Preliminary Concussion Data Announced
December 9, 2015
By Geoff Kimmerly
Second Half editor
The Michigan High School Athletic Association this school year requested for the first time that member schools report possible concussions by their student-athletes during both practice and competition. