time from 44 head injuries per 1,000 participants in 2016-17 and down from 49 head injuries per 1,000 football participants shown by the first study in 2015-16.
Ice hockey repeated with the second-most injuries per 1,000, with 32 (down from 36 injuries per 1,000 from 2016-17 and 38 per 1,000 in 2015-16), and girls soccer and wrestling tied for third with 25 head injuries per 1,000 participants – girls soccer down from 28 head injuries per 1,000 participants and wrestling down from 26 per 1,000 in 2016-17.
Also consistent with 2016-17, the next five sports (after football and hockey) to show the highest incidences of head injuries were girls sports – girls soccer followed by girls basketball (22 per 1,000), girls competitive cheer (20) and girls lacrosse (20). Boys lacrosse (17), girls gymnastics (16) and boys soccer (12) were the only other sports to show 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 more than double the concussions per 1,000 participants as male soccer players (25 to 12), while female basketball players also reported more than double the number of concussions per 1,000 participants (22 to 9). Softball players reported seven concussions per 1,000 participants, and baseball players reported three per 1,000. Although the percentage differences vary from year to year, the results of all three comparisons remained consistent with what the survey found in 2015-16 and 2016-17.
The MHSAA in 2018-19 is directing its sport committees to focus on a pair of questions – how to increase participation and how to make their specific sports safer – the latter aiming to put some of what has been learned from concussion reporting into practice. The MHSAA also is continuing 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.
“Regrettably, I do not see a nationwide head injury reporting effort likely,” Roberts said. “First, it’s hard to coordinate 50 states’ efforts. And second, if left to medical professionals, the survey tool might become so cumbersome that schools would be reluctant to participate – and certainly, it would not get the 99.9 percent cooperation that we’ve enjoyed from schools over these three years.”
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 possible 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.