MHSAA Announces 2015-16 Concussion Data
September 12, 2016
By Geoff Kimmerly
Second Half editor
The Michigan High School Athletic Association has completed an unprecedented yearlong collection of head injury reports from its member schools, mandated in 2015-16 for the first time as part of an effort to identify and reduce the incidence of those types of injuries in educational athletics.
The MHSAA requested that member schools report, by sport, possible concussions by their student-athletes during both practice and competition. Reporting for the 2016-17 school year is underway, and schools again are required to designate if potential concussions occurred during competition or practice and at which level – varsity, junior varsity or freshman.
The full report of all head injuries experienced during 2015-16 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.
The MHSAA received data from more than 99 percent of its member high schools after the end of 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; those findings are not part of the published report.
It is the hope that universities, health care systems and the National Federation of State High School Associations will take part in analyzing the data. The MHSAA will work, in particular, with Michigan State University’s Institute for the Study of Youth Sports to explore these findings and their relation to possible changes and additions in coaches education.
“We know that school sports are safer than they’ve ever been, thanks to advances in equipment, increased and more complete coaches education and rules designed to bring higher levels of safety to both practices and competition,” said John E. “Jack” Roberts, executive director of the MHSAA. “However, this unprecedented effort will allow us for the first time to set a baseline by which we can determine year-to-year progress as we work to reduce the incidence of head injuries in school sports, while providing questions we will seek to answer with assistance from our research partners.”
Student-athletes at MHSAA member high schools encountered during 2015-16 a total of 4,452 head injuries – or 5.9 per member school. Total participation in MHSAA sports for 2015-16 was 284,227 – with students counted once for each sport he or she played – and only 1.6 percent of participants experienced a head injury. Boys experienced 3,003 – or 67 percent – of those injuries, although boys participation in sports, especially contact sports, also was higher than girls.
More than half of head injuries – 54 percent – were experienced by varsity athletes. A total of 2,973 – or 67 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 nearly 56 percent of injuries were a result of person-to-person contact. The largest percentage of athletes – 28 percent – returned to activity after 6 to 10 days, while 20 percent of those who suffered head injuries returned after 11-15 days of rest.
Not surprisingly, contact sports revealed the most head injuries. Ranking first was 11-player football with 49 head injuries per 1,000 participants, followed by ice hockey with 38 and 8-player football with 34. However, girls soccer was just behind with 30 injuries per 1,000 participants, and girls basketball ranked fifth with 29 injuries per 1,000.
A startling disparity in the number of reported head injuries suffered by girls and boys playing the same sports was the most significant finding revealed by the concussion reporting. Soccer, basketball and baseball/softball are played under identical or nearly identical rules, and in those sports females reported significantly more concussions than males playing the same or similar sport.
Female soccer players reported 30 concussions per 1,000 participants. Male soccer players, meanwhile, reported only 18 concussions per 1,000 participants. Female basketball players reported 29 concussions per 1,000 participants; male players reported 11. Softball players reported 11 concussions per 1,000 participants, and baseball players reported four per 1,000.
“Experts tell us that it’s not surprising that girls report more head injuries than boys. But we found it stunning how many more head injuries were reported for girls than boys,” Roberts said. “As we delve deeper into the data, we hope to identify what physiological, social and psychological factors may contribute to this disparity – and how we can better prepare school personnel and especially coaches to watch for over- or under-reporting.”
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 which is producing data related to the frequency and severity of head injuries. The MHSAA in fall 2015 launched the largest-ever state high school association sideline concussion testing pilot program, with 62 schools taking part by using one of two screening tests designed to detect concussions. One of the objectives of the pilot was to increase awareness of concussions and improve sideline detection, and results indicated that the average number of possible concussions reported by pilot schools exceeded the average reported by schools outside the pilot group. For the 2016-17 school year, 34 schools are taking part in one of the two pilot programs as the project was concentrated to include schools which were diverse in size and location and able to best conduct the pilots to completion. The pilots will focus on sports for which most concussions occur, according to the mandated reporting by all schools during the 2015-16 school year.
The MHSAA also is 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. During 2015-16, a total of 159 claims were made – with more than half coming in football (55) or girls basketball (29).
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.
The MHSAA is a private, not-for-profit corporation of voluntary membership by more than 1,400 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 1.4 million spectators each year.
Changes Accompany Start of Fall Practice
August 8, 2019
By Geoff Kimmerly
Second Half editor
An assortment of game rules, preseason policy and postseason tournament changes will greet more than 100,000 high school student-athletes as 2019-20 Fall practices begin next week for nine sports for which the MHSAA sponsors postseason tournaments.
The most immediately noticeable adjustment will allow boys soccer, girls and boys cross country, boys tennis and girls golf teams to begin practice Monday, Aug. 12, along with football teams across the state.
Football practice traditionally begins before the rest of fall sports, by rule on the 16th Monday before Thanksgiving. However, a change approved by the MHSAA Representative Council will allow sports with MHSAA Finals tied to a specific weekend every fall – for example, Lower Peninsula Cross Country Finals always are the first weekend in November – the opportunity to begin practice on that 16th Monday as well, which will keep those teams from losing about a week of practice and competition during “late” Thanksgiving years when the holiday is during the fourth full week of November. Volleyball and Lower Peninsula girls swimming & diving – which, like football, have Finals tied to Thanksgiving – are not affected by the lateness of the holiday and will begin practice Wednesday, Aug. 14, keeping with their traditional starts.
Football teams must have 12 days of preseason practice at all levels before their first game, over a period of 16 calendar days before the first kickoff, with the first games this falls scheduled for the weekend of Aug. 29-31. Competition this fall may begin Aug. 16 for cross country, golf, soccer and tennis and Aug. 23 for volleyball and swimming & diving.
