MHSAA Announces 2016-17 Concussion Data
August 7, 2017
By Geoff Kimmerly
Second Half editor
The Michigan High School Athletic Association has completed its second year of collecting head injury reports from member schools as it continues to build data that will assist in identifying trends and progress being made to reduce the incidence of head injuries in school sports.
Following a first mandate to do so in 2015-16, member schools again were required to report head injuries to the MHSAA identifying the sport that each student-athlete was participating in and whether the injury was sustained during practice or competition. As reporting for the 2017-18 school year is now underway, schools again are required to designate if potential concussions occur during competition or practice and at which level – varsity, junior varsity or freshman.
The full report of all head injuries experienced during 2016-17 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.
As with the first year of reporting, the MHSAA received data from more than 99 percent of its member high schools after 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; and those findings are not part of the published report.
The 2016-17 concussion report found an 11-percent decrease in the number of confirmed concussions from the previous year. Student-athletes at MHSAA member high schools encountered during 2016-17 a total of 3,958 head injuries – or 5.2 per member school, similar but lower than the 2015-16 average of 5.9. Total participation in MHSAA sports for 2016-17 was 283,625 – with students counted once for each sport he or she played – and only 1.4 percent of participants experienced a head injury; that percentage in 2015-16 was 1.6.
However, MHSAA Executive Director John E. “Jack” Roberts said that while it’s significant to note the similarity in those statistics over the first two years of injury report collection, the lower percentages in 2016-17 don’t necessarily represent a trend – that conclusion can only be made after more data is collected in years to come. Some differences in data from the first year to the second could be the result of schools’ increased familiarity with the reporting system, the refinement of the follow-up reporting procedure and other survey error that is expected to decrease with future surveys.
“Our first survey in 2015-16 raised some initial themes, and the data we collected this past year and will continue to collect will help us identify the trends that will guide our next steps in reducing head injuries in interscholastic athletics,” Roberts said. “However, the necessity for more data to determine these trends should not delay our efforts to experiment with more head protection and modified play and practice rules in contact sports like ice hockey, soccer, wrestling and lacrosse – which all ranked among the top 10 sports for numbers of head injuries per thousand participants.
“We will continue to look for ways to make our good games better and our healthy games safer, and the collection of this data will continue to prove key as we work toward those goals.”
Although the total number of confirmed concussions was significantly lower in 2016-17, a number of findings detailing those injuries fell in line with results of the 2015-16 survey.
Boys experienced 2,607 – or 66 percent – of those injuries, nearly the same ratio as 2015-16 and as boys participation in sports, especially contact sports, remained higher than girls. More than half of head injuries – 55 percent – were experienced by varsity athletes, which also fell within a percent difference of last year’s findings.
A total of 2,973 head injuries – or 65 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 52 percent of injuries were a result of person-to-person contact. The largest percentage of athletes – 27 percent – returned to activity after 6 to 10 days, while 23 percent of those who suffered head injuries returned after 11-15 days of rest. All of these findings were within 1-4 percent of those discovered from the 2015-16 data.
Contact sports again revealed the most head injuries. Ranking first was football, 11 and 8-player combined, with 44 head injuries per 1,000 participants – a decrease of five head injuries per 1,000 participants from 2015-16. Ice hockey repeated with the second-most injuries per 1,000, with 36 (down two injuries per 1,000 from 2015-16), and girls soccer was again third with 28 head injuries per 1,000 participants (also down two from the previous year).
In fact, after football and hockey, four of the next five sports to show the highest incidences of head injuries were girls sports – girls soccer followed by girls basketball (23 per 1,000), girls competitive cheer (22) and girls lacrosse (20). Although girls basketball again showed the fifth-highest ratio, it did see a decline of six injuries per 1,000 participants from 2015-16.
Startling indications of another potential trend were seen again in the number of reported head injuries suffered by girls and boys playing the same sports. Soccer, basketball and baseball/softball are played under identical or nearly identical rules. Just as in 2015-16, females in those sports reported significantly more concussions than males playing the same or similar sport.
