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.
Mazzolini's Impact Felt Across Generations
By
Geoff Kimmerly
MHSAA.com senior editor
July 14, 2016
By Geoff Kimmerly
Second Half editor
A lifetime in competitive athletics has provided piles of memories for retiring MHSAA assistant director Gina Mazzolini.
Four decades as an athlete, coach and association administrator also left her with plenty of souvenirs to sort through as she finishes her final days in the East Lansing office.
There’s a letter dated 1976 – and passed on to Mazzolini in 2004 – from the MHSAA to tennis coaches warning against stacking their lineups, an issue she’s worked to resolve over the last 20+ years.
Autographs from famous coaches John Wooden and Tom Landry made a 1991 National Federation Hall of Fame program worth saving. Just as significant was a thank-you from legendary Battle Creek St. Philip volleyball coach Sheila Guerra – who led teams to nine MHSAA titles from 1983-97 – sent in 2005 after Guerra’s daughter Vicky Groat led the Tigers to the first of what has become 10 Class D championships over the last 12 seasons.
In a number of high school sports circles, Mazzolini’s contributions are considered similarly legendary. She’s frequently been referred to as a “pioneer” – one of the first star female high school athletes from the Lansing area who went on to star at Central Michigan University and then lend her expertise to growing girls sports in this state and beyond.
“I didn’t do it because I was a woman and wanted to be the first,” Mazzolini said. “That’s just what I wanted to do, and after Title IX those jobs just opened up. And because I had some experience in coaching, officiating and playing, they took a chance on me, or they recruited me because they needed someone to run girls programs.
"I will miss people and relationships, watching things start, grow and get better.”
Mazzolini recently was recognized with a Citation from the National Federation of State High School Associations after a career that began in 1981 with Texas’ University Interscholastic League and ends after the last 23 years as an assistant director in her home state – and a mere 20 miles south of where she took the first steps toward a career that covered nearly the whole of female high school and college sports in Michigan, as a first-generation athlete and the builder of games for generations of girls and women to come.
Pioneer, indeed
Mazzolini’s senior year at St. Johns High School, 1973-74, was the first for girls basketball playoffs sponsored by the MHSAA, and Mazzolini led the Redwings to a District title that fall. She went on to star in both basketball and volleyball at CMU – still ranking among the Chippewas’ all-time hoops statistical leaders – and then to coach volleyball at Ovid-Elsie High School, Michigan State and the University of Texas.
All of that set Mazzolini up to provide a key voice and insight to rules-making bodies at the state and national levels. She’s retiring as MHSAA administrator for girls volleyball, swimming & diving, alpine skiing and tennis, and also has handled the sanctioning of out-of-state competitions and foreign exchange and international student issues. Nationally, she’s served multiple times on rules committees for soccer, swimming & diving and volleyball.
“Having worked in athletics for 46 years, I know few, if any, administrators who have a passion for excellence as does Gina Mazzolini in everything she undertakes,” wrote Marcy Weston, a retired executive associate director of athletics at CMU. “Ethics, integrity, creativity, loyalty and fortitude are just a few words that describe Gina’s work persona. And compassion, kind and supportive are words that siblings and friends access when they describe Gina.”
Weston coached Mazzolini on the CMU volleyball team for four seasons and women’s basketball team for two. At that time, with those programs and women’s college athletics as a whole in their early stages, Mazzolini and her teammates wore the same uniforms for both sports for two years.
Obviously, much has changed. And she’s played a large part.
Mazzolini first got involved as more than an athlete after taking Weston’s officiating class at CMU. Mazzolini registered as an MHSAA official – but all she knew of the MHSAA was that was where she paid her registration fee.
She still didn’t know much about state association work when offered a job at the UIL by then-executive director Bailey Marshall, who was familiar with Mazzolini because his wife Becky was the trainer for the University of Texas volleyball team when Mazzolini was an assistant coach.
“He said we’ve got to add women’s sports – they had them but not as many,” Mazzolini said. “I applied for the job and got it, and I’m still not sure what I’m going to do.”
What she lacked in initial knowledge, she made up for in passion.
Texas’ high school association at that time was adding girls tennis and soccer, beefing up some of its other offerings and reworking other sports to put females on a level playing field.
Her work there led to her first of many contributions to national rules-making committees. Early on, Mazzolini brought the perspective of someone who had played to groups that often included many who had not. She eventually chaired the volleyball committee from 2004-08 and worked with notable contributors to amateur sports including the first NCAA national coordinator of officials, Joan Powell.
“A number of people have made comments that when Gina was appointed to a national committee, the National Federation staff would breathe a sigh of relief because she would bring her patience and perspective to the table when they were forming national rules,” said MHSAA Executive Director Jack Roberts, who has served in his position since 1986.
“It’s clear to me that not just in Michigan, but across the country, there are several people who have affection for Gina as a person.”
Leaving a legacy
In addition to her recent Citation, Mazzolini is a member of the CMU Athletic Hall of Fame and received the MHSAA’s Women in Sports Leadership Award in 2010. This winter, she became the first woman to receive the MHSAA’s Charles E. Forsythe Award for her contributions to interscholastic sports.
It didn’t take long for Michigan coaches to realize she would make an impact.
Among accomplishments she’s most proud of from her time at the MHSAA are improved relationships with the tennis and swimming communities, developed by increased communication and with the help of longtime veterans like Gary Ellis and Tiger Teusink in tennis and Denny Hill in the pool.
She was once told by a coach she was brave to show up at a regular-season event because of the grumbles toward the MHSAA in that sport – but soon another coach told her, “I wanted to hate you, but I like you.”
Mazzolini may choose to stick around athletics as an official, but only at the middle school level. She’ll definitely have no problems continuing to attend some of her favorite events in the sports she’s helped form over the years.
And it seems just a little coincidental that she’s stepping away from a community she’s affected so greatly at the end of the same school year that saw one of her nieces, St Johns senior Brooke Mazzolini, help the Redwings to their first MHSAA Girls Basketball Semifinal in nearly 20 years – the latest step on a path her aunt began to blaze 40 years ago, even as Gina doesn’t see herself as the “pioneer” she’s frequently made out to be.
“I played because I loved to play. I got that from my dad, and we were in an athletic neighborhood. I got into officiating and that was fun,” Mazzolini said. “And then (athletic director) Bob Forebeck at Ovid-Elsie called and said, ‘Hey I need a volleyball coach; what do you think?’ And that was a blast.
“And then I got into state associations, and I’ve really enjoyed that. There were rough patches – like when you tell people ‘no’ – but everything I’ve done, I’ve loved it. It’s hard to consider it a job, because you look forward to doing most of it.”
PHOTOS: (Top) Gina Mazzolini poses briefly while directing an MHSAA Final in skiing. (Middle) Mazzolini starred for the Central Michigan University women's basketball team. (Below) Mazzolini stands with her St. Johns high school basketball coach Beth Swears after receiving the MHSAA Women in Sports Leadership Award in 2010.