The most publicized change in MHSAA policy this fall likely will be the addition of limited seeding for Lower Peninsula Boys Soccer District play, using a Michigan Power Ratings (MPR) formula that debuted to assist in Boys Lacrosse Regional seeding this past spring and will be utilized as well for Districts in girls and boys basketball this winter and girls soccer beginning in 2020. The MPR formula ranks teams based on success and strength of schedule, with the top two teams in each District then placed on opposite sides of the bracket on the draw date for that sport. For boys soccer this fall, all games reported to the MHSAA through Sept. 28 will be used for MPR, with brackets announced Sept. 29. For more information on MPR and the boys soccer selection process, go to the MHSAA Website’s Boys Soccer page and see the information under “Tracking the Tournament."
Football remains the most played sport among MHSAA member school student-athletes and will introduce this season a series of in-game and practice-related changes. To improve pace of play, all varsity games will be played with a 40-second play clock that begins after the conclusion of the previous play except when there is an exception (penalty, timeout, etc.). In those circumstances, a 25-second clock will start with the referee’s ready-to-play whistle. Also beginning this football season, at the MHSAA Finals level, instant replay will be used to review all scoring plays and turnovers or potential scoring plays and turnovers (that is, when an official’s decision may have prevented or awarded a score or turnover). Replay review will be automatic in these situations.
The other notable rules changes in football continue a focus on safety. Tripping a ball carrier – that is, intentionally using the lower leg or foot to obstruct a runner below the knees – now will result in a 15-yard penalty. The definition of a horse-collar tackle also has been expanded to include grabbing of the name plate area on the back of the jersey (along with the inside of the neck area of the jersey or shoulder pads) to bring a runner to the ground. Horse-collar tackling also is penalized with a 15-yard personal foul.
Also beginning this season, the amount of practice “collision” contact will be defined in minutes instead of allowed days. Teams will be allowed no more than six hours of full-pads collision contact per week during the preseason and no more than 30 minutes of collision contact during a week of in-season (after games begin) practice. “Collision” is defined as contact at game speed, with the execution of full tackles at a competitive pace, taking players to the ground. Although “collision” contact will be limited, “thud” contact will be unlimited. “Thud” is not considered collision contact and defined as full speed but above the waist only, with no player taken to the ground and no winner or loser.
All fall sports face at least minor rules changes this season, and a few of the other most noticeable in-game adjustments will come in girls golf, volleyball, girls swimming & diving and boys soccer.
• In golf, athletes will be allowed to use cell phones in four situations – to call a coach or tournament administrator for a health and safety issue, for use in inputting scores for live scoring or other scoring applications, to contact a rules official with questions, and for use as a distance-measuring device.
• Also in golf, a new rule sets the maximum allowable score per hole at 12 strokes.
• In volleyball, attempted serves that make contact with a backboard or other support device hanging from the ceiling over the serving area now will be illegal serves instead of faults (which previously allowed the server another attempt). Also, when a ball in play strikes the cables or diagonal poles used to retract baskets or similar apparatus to the ceiling, the game official will stop play and determine if the ball was playable -- if it is ruled playable before making contact with the apparatus, there will be a replay; if the ball is deemed to have not been playable, it will be ruled out of bounds.
• Also in volleyball, a change regarding uniforms will make the libero more recognizable. A libero’s uniform top must clearly contrast with those of the rest of her teammates by using another predominant color. The libero’s uniform may be trimmed with the predominant color of her non-libero teammates’ uniforms, and vice versa. Also regarding volleyball uniforms, “00” may no longer be used as a jersey number, only numbers 0-99 to eliminate confusion.
• In swimming, the definition of a legal finish has changed to include a competitor touching any part of the finish end of the lane, not just the touch pad. In diving, the degree of difficulty was adjusted for back and reverse somersaults to provide consistency with difficulty of other dives.
• The game clock will stop in boys soccer beginning this fall when the team leading the game makes a substitution during the final five minutes of the second period of regulation or second part of overtime. This stoppage aims to prevent the team in the lead from using substitutions as a way to run time off the clock.
The 2019 Fall campaign culminates with postseason tournaments beginning with the Upper Peninsula Girls Tennis Finals during the first week of October and wraps up with the 11-Player Football Finals on Nov. 29 and 30. Here is a complete list of fall tournament dates:
Cross Country
U.P. Finals – Oct. 19
L.P. Regionals – Oct. 25 or 26
L.P. Finals – Nov. 2
11-Player Football
Selection Sunday – Oct. 27
Pre-Districts – Nov. 1 or 2
District Finals – Nov. 8 or 9
Regional Finals – Nov. 15 or 16
Semifinals – Nov. 23
Finals – Nov. 29-30
8-Player Football
Selection Sunday – Oct. 27
Regional Semifinals – Nov. 1 or 2
Regional Finals – Nov. 8 or 9
Semifinals – Nov. 16
Finals – Nov. 23
L.P. Girls Golf
Regionals – Oct. 7, 8, 9, 10, 11 or 12
Finals – Oct. 18-19
Soccer
Boys L.P. Districts – Oct. 9-11 & 14-19
Boys L.P. Regionals – Oct. 22-26
Boys L.P. Semifinals – Oct. 30
Boys L.P. Finals – Nov. 2
L.P. Girls Swimming & Diving
Diving Regionals – Nov.14
Swimming/Diving Finals – Nov. 22-23
Tennis
U.P. Girls Finals – Oct. 2, 3, 4 or 5
L.P. Boys Regionals – Oct. 10, 11 or 12
L.P. Finals – Oct. 18-19
Girls Volleyball
Districts – Nov. 4-9
Regionals – Nov. 12 &14
Quarterfinals – Nov. 19
Semifinals – Nov. 21-22
Finals – Nov. 23
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 1.4 million spectators each year.