Female soccer players reported double the concussions per 1,000 participants as male soccer players, while female basketball players reported nearly triple the number of concussions per 1,000 participants (23 to 8). Softball players reported 11 concussions per 1,000 participants, and baseball players reported four per 1,000. The numbers from all three comparisons remained consistent from what the survey found in 2015-16.
It is the hope that Michigan’s universities, health care systems and the National Federation of State High School Associations will take part in analyzing the data and questions that have arisen during the past two years. Michigan State University’s Institute for the Study of Youth Sports submitted a paper titled “Gender Differences in Youth Sports Concussion” based on the 2015-16 results, and that subject will remain closely monitored in 2017-18 and beyond.
“The Institute’s research concluded that there is merit for believing females may be more susceptible than males to having concussions because of structural differences to the neck and head, and also due to neurological differences in the brains of females and males. But the findings also show merit for believing females may be more honest in reporting concussions,” Roberts said.
“We need to find out why. Are girls just more willing to report the injury? Are boys hiding it? These are some of our most important questions moving forward, and they will be critical in our efforts to educate athletes, their parents and coaches on the importance of reporting and receiving care for these injuries immediately.”
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. The MHSAA completed this past spring (2017) the largest-ever state high school association sideline concussion testing pilot program, with a sample of schools from across the state over the last two years using one of two screening tests designed to detect concussions. The second year of the pilot program (2016-17) allowed participating schools to use the sideline detection tests in all sports but mandated they be used in sports (11 total over three seasons) showing the highest prevalence of concussions.
The MHSAA also was 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 2016-17, a total of 139 claims were made – 20 fewer than in 2015-16 – with football (44) and girls basketball (27) the sports most cited in those claims for the second straight year.
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.
In addition, the MHSAA’s Coaches Advancement Program – which includes courses that must be completed by all varsity head coaches hired for the first time at a member school – has augmented for this fall its already substantial instruction on concussion care. Separately, rules meetings that are required viewing for all varsity and subvarsity head and assistant coaches at the start of each season include detailed training on caring for athletes with possible head injuries.
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 Approves Sponsorship of New Sports, Adjusts Winter Schedule at Spring Meeting
By
Geoff Kimmerly
MHSAA.com senior editor
May 9, 2024
The Representative Council of the Michigan High School Athletic Association took several actions during its Spring Meeting, May 5-6 in Gaylord, including approving the addition of boys volleyball and girls field hockey to the lineup of MHSAA-sponsored tournament sports beginning in 2025-26 and reorganizing the winter championship calendar to end one week earlier.
The Spring Meeting of the 19-member legislative body of the Association’s more than 1,500 member schools is generally the busiest of its sessions each year. The Council considered 28 committee proposals and dealt with a variety of eligibility rule, postseason tournament and operational issues.
After a yearlong conversation about emerging sports at MHSAA member schools, the Council approved a Volleyball Committee recommendation to begin sponsorship of boys volleyball with the 2025-26 school year. The Council also voted to begin sponsorship of girls field hockey beginning with 2025-26. Girls field hockey will be played during the Fall season, and boys volleyball during the Spring season, with the 2024-25 school year to serve as a development period as the MHSAA works with the current governing organizations for those sports. These will be the first sports added to the MHSAA’s tournament offerings since girls and boys lacrosse joined the lineup during the 2004-05 school year.
Changes to the MHSAA Winter Calendar will take effect in 2025-26 and include several adjustments to Finals schedules and practice starts that overall will lead to the winter sports season ending one week earlier – reflecting a fall survey that showed nearly 80 percent of MHSAA member schools felt the winter should be shortened. The reshaped winter sports calendar also completes competition before schools begin their spring breaks – which are being scheduled earlier than in the past – and places championships on dates that avoid potential facility conflicts.
