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: Spring 2017
May 18, 2017
By Geoff Kimmerly
Second Half editor
The adoption of a change in how basketball and volleyball teams will be classified for Michigan High School Athletic Association tournaments was among notable actions taken by the Representative Council during its annual Spring Meeting, May 7-8, in Glen Arbor, in addition to MHSAA Finals site changes announced in a previous release May 9.
The Spring Meeting of the 19-member legislative body of the Association’s more than 1,400 member schools is generally the busiest of its three sessions each year. The Council considered 29 committee proposals and dealt with a variety of eligibility rule, postseason tournament and operational issues.
The tournaments in girls and boys basketball, and volleyball – the last to be organized based on traditional Class (A-B-C-D) enrollment breaks – instead will be conducted using equal divisions (1-2-3-4) beginning with the 2018-19 school year. The Council approved this change in response to a proposal by the Basketball Coaches Association of Michigan; Michigan’s interscholastic volleyball community also has expressed openness to equal divisions in the past. All other MHSAA tournaments, except for football, are conducted using equal divisions based on enrollment and determined prior to the school year. Football is the only sport requiring teams to qualify for postseason play, and its equal divisions are not determined until after the regular season ends.
After previously approving the addition of a second division to the 8-Player Football Playoffs for 2017-18 at its Winter Meeting, the Council approved the selection of the field after the ninth week of the regular season and based on playoff point average. The 32 teams with highest playoff point averages will be listed by enrollment, with the largest 16 placed in Division 1 and the smallest 16 in Division 2 of the 8-Player tournament.
Also concerning tournament setup, the Council chose to not adopt a Basketball Committee proposal that would have seeded both the girls and boys tournaments at the District and Regional levels. Instead, the Council instructed staff to examine seeding options for the District level only, to be presented at Council meetings during the 2017-18 school year.
Continuing a focus on athletes’ health and safety, and in the case of football reducing the number of collisions experienced by players, the Council approved a Football Committee recommendation that, after the first game of the regular season, limits teams to no more than 90 total minutes of collision practice in any week. Similar to the previous rule limiting teams to two days of collision contact per week after the first game, blocking and tackling techniques are allowed by the new rule – but full-speed contact is limited to players versus pads, shields, sleds or dummies. Players may continue to wear helmets and other protective pads for non-collision practice sessions.
Here is a summary of other actions taken by the Representative Council at the Spring Meeting, which will take effect during the 2017-18 school year unless noted:
Sport Matters
• In competitive cheer, the Council approved a committee recommendation to allow forward/backward suspended rolls, in a double-braced pyramid, to be transitioned directly to a stunt. Those rolls are allowed to a cradle, sponge or stunt, but not the cheering surface.
• In football, the Council approved two recommendations, one by committee and one by staff, regarding the later rounds of the playoffs. For Semifinals and Finals, the home team and visitor will be determined by playoff point average instead of the previous Regional advancement. In addition, the Council also voted to allow 11-player Semifinals to be played either Friday night or Saturday, as opposed to only on Saturday.
• In golf, the Council approved a committee recommendation requiring a Golf Association of Michigan (GAM) rules official be present at each Lower Peninsula girls and boys Regional tournament to assist with rules issues and challenges.
• For hockey, the Council approved a recommendation that allows a 23rd active player to be dressed in uniform if that player is a goaltender. Previously, only 22 active players could dress and sit on the bench.
• Also for hockey, the Council approved a committee recommendation to add an MHSAA adaptation to a National Federation rule mandating helmets be worn by players and officials at all times on the ice, except while standing for the national anthem. The MHSAA adaptation adds postgame award ceremonies as another exception allowing helmets to be removed.
• In lacrosse, both boys and girls, the Council approved a recommendation from both sports’ committees to allow for multi-team tournaments on days not followed by school days (generally Fridays); currently they are allowed only on non-school days.
• In soccer, a committee recommendation was adopted eliminating overtime periods and shootouts during the regular season. Leagues and conferences will be allowed an overtime option for their end-of-season bracketed tournaments, but overtime in those cases must not exceed two 10-minute periods plus a shootout. Multi-team regular-season tournaments also may receive waivers to employ a shootout if it is used to determine the winner of a game.
• A swimming & diving committee recommendation was approved that reduces the number of regular-season wins required by a diver from five to four for that diver to qualify for the Diving Qualification Meet. A diver also may qualify for the Diving Qualification Meet if he or she places ahead of all divers from opposing schools in varsity competition in at least four meets, even if he or she does not finish ahead of his or her teammates.
• In tennis, the Council approved to adjust the limited team membership rule as it applies to tennis to go into effect on the first allowable date of competition for any student, as opposed to the current first day of allowable practice.
• In girls volleyball, a committee recommendation was approved allowing graduating 12th-grade athletes with no remaining interscholastic eligibility in any sport to wear school uniforms in one all-star game sponsored and conducted during the summer by the Michigan Interscholastic Volleyball Coaches Association, effective immediately.
• The Council approved two Wrestling Committee recommendations. The first changes the Team Regional hosting format so that a host will be selected from the four qualifying teams based on a yearly rotation among those Districts.
• The Council also approved a recommendation to revise the Weigh-In Form/Process to include a section for inspection, where all participating wrestlers would be subject to inspection by officials.
Junior High/Middle Schools
• The Council approved a Junior High/Middle School Committee recommendation urging each MHSAA sport committee to consider opportunities to add more games and dates to middle school schedules while not extending the length of the 13-week season for those sports. This likely would include expanding the number of multi-game events (all games played on the same day and on a day not followed by a day of school) from two to four events.
• For both girls and boys junior high/middle school lacrosse, the Council approved committee recommendations to increase the number of multi-team tournaments allowed. Both will be allowed four multi-team tournaments. One-day multi-team tournaments in both boys and girls lacrosse will be counted as one competition date. Also approved for boys junior high/middle school lacrosse were committee proposals upping the number of maximum game dates from 12 to 15 over the same 13-week season, and an increase in running time minutes during multi-team events from 150 to 160 minutes to allow for four games with 20-minute running-time halves.
The Council also reviewed reports on membership, with 750 senior high schools and 740 junior high/middle schools in 2016-17 plus 24 elementary schools with 6th-grader participation; eligibility advancement applications, which totaled five for the second straight school year; the use of Educational Transfer Forms, which fell 13 percent this year; school violations, attendance at athletic director in-service workshops and Coaches Advancement Program sessions, officials’ registrations, rules meetings attendance and officials reports submitted for the past three sports seasons. The Association’s $11.1 million budget for the 2017-18 school year also was approved.
The Representative Council is the 19-member legislative body of the MHSAA. All but five 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 1,400 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.