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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.
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MHSAA Fall Practices to Begin with Common Start Date, Return of Traditional Schedules & Formats
By
Geoff Kimmerly
MHSAA.com senior editor
August 6, 2021
Teams participating in all nine sports for which the Michigan High School Athletic Association sponsors postseason tournaments – featuring more than 100,000 student athletes statewide – will be allowed to begin practice Monday, Aug. 9, and with a return to traditional schedules and MHSAA Tournament formats after COVID-19 resulted in various adjustments for the Fall 2020 season.
Postseason competition in cross country, football, golf, tennis and swimming & diving will revert to their customary formats this season, with all fall sports scheduled based on their traditional calendars other than beginning practice with a common start date for the first time. At the time of this release, there are no COVID-19-related state-ordered restrictions regarding school sports, for either athletes or spectators, from either the MHSAA or the Michigan Department of Health & Human Services (MDHHS). County health departments and local school districts may institute restrictions for venues in their areas, and teams traveling to those schools and venues must follow local mandates.
For most of the MHSAA’s modern history, football teams had begun practice Monday of the first week of the preseason, followed by the rest of fall teams two days later. A 2019 rule change allowed a few more sports to begin on Monday, dependent on their Finals dates that fall. The common start date for all fall practices this season and annually moving forward was approved by the MHSAA Representative Council at its Spring Meeting in May and allows all teams to begin the 16th Monday before Thanksgiving.
Football teams still must have 12 days of preseason practice at all levels before their first game, over a period of 16 calendar days before the first kickoff, with the first varsity games this fall scheduled for Aug. 26 and the weekend of Aug. 27-28. Competition this fall may begin Aug. 16 for golf and tennis teams and Aug. 18 in cross country, soccer, volleyball and swimming & diving.
One of the most anticipated sport-related changes for Fall 2021 is the full implementation of the “enhanced strength-of-schedule” format for selecting the 256-team field for the 11-Player Football Playoffs. The new format eliminates automatic qualification based on win total and bases it solely on playoff-point average, which also is determined differently in that it now awards teams more for playing tougher schedules. (Click for a more detailed comparison of the previous and new formats.)
The new playoff-point formula was used in 2020 to seed teams at the District and Regional levels, but its use for qualification was put on hold as COVID-19 caused a one-season switch in playoff format that allowed all teams to qualify.
Additional rules changes in cross country, football, golf and tennis will be most noticeable this fall:
• Cross Country will provide an opportunity for more individual Finals qualifiers this season, as a minimum of seven individual qualifiers will advance from each Regional race. Previously, runners on teams that did not qualify as a whole could still advance to the Finals if they finished among the top 15 individuals at a Regional – but at some Regionals runners from the team qualifiers filled the great majority of those top 15 finishes. The seven individual qualifiers from each Regional this season will be the first seven finishers from teams that do not qualify as a whole, even if they finish outside of the top 15.
• Another football change continues the focus on minimizing injury risk, addressing blocking below the waist in the free-blocking zone (the rectangular area extending laterally four yards to either side of the snap and three behind the line of scrimmage). The new rule states a below-the-waist block in the free-blocking zone must occur as an immediate, initial action following the snap, instead of the previous rule which allowed an offensive lineman to delay and block below the waist as long as the ball was still in the zone.
• For Lower Peninsula girls golf, teams will be required to use the scoring platform iWanamaker also for the regular season, just as they were required to do so for MHSAA Tournament competition during the 2020-21 school year. The scoring platform is made available through the MHSAA Golf app, which was created and is operated by iWanamaker and allows golfers, coaches and fans to chart scoring in real time.
• In tennis, if a seeded player withdraws on the day of an MHSAA Regional or Final, all seeded players below that withdrawing player (including the provisional seed in that flight) will move up and be placed on the proper line for that new seed. (Non-seeded players drawn into the bracket will not be moved.)
The 2021 Fall campaign culminates with postseason tournaments beginning with the Upper Peninsula Girls Tennis Finals during the final week of September and wraps up with the 11-Player Football Finals on Nov. 26 and 27. Here is a complete list of fall tournament dates:
Cross Country
U.P. Finals – Oct. 23
L.P. Regionals – Oct. 29 or 30
L.P. Finals – Nov. 6
11-Player Football
Selection Sunday – Oct. 24
Pre-Districts – Oct. 29 or 30
District Finals – Nov. 5 or 6
Regional Finals – Nov. 12 or 13
Semifinals – Nov. 20
Finals – Nov. 26-27
8-Player Football
Selection Sunday – Oct. 24
Regional Semifinals – Oct. 29 or 30
Regional Finals – Nov. 5 or 6
Semifinals – Nov. 13
Finals – Nov. 19 or 20
L.P. Girls Golf
Regionals – Oct. 4, 5, 6, 7, 8, or 9
Finals – Oct. 15-16
Soccer
Boys L.P. Districts – Oct. 13-23
Boys L.P. Regionals – Oct. 26-30
Boys L.P. Semifinals – Nov. 3 Boys
L.P. Finals – Nov. 6
L.P. Girls Swimming & Diving
Diving Regionals – Nov. 11
Swimming/Diving Finals – Nov. 19-20
Tennis
U.P. Girls Finals – Sept. 29, 30, Oct. 1, or 2
L.P. Boys Regionals – Oct. 6, 7, 8 or 9
L.P. Finals – Oct. 14-16
Girls Volleyball
Districts – Nov. 1-6
Regionals – Nov. 9 &11
Quarterfinals – Nov. 16
Semifinals – Nov. 18-19
Finals – Nov. 20
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.