Beginning with 2025-26, the last weekend in February will include the Team Wrestling, Bowling and Competitive Cheer Finals (with Skiing Finals remaining on the Monday of that week). The first weekend in March will include the Individual Wrestling, Boys Ice Hockey and Girls Gymnastics Finals. The Boys Basketball Finals will move to the second weekend of March with the Lower Peninsula Boys Swimming & Diving Finals, and the Girls Basketball Finals will permanently conclude the winter season during the third weekend of March. The Upper Peninsula Girls & Boys Swimming & Diving Finals will remain in mid-February. With basketball seasons ending earlier, basketball practices will be able to begin five days earlier (on a Wednesday) to keep tryouts/first practice dates from falling during Thanksgiving week.
More changes to MHSAA Tournament competition will begin in 2024-25. The Council voted to add a team championship for girls wrestling to be awarded to the school with the most success in the girls bracket of the Individual Finals. A girls individual bracket was added for the 2021-22 season, and the team championship will be awarded based on individual finishes similarly to how boys team championships were awarded before the dual format Finals were created with the 1987-88 season. Also for 2024-25, the Council approved Basketball and Soccer Committee recommendations to seed the entire District tournaments in those sports using Michigan Power Ratings (MPR) data, which previously was used to seed only the top two teams in each bracket for girls and boys basketball and girls and boys soccer.
The Council also approved a classification change in football intended to protect the state’s smallest schools sponsoring the 11-player format. Continuing a conversation from its Winter Meeting in March, the Council approved a Football Committee recommendation to cap the enrollment of Division 8 schools at 250 students, and then divide the rest of the 11-player schools evenly to determine the enrollment lines for the other seven divisions. As more small schools have switched to 8-player, larger schools have shifted into Division 8 for 11-player – and this change guarantees Division 8 schools will play only similarly-small schools during the postseason, taking effect with the 2025-26 school year.
To continue supporting schools providing teams at multiple levels despite low participation, the Council voted to allow athletes in two more sports to compete on teams at two levels on the same day. The Council approved a Bowling Committee recommendation allowing bowlers to participate in subvarsity and varsity competition on the same day, provided the events are separate – bowlers may still be listed on only one match roster and bowl for one team during each event – and also approved a Girls Lacrosse Committee recommendation to allow athletes to play in no more than five quarters in one day, with overtime an extension of the fourth quarter. At multi-team girls lacrosse tournaments where both school teams are playing, an athlete would be allowed to play in as many halves or quarters as what the school’s highest team level that day is playing.
The Council bolstered the penalty for inappropriate behavior toward game officials, approving an Officials Review Committee recommendation modifying the penalty for any coach or athlete who is ejected for spitting at, hitting, slapping, kicking, pushing or intentionally and/or aggressively physically contacting a game official at any time during that competition or after being ejected. The offending coach or athlete shall be suspended from competition for the next 14 calendar days and must complete an online sportsmanship course. The offending coach also will not be eligible to coach in the MHSAA Tournament for that sport during that season, nor be allowed to be present at the site or within sight, sound or communication of a tournament event for that team.
Here is a summary of other notable actions taken by the Representative Council at the Spring Meeting, which will take effect during the 2024-25 school year unless noted:
Regulations
• The Council approved a change to the athletic-related transfer (link) rule stating that an athlete is ineligible in all sports participated in during the current or previous school year if that student has transferred to a school where a coach is employed who previously was a school employee or third-party contractor at the athlete’s former school. This change of language bolsters the regulation to include links to a coach at the new school who previously was employed in any way by the previous school.
• The Council approved a change to the football practice and competition rule to state that a school may not take part in an interscholastic scrimmage with another school until the Wednesday of the second week of practice and only if the team has conducted football practice on at least seven separate previous days. A joint practice with another school is considered a scrimmage and may not take place until those seven days of practice have been completed.
Sports Medicine
• The Council approved a Sports Medicine Advisory Committee recommendation to require high schools to attest by each season’s established deadline that their high school sports coaches have emergency action plans specific to location which are posted, dispersed, rehearsed, discussed and documented within their practice plans.
