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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.
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Participation Rises in 2015-16
June 30, 2016
By Geoff Kimmerly
Second Half editor
Despite another slight decline in enrollment at Michigan High School Athletic Association member high schools for the 2015-16 school year, participation in sports rose for the first time since 2010-11 as a total of 284,227 participants took part in the 28 sports for which postseason tournaments are sponsored by the MHSAA.
This year’s 0.71 percent dip in enrollment at member schools is the latest in a steady decrease that has seen enrollment fall nearly 12 percent total since 2006-07; however, participation in MHSAA-sponsored sports was up 0.57 percent over 2014-15. A total of 15 sports saw participation increases from the school year before, with boys and girls bowling, boys cross country and girls lacrosse setting records.
Girls participation was up 1.7 percent to 119,281 participants, despite a fall in girls enrollment of sixth tenths of a percent. Boys participation did fall a slight two tenths of a percent, to 164,946 participants, but boys enrollment fell eighth tenths of a percent from the previous school year. The overall MHSAA totals count students once for each sport in which they participate, meaning students who are multiple-sport athletes are counted more than once.
Girls lacrosse continued its streak of setting a participation record every season since becoming a sponsored tournament sport in 2005, this time with a 7.2 increase in participation to 2,775 athletes. Boys bowling saw a 3.7 percent increase this season to a record total of 3,860 athletes, while girls bowling was up 2.6 percent for a record total of 3,047. Boys cross country set a record for the second time in three seasons, this time up 5.3 percent with 9,254 runners.
A number of sports experienced bounce-backs from decreases over recent years. Boys basketball (0.5 percent increase to 21,524 athletes) was up after two straight years of decreases, while girls softball (5.2 percent increase to 13,788 athletes) was up after four straight years of lowering numbers. Boys track & field had seen participation decrease six straight seasons before bouncing back 1.6 percent this spring with 22,803 athletes, and wrestling also came back from six straight seasons of decreases with a 1.3 percent increase to 9,601 athletes. Girls volleyball just edged girls lacrosse for the largest increase of any MHSAA-sponsored sport in 2015-16, jumping 7.8 percent with 19,395 athletes after three straight seasons of declining participation.
Other sports with increased participation in 2015-16 were girls cross country (0.6 percent to 8,403 athletes), girls golf (3.8 percent to 3,460), girls gymnastics (3.2 percent to 638), boys soccer (1.0 percent to 14,574), girls soccer (0.3 percent to 13,367) and girls tennis (0.5 percent to 8,675).
However, a few troubling trends did continue. Girls basketball participation fell for the 10th straight season, this time nearly a percent to 15,558 athletes, the sport’s lowest total since records first were kept in 1991-92. The latest decrease brings the total fall in participation to 18.7 percent in that sport since a U.S. District Court decision led to the switching of girls basketball season from fall to winter beginning in 2007-08. Comparatively, girls enrollment at MHSAA schools during that time has fallen 12.1 percent. Although volleyball, the sport that swapped seasons with girls basketball and moved to fall, saw a large increase in 2015-16, its total number of athletes still was the third-lowest for the sport since 1993-94 and its participation is still down 10 percent since the seasons changed.
Also of note in this year’s survey:
• The increase in participation for 15 sports with a decrease in 13 was compared to an increase for only eight and decrease for 20 in 2014-15. Those increases and decreases were split evenly across boys and girls sports last school year; this school year, six boys sports were up and eight were down in participation, while nine girls sports were up and only five saw decreases.
• For the second straight year, a slight decrease in football participation fell in line with the slight decrease in boys enrollment after larger drops previously. Football participation was down 1.4 percent for the second straight year (and slowed this time a few hundredths of a percent, from 1.44 in 2014-15 to 1.42). The drop in football participation from 2011-12 to 2012-13 was 3.7 percent, and the drop from 2012-13 to 2013-14 was two percent.
• Skiing saw the largest combined decrease among pairs of related sports, with boys participation down 7.2 percent to 719 and girls down 2.8 percent to 652 after both experienced increases a year ago. Swimming & diving experienced decreases for both girls and boys together for the second straight year, although this time the decreases were smaller than in 2014-15; girls were down 4.3 percent to 5,378 athletes and boys were down 4.2 percent to 4,732.
• Boys golf participation fell for the seventh straight season, four percent to 6,271 athletes, its lowest total on record. Boys tennis experienced its seventh straight decrease to 6,077 athletes, also the lowest total on record for that sport and a dip of 3.6 percent from 2014-15.
• Baseball, after three straight seasons of increases, was down just less than a percent this spring. Boys lacrosse, after setting a participation record in 2013-14, was down for the second straight year but this time by only six athletes, or one tenth of a percent. Girls track & field was down for the second straight year, by 1.5 percent, after three straight of increases.
The participation figures are gathered annually from MHSAA member schools to submit to the National Federation of State High School Associations for compiling of its national participation survey. Results of Michigan surveys from the 2000-01 school year to present may be viewed on the MHSAA Website.
The following chart shows participation figures for the 2015-16 school year from MHSAA member schools for sports in which the Association sponsors a postseason tournament:
Boys |
|
Girls |
|
|
SPORT |
SCHOOLS (A) |
PARTICIPANTS |
SCHOOLS (A) |
PARTICIPANTS (B) |
Baseball |
635/654/5 |
18,173 |
- |
0/6 |
Basketball |
728/735/4 |
21,509 |
653/722 |
15,558/15 |
Bowling |
369/382/4 |
3,853 |
350/374 |
3,047/7 |
Competitive Cheer |
- |
- |
336/350 |
7,062 |
Cross Country |
615/641/1 |
9,252 |
597/636 |
8,403/2 |
Football - 11 player |
595/627/81 |
38,500 |
- |
0/92 |
8-player |
47/49/1 |
927 |
- |
1 |
Golf |
497/532/42 |
6,197 |
334/340 |
3,460/74 |
Gymnastics |
- |
- |
67/76 |
638 |
Ice Hockey |
227/260/5 |
3346 |
- |
0/6 |
Lacrosse |
137/143/4 |
4,948 |
97/99 |
2,775/4 |
Skiing-Alpine |
85/100/0 |
719 |
92/102 |
652/0 |
Soccer |
474/497/15 |
14,526 |
456/477 |
13,367/48 |
Softball-Fast Pitch |
- |
- |
612/639 |
13,788 |
Swimming & Diving |
238/271/0 |
4,732 |
253/281 |
5,378/0 |
Tennis |
293/309/3 |
6,065 |
331/344 |
8,675/12 |
Track & Field - Outdoor |
662/686/0 |
22,803 |
646/685 |
16,611/0 |
Volleyball |
- |
- |
708/719 |
19,395 |
Wrestling |
463/480/130 |
9,396 |
- |
0/205 |
(A) The first number is the number of schools reporting sponsorship on the Sports Participation Survey. The second number indicates schools sponsoring the sport including primary and secondary schools in cooperative programs as of May 7, 2016. The third number indicates the number of schools that had girls playing on teams consisting primarily of boys.
(B)The second number indicates the number of additional girls playing on teams consisting primarily of boys and entered in boys competition.
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.