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: Fall 2016
December 12, 2016
By Geoff Kimmerly
Second Half editor
The Representative Council of the Michigan High School Athletic Association took actions at its Fall Meeting on Dec. 2 in East Lansing that will affect baseball and Upper Peninsula golf teams this spring.
Generally, the Council takes only a few actions during its Fall Meeting, with topics often introduced for additional consideration and actions during its meetings in winter and spring. However, a rules change approved in baseball was required by the National Federation of State High School Associations before the start of the spring 2017 season, while the golf change is a result of multiple years of discussion concerning classifications for MHSAA Upper Peninsula Finals.
Beginning this upcoming baseball season, pitchers will be required to follow a pitch count limit, instead of the previous rule that limited their innings based on the number of outs thrown. In July, the NFHS Baseball Rules Committee mandated that all states adopt a pitch count rule in an effort to further prevent pitcher arm injuries, effective with the 2016-17 school year. Pitchers will be allowed to throw a maximum of 105 pitches in one day; they will be required to rest three days if they throw more than 75. Pitchers must rest two days after throwing 51-75 pitches, one day after throwing 26-50, and will not be required to rest if they throw 25 or fewer pitches in one day. The MHSAA pitch count rule was the result of work by a task force made up of current and former coaches and administrators, including representatives of the Michigan High School Baseball Coaches Association.
For Upper Peninsula Golf, both the girls and boys tournaments, the Council approved a change classifying participating schools into three equal divisions beginning in the spring of 2017. Previously, Class A, B and C schools were split evenly into Divisions 1 and 2, with Division 3 reserved for Class D schools. However, Class D had grown to include nearly twice as many participating schools as both Division 1 and 2, complicating tournament logistics. This proposal was advanced by the Upper Peninsula Athletic Committee.
The Council also approved for the MHSAA’s Multi-Sport Participation Task Force to continue its work indefinitely beyond the end of 2016, and also approved possible expansion of the task force as it continues to work toward preparing strategies and specific tactics for the MHSAA, allied organizations and local schools and conferences to promote multi-sport participation by student-athletes. The task force has determined it must focus on educating students and parents on the benefits of multi-sport participation when students are at younger ages – as early as when they are attending elementary school – while providing service and support at the junior high/middle school level; both efforts aim to create an atmosphere promoting multi-sport participation that would carry on when students reach high school.
Results of efforts to grow junior high/middle school membership were reported, with 757 junior high/middle schools in the MHSAA’s membership for 2016-17, compared to 705 at the conclusion of the 2015-16 school year. Of those 757, there are 498 that have included sixth grade in their membership, as allowed this school year for the first time. The Council also heard reports related to the MHSAA’s “Defining & Defending Educational Athletics” mission, notably on a pair of efforts by the National Federation focused on enhancing participation, reducing risk, optimizing performance and spreading the positive message of educational athletics. In addition, the Council discussed results of a recent survey of officials who had left the avocation and their reasons why, with the hope of staff using that data as it works to recruit and retain officials.
The Council also began a discussion on the future of 8-player football, including its growth and potential tournament format modifications, and the potential effects on 11-player football. There were 52 8-player football teams in Michigan for the 2016 season, including four that were ineligible for postseason play because their enrollments were too high (only Class D schools are eligible for the playoffs in the 8-player format). Discussions will continue with the MHSAA Classification Committee and Football Committee and at the League Leadership meeting before returning to the Council’s agenda.
The Fall Meeting saw the addition of Vicky Groat, principal and athletic director at Battle Creek St. Philip High School, to the 19-person Council. She was appointed to a two-year term. She also serves as her school’s varsity volleyball coach. Groat fills the position formerly held by Orlando Medina, athletic director at Harrison Township L’Anse Creuse High School, whose term ended. Also, Pat Watson, principal at West Bloomfield High School, was re-appointed for a second two-year term.
The Council re-elected Scott Grimes, assistant superintendent of human services for Grand Haven Area Public Schools, as its president; Benton Harbor athletic director Fred Smith was re-elected vice president and Vic Michaels, director of physical education and athletics for the Archdiocese of Detroit, was re-elected secretary-treasurer.
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 1,400 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.