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. 

Jackson's Imprint on MHSAA Stretches 45 Years, Across 4 Executive Directors

By Geoff Kimmerly
MHSAA.com senior editor

October 5, 2022

First impressions can be significant, as many a saying goes. And Karen Brown unknowingly provided one in 1978 that helped affect the course of athletics in this state over the next 40-plus years. 

A Michigan State University student named Karen Leinaar had shown up at the Michigan High School Athletic Association for a meeting about a 5K road race she was planning that was unrelated to the MHSAA except that the building provided a good meeting place – and Brown, just a year out of high school, was the first person to greet her at the old Trowbridge Road headquarters.

Seeing someone her age immediately made Leinaar more comfortable. She ended up returning to that office several times over the years, registering as an MHSAA game official while still an MSU student and then starting a career in 1982 that has included nearly 40 years as a high school athletic director and two decades of shaping policy as part of the MHSAA Representative Council.

That’s the kind of impact that’s emanated from Karen Jackson, formerly Brown, and over the last 45 years as assistant to four of the five executive directors during the MHSAA’s 98-year history. Jackson finished that run with her retirement Friday.  

“She was always one that would welcome you, and whether you walked into the office or called on the phone, she always had an answer that would calm you down or provide you with the information you needed,” said Leinaar, who currently is serving as interim athletic director at Frankfort High School in addition to her duties as executive director of the Michigan Interscholastic Athletic Administrators Association. 

“I remember initially calling and needing something from Mr. Norris – it was always Mr. Norris – and she could answer the question,” Leinaar added, referring to retired MHSAA executive director Vern Norris, who served in that role from 1978-86. “You didn’t want to talk to scary Mr. Norris – Vern was a wonderful man, but he was like the superintendent or principal. Karen always had the answer. … It was always that smile that made you feel like you were more than welcomed, wanted in the office, and everything is going to be OK.”

Karen Jackson in 2022Jackson began at the MHSAA in June 1977, two days before her graduation from long ago-closed Harry Hill High School in Lansing. 

Her high school sports career amounted to about half a season on the Hill varsity volleyball team as a sophomore before she had to switch gears to begin working for the Lansing Regional Chamber of Commerce as part of a school co-op program.

Jackson graduated as a co-valedictorian of Hill’s Class of 1977. Despite her academic standing, she hadn’t received much guidance at school on the possibility of college. But she had a job offer from the Chamber – and also had heard from grade-school friend Deborah Norris (Vern’s daughter) about an opening at the MHSAA. 

The MHSAA was offering more money, and Jackson was hoping to buy a car – and so at 18, she became the secretary for executive director Allen W. Bush.

The title has changed over the years, from secretary to the executive director, to executive assistant, to senior executive assistant. The MHSAA’s administrative processes obviously have changed, mostly because of technology, from everything done on paper and through the mail to just about everything conducted digitally over the internet. 

But many of Jackson’s most important duties at the end of her tenure resembled those she was hired to carry out nearly half a century ago. 

Setting Exemplary Expectations

Bush retired a year after Jackson began, and she then assisted Norris for his eight as executive director. She served with Jack Roberts through his 32 years as executive director from 1986-2018 and then for these first 3½ under current director Mark Uyl.

She was considered the “baby” of the MHSAA staff during her first 12 years, until she turned 30 and her support staff teammates declared she wasn’t the baby anymore during a Christmas party serenade. Just about 33 years later, she’s leaving as one of two people left who worked in the old offices before the MHSAA moved to another East Lansing headquarters at Ramblewood Drive in 1996.

School sports happen thanks to a Karen Jackson or two in every community -- people who provide the unseen support that makes these programs possible every day. 

For the last 45 years, she’s provided a consistent anchor for service to 1,500 schools and millions of student-athletes across Michigan.

Jackson, sitting fourth from left, was the “baby” of the MHSAA staff after joining when she was 18. “She’s shaped so much of what we’ve done,” said MHSAA assistant director Kathy Vruggink Westdorp, who joined the staff during the 2003-04 school year after more than two decades working for Grand Rapids-area schools. “Her service to schools was imperative to what she was doing, and it was a valuable part for our membership. Hers was such a dedicated service, such an exemplary service – finding solutions, to do what’s needed.”

There are file cabinets and libraries and hard drives at the MHSAA office, the contents of which are known by only a handful of people on Earth – and Jackson perhaps the most as she did most of the sorting and maintaining of those files over the years.

For a 1996 Lansing State Journal feature on the MHSAA’s support staff, Jackson (then Yonkers) explained “there are always new challenges, new issues and controversies. It never gets boring. In the past 19 years, we’ve slowly shifted from dealing with athletic administrators, principals and superintendents to dealing with legislators, attorneys and courts.” 

The last 25 years has seen much of the work swing back to providing service directly to schools. And Jackson’s mind has become part MHSAA library and part card catalog of where to find those few snippets she might not recall immediately from the last half century. 

