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.
Rep Council Wrap-Up: Winter 2018
March 28, 2018
By Geoff Kimmerly
Second Half editor
With a number of important topics filling the agenda for its Spring Meeting this May, the Representative Council of the Michigan High School Athletic Association prepared for a number of possible votes by receiving and requesting additional information during its annual Winter Meeting on March 23 in East Lansing.
The Winter Meeting frequently serves as an opportunity for the Council to discuss items expected to come up for action at its final meeting of the school year, scheduled for May 6-7. Since June of 2017, the MHSAA has been pushing several projects forward – with work on the transfer rule and junior high/middle school sports receiving the most emphasis.
Addressing the chronically troubling nature of transfers in school sports, the MHSAA has facilitated nine months of discussions with leagues and administrative groups across the state to develop a proposal that would make the transfer rule sport-specific – that is, a rule that bases current eligibility on the sports an athlete has participated in in the past. The proposed new rule would make transferring students ineligible at a new school in the sports they played the previous year at their old school. However, transfer students would be immediately eligible in any sport they didn’t participate in the previous school year. A list of exceptions, including a change of residence, would still allow for transferring students to become eligible in all sports.
The Council discussed how support for this potential transfer rule change has grown, and suggested the MHSAA send further explanation of the proposal to school superintendents and principals before the meeting in May.
“Since last summer, there has been membership-wide discussion of proposals that pursue the elusive goal of adopting a transfer rule that is simpler and easier to understand and, therefore, more consistently enforced,” MHSAA Executive Director John E. “Jack” Roberts said. “There appears to be broad consensus that we are on the right path.
“If adopted by the Council in May, the full effect of the changes would not be felt until the 2019-20 school year. What sports are actually played by a student during 2018-19 would determine that student’s eligibility after a transfer for 2019-20.”
The Council also is continuing work on a number of efforts related to the MHSAA’s growing presence at the junior high and middle school level. Under consideration is a proposal increasing the number of contests permitted within the maximum 13-week seasons for several sports, and another proposal relaxing or eliminating the Limited Team Membership regulation for most sports at that level. The Council also is considering expanding the MHSAA’s role as a presenting sponsor at events involving junior high/middle school students.
MHSAA membership at the junior high/middle school level has increased by more than 100 schools – nearly 14 percent – and nearly 70 percent of 800 member junior high/middle schools have begun accommodating 6th-graders in their programs since the MHSAA’s Constitution was amended in 2015 to allow 6th-graders to be included.
“The emphasis on policies and programs related to 6th-, 7th- and 8th-graders is essential if sports at the high school level will remain relevant to students and useful to schools which are trying to engage youth in 21st-century learning,” Roberts said. “We’ve also put many policies under a microscope to see if they can be modified to respond to our customers’ desires for more competition at the 6th- through 8th-grade levels while remaining faithful to our mission of providing these younger student-athletes the opportunity to sample sports and develop new interests and skills.”
A number of other topics were discussed during the Winter Meeting in advance of actions that could take place in May or at the Council’s Fall Meeting in December:
• The Council is considering two leading options for setting the girls and boys basketball regular-season and MHSAA tournament schedules after the 2018-19 season. For 2018-19, for the first time, the boys and girls seasons will flip start and end dates, with the boys starting and ending their season first. This will be done to adjust to the availability of Michigan State University’s Breslin Center to host the boys Semifinals and Finals. For 2018-19, no other arena available is large enough to accommodate the crowd that traditionally attends the final games of the boys postseason.
One option for 2019-20 and possibly beyond includes continuing the current strategy of using multiple sites for Semifinals and Finals weekends while accommodating Breslin (or another largest arena’s) availability – for example, this year’s Boys Semifinals and Finals were played at Breslin, while the Girls Semifinals and Finals were played at Calvin College’s Van Noord Arena because Breslin was not available for the girls weekend. (Breslin and Van Noord will be used for the 2019 Semifinals and Finals weekends as well, again to accommodate Breslin’s availability.) The second option would put the girls and boys tournament schedules over the same three-week period and use the largest available arena to host games on only two days; Semifinals would be played at various sites for both genders, with all four girls and boys championship games played at the largest arena during one weekend.
• Also in girls and boys basketball, the Council will consider possibilities for seeding the top two teams in geographically-determined Districts. MHSAA staff have created plans for possible implementation as requested by the Council at its May 2017 meeting.
• In football, the Council is considering options to assist 8-player football schools with their regular-season scheduling.
“While transfers and junior high/middle school programs are fundamentally more important than single sport issues, we have an eye on several that will generate significant interest,” Roberts said. “Schools which sponsor 8-player football will be receiving plans to assist their scheduling of regular-season games, and they will be asked to provide reactions through an online survey during April.
“Basketball continues to have two issues which have more public interest than genuine importance. One – the boys and girls tournament schedule and championship venue after 2019 – is moving toward a vote in December. The other – limited seeding of boys and girls District tournaments – is scheduled for action in May.”
The Council also talked about ways of involving more junior high/middle school students and at more grade levels, and what possible new high school sports might draw students with a wider variety of interests and abilities. There also was discussion on how eligibility and transfer rules are applied to boarding school students and what modifications would promote competitive equity between boarding schools and both public and nonpublic schools.
The Representative Council is the legislative body of the MHSAA. All but five members are elected by member schools. Four members are appointed by the Council to facilitate representation of females and minorities, and the 19th position is occupied by the Superintendent of Public Instruction or designee.
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.