• The Council also approved a Committee recommendation requiring MHSAA Tournament host sites to have an AED (automated external defibrillator) within visible distance of the event.
Officials
• The Council approved an Officials Review Committee recommendation requiring a set minimum number of officials required to work an event, designated by sport and level (varsity or subvarsity).
Sport Matters
• BASEBALL: The Council approved a Baseball Committee recommendation requiring varsity teams to submit their pitch count information electronically by noon the day following every game(s).
• BOWLING: The Council approved a Bowling Committee recommendation allowing for Regionals – Team and Singles – to be competed on consecutive days between Wednesday and Saturday of that week to increase the possibility of more bowling centers being able to host. Previously Regionals could be bowled only on Fridays and Saturdays.
• COMPETITIVE CHEER: The Council approved three Competitive Cheer Committee recommendations related to stunting while also prioritizing safety. In a braced suspended forward roll pyramid, the flyer and at least one bracer will be required to have a hand-to-hand/arm connection, with one or both hands/arms of the bracer connected to one hand/arm/foot of the flyer, and with this maneuver performed only to a cradle position or in a forward suspended role without twists.
Another change will allow a backward suspended roll when it originates from the cheering surface as long as both hands of the flyer maintain continuous hand-to-hand or hand-to-arm contact with the original bases or back spot.
A third change allows during an inversion the temporary loss of contact with the flyer while transitioning to a double-based sponge with both feet of the flyer in the hands of the bases, or to a cradle or shoulder-level or below stunt.
• GOLF: The Council approved a Golf Committee recommendation to form a Golf Site Selection Committee to review Regional tournament groupings and determine host schools and courses.
• SOCCER: The Council approved another Soccer Committee proposal to institute a running clock during the first half of matches when the goal differential is eight or more.
• SWIMMING & DIVING: The Council approved a Swimming & Diving Committee recommendation requiring all times entered for MHSAA Finals for both individual and relay swim events to be the times that are the fastest achieved in varsity competition during the current season and electronically verifiable on SwimCloud.com.
• TENNIS: The Council approved a Tennis Committee recommendation requiring the MHSAA to reduce the number of Regional tournaments for a season from eight to six if the number of teams participating that season is fewer than 288.
• TRACK & FIELD: The Council approved a Cross Country/Track & Field Committee recommendation allowing for athletes to qualify for MHSAA Finals by reaching predetermined standards during a window beginning April 1 of that season and extending until that athlete’s Regional meet.
• WRESTLING: The Council approved a Wrestling Committee recommendation to amend the penalty for a team when a wrestler competes at an ineligible weight class during a dual event. If the ineligible wrestler is discovered during the involved match, that wrestler forfeits that match and the opposing team will be awarded six team points, plus the head coach of the team with the ineligible wrestler will be assessed an unsportsmanlike conduct penalty resulting in a one-point team score deduction. If the ineligible wrestler is discovered after the involved match, any points earned by the offending wrestler are removed from the team score, along with the point for unsportsmanlike conduct, and six points are added to the offended team’s total. In both instances, neither wrestler involved in the match in question may compete again in that dual. If the ineligible wrestler is discovered after the dual is completed, the teams have left the mat area and the scorebook has been signed by the official, the results and team score will stand.
The Council also reviewed reports on membership, with 754 senior high schools and 774 junior high/middle schools in 2023-24 plus 60 elementary schools with 6th-grader participation; cooperative programs, with 392 high school programs for 720 teams during 2023-24; eligibility advancement applications, which totaled one; the use of Educational Transfer Forms, of which there were 128; school violations, attendance at athletic director in-service workshops and Coaches Advancement Program sessions; officials’ registrations (which were up 4.8 percent from 2022-23), rules meetings attendance, and officials reports submitted for the past three sports seasons. The Association’s $14.8 million budget for the 2024-25 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 1,500 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.