“I guess what I’m proud of is being able to find things, to know where to find things and how to find things that other people don’t,” Jackson said. “Yes, the technology has changed everything. … We used to have more schools – they used to have 40-some Detroit public schools – and there was a whole era of (litigation), but it’s calmed down now.

“I liked what I did, and it kept me on my toes – that’s for sure.” 

The MHSAA is rooted in its responsibilities as a championship and eligibility rules maker, and Jackson was involved in just about every communication in those areas during her time. Tournament changes are made at Representative Council meetings, and she’s reported the minutes for at least 150 of those, including piles of special sessions as the MHSAA managed sports through the COVID-19 pandemic. Eligibility waivers are requested at Executive Committee meetings, and she’s prepared somewhere north of 505 sets of minutes for those monthly sessions even as those agendas have grown in content substantially over the years.

Then there’s all of the correspondence from those four executive directors – all with the initials “kb” or “kj” to go with “AWB” or “VLN” or “JER” and “MU.” She also was in charge of MHSAA election ballots for 35 years, served as the lead organizer of cooperative programs, helped with football tickets for a time and briefly was part of the program-selling crew at early Football Finals at the Pontiac Silverdome.

“I think I’m pretty lucky, being on the Council and Executive Committee, that I’ve been able to work with her a lot. And most athletic directors, they may not even know who she is because they may not have contact with her or do anything with her – but she’s obviously been the unsung hero of that office,” said Vic Michaels, who serves as director of physical education & athletics for the Archdiocese of Detroit and has served on the Representative Council since 2003. 

“She just does so much that you don’t really know about, especially with the Council. Whenever I need anything, Karen’s the one I call. She is the history, really. She’s the keeper of that.”

Unprecedented & 'Never to be Replicated'

A longtime co-worker of Jackson, Shirley Hytinen, retired in 1998 after just a few months more than 43 years. She too had worked for four executive directors, as she began in 1955 during the Charles E. Forsythe era.

Jackson surpassed Hytinen’s tenure a few years into Uyl’s, and can readily recall some of what stood out from all four directors she’s assisted.  

Bush was “really stern” – he had served in the U.S. Marines – and she said he didn’t smile much until the day he announced his retirement, when it was “like a switch turned. He was smiling and happy and joking around.” 

Norris was “the sweetest guy in the world.” Jackson had bought her first house in her mid-20s and was preparing to move in with only her dad and his motor home to assist, when Norris showed up to help at 7:30 a.m. that morning to provide another set of hands. 

Roberts is known by Michigan administrators and national colleagues for his writing, and Jackson said jokingly she still “cringes” when she sees a yellow legal pad. She was an important proofreader and spent the majority of her career serving with her desk just a few paces away from that of the recent National Federation Hall of Fame selection, and she attended his induction this past summer and San Antonio.

Jackson and husband Jim have plans to travel in retirement. Roberts pointed out that during the 1980s, the MHSAA would conduct nine Executive Committee meetings, each averaging fewer than 10 requests for waivers. By the end of his 32 years, there were 11 Executive Committee meetings annually – with approximately 50 waiver requests presented on average. Still, he and Jackson were able to process the meeting minutes and continue to distribute those decisions within 24 hours. 

“Over the more than three decades that Karen and I worked together at the MHSAA, the work became increasingly more voluminous and complicated – and Karen kept finding ways to increase our efficiency and maximize our output,” Roberts said.

Like Norris when Bush was executive director, Uyl had been part of the MHSAA staff under Roberts since 2004 before eventually moving into the corner office. After those first 15 years together, Uyl knew what a valuable person he had just a few yards away to assist in his transition, and “he just says to do this” and allows his staff to run with it, which Jackson enjoyed.

Her duties have been shifted confidently, mostly to Jamie VanDerMoere, another longtime administrative assistant who is best-known to Michigan school sports people for her leadership with the annual wrestling championship tournaments.

Jackson recently was married to Jim Jackson, and they have plans as they close in on their first anniversary – they’re hoping to travel to Italy at some point and also The Masters in Augusta, Ga., next spring. “I’m not going to miss coming to work every day, but the people,” Karen Jackson said.

And many in school sports across Michigan, although they may not realize it, will miss the contributions Jackson has made to their community over the decades including the context she’s provided as thousands of decisions have been made.

“Not only her understanding of our regulations and the processes of our regulations, but understanding why we have those things in place – when someone does something 45 years, you get a lot of historical context,” Uyl said. “What’s made her so effective is understanding the why – and that to me is something that’s almost impossible to replace.

“When an organization has been around 98 years with only five directors, it says something to have worked for four out of the five. That will never be replicated again.”

PHOTOS (Top) From top left, Karen Jackson has been a mainstay of the MHSAA for decades – serving membership, working with administrators like Randy Allen and Gina Mazzolini or serving as assistant to executive directors like Jack Roberts (right) and Vern Norris. (Middle) Jackson, sitting fourth from left, was the “baby” of the MHSAA staff after joining when she was 18. (Below) Jackson and husband Jim have plans to travel in retirement. (MHSAA archives.)