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.
2020 Bush Awards Honor Dedicated ADs
By
Geoff Kimmerly
MHSAA.com senior editor
October 21, 2020
East Grand Rapids’ Tim Johnston, Maple City Glen Lake’s Mark Mattson, Vicksburg’s Michael Roy and Gaylord’s Christian Wilson all lead programs that frequently earn headlines for success in competition.
But these four athletic directors also are known in their local and statewide sports communities for the positive experiences they help provide students, their own as well as those who take part in the same leagues or tournament events they frequently host.
To honor their often unsung work in creating these experiences for athletes, all four have been named recipients of the Michigan High School Athletic Association’s Allen W. Bush Award for 2020.
Al Bush served as executive director of the MHSAA for 10 years. The award honors individuals for past and continuing service to prep athletics as a coach, administrator, official, trainer, doctor or member of the media. The award was developed to bring recognition to men and women who are giving and serving without a lot of attention. This is the 29th year of the award, with selections made by the MHSAA's Representative Council.
“Leaders among peers, ceaseless dedication, never saying ‘no’ when needed – these are how this year’s Bush Award honorees are described by their colleagues, and how we’ve come to know them as well,” MHSAA Executive Director Mark Uyl said. “What they give willingly for school sports goes far beyond awards they’ve received, and at the same time often receives little attention. We’re delighted to recognize all of their continuing contributions.”
Johnston has begun his 39th year in education, with the last eight for East Grand Rapids Public Schools, where he has led one of the state’s most successful athletic programs – EGR, which offers 34 varsity sports, was named a Michigan Exemplary Athletic Program in 2018 by the Michigan Interscholastic Athletic Administrators Association (MIAAA). Johnson was chosen as his region’s Athletic Director of the Year by the MIAAA in 2017. He previously served as a teacher and coach at Grand Rapids Catholic Central, and then as an athletic director and principal at Hastings.
He has made significant contributions to Michigan’s largest high school league, having served as president, vice president, secretary and realignment chairperson for the Ottawa-Kent Conference, and hosted various MHSAA Tournament competitions for the District, Regional and Finals rounds. Johnston also has served on multiple MHSAA sport committees and its board of canvassers, and as part of the Scholar-Athlete Award selection committee. Additionally, he has served as an instructor for the MHSAA’s Coaches Advancement Program (CAP) and as a program presenter at conferences for both the MIAAA and National Interscholastic Athletic Administrators Association (NIAAA) – and served as Michigan’s delegate to the latter.
After graduating from Grand Rapids Catholic Central, Johnston earned an associate degree from Grand Rapids Junior College and a bachelor’s from Grand Valley State University, and then a master’s in education leadership from Michigan State University. He earned his certified athletic administrator (CAA) designation from the NIAAA.
“Tim has always been incredibly positive in advocating for kids,” MHSAA Executive Director Mark Uyl said. “I’ve known Tim for years as a principal and as an athletic director, and there’s absolutely no one who better sees the big picture of how academics and athletics fit together.”
Mattson is into his 22nd year coaching, teaching or serving as an administrator in Michigan high schools, and in his second tenure as athletic director at Maple City Glen Lake. He previously served in the same role and others at Marquette High School for 11 years and then as athletic director at Traverse City Central before returning to Glen Lake as athletic director and assistant principal. He also coached and taught in Rhinelander, Wis., to begin his career, and served as an undergrad men’s basketball assistant coach at Northern Michigan University.
Mattson also is a frequent MHSAA Tournament host and participated on sport committees for skiing, football, basketball, cross country and track & field, and has served as an MIAAA regional representative and as secretary for the Big North Conference. He received MIAAA regional Athletic Director of the Year awards in both 2008 and 2018, and was selected as the Upper Peninsula Athletic Director of the Year in 2006.
A current member of the MHSAA Representative Council – representing Class C and D schools in the northern Lower Peninsula – Mattson is a graduate of L’Anse High School and earned his bachelor’s degree and then his master’s in educational administration both from NMU. While at NMU and into his tenure at Marquette, Mattson also was a registered MHSAA official in football and basketball for a decade and briefly for softball and volleyball.
“Mark, having served his career in northern Michigan and the Upper Peninsula, always brings a unique perspective on how the largest schools survive in northern Michigan,” Uyl said. “Schools like Marquette and Traverse City Central face a unique challenge. He’s always been an advocate for schools with those unique circumstances – but also for all schools up north, and especially now as part of the Representative Council.”
Roy is a graduate of Paw Paw High School who returned to Michigan after earning bachelor’s and master’s degrees – the latter in curriculum and instruction – at the University of Nevada-Las Vegas, where he also was a member of the football team for two years. He is into his 22nd year as an athletic administrator, serving three years at Lawton before joining the Vicksburg administration at the start of the 2001-02 school year. He has hosted more than 100 MHSAA postseason events and numerous CAP sessions while also serving as a CAP instructor, and his Vicksburg program received the Exemplary Athletic Program award in 2020.
Roy served as president of the MIAAA during the 2019-20 school year and has made vast contributions as part of the athletic directors’ professional organization with more than 15 years as a regional representative and 10 times serving as the state’s NIAAA delegate at the National Federation of State High School Associations (NFHS) national conference. He has served more than a decade as a Leadership Training Institute instructor for the MIAAA and as part of the NIAAA national teaching faculty.
He has received three certifications from the NIAAA including the certified master athletic administrator designation in 2005. Roy was named his region’s Athletic Director of the Year by the MIAAA in 2009 and state Athletic Director of the Year in 2012 – when he was also a finalist for national Athletic Director of the Year from the National High School Coaches Association.
“Mike has been incredibly giving with his time, especially with his leadership with the MIAAA,” Uyl said. “He has a can-do attitude, whether it be in hosting events or with other problem-solving he’s provided our entire MHSAA staff over many years.”
Wilson is into his 19th year in education, serving as athletic director and assistant principal for Gaylord Community schools; he also briefly served as athletic director at Novi High School and as high school athletic director in Mount Gilead, Ohio, and taught in Auburndale, Wis.
Wilson also is a frequent host of MHSAA Tournament events – he hosted more than 10 during the 2019-20 school year alone – and also has served on various MHSAA committees. He has served as president of the Big North Conference and provided his expertise to the local Little League and youth football boards. He was named his region’s Athletic Director of the Year by the MIAAA in 2016.
A graduate of Chassell High School, Wilson then earned his bachelor’s degree from Northern Michigan University and a master’s in athletic administration from Western Michigan University. Prior to beginning his career in education, Wilson served as an assistant men’s basketball coach at both Michigan Technological University and Western Michigan. He played at Michigan Tech before finishing his career at NMU.
“Christian has been a successful administrator for many years because of his outstanding temperament and the way he connects with people,” Uyl said. “He’s someone who takes the work seriously, but never takes himself too seriously. He has served as a mentor to so many, and he’s very gifted at building relationships. At the end of the day, that’s what our business is about – those relationships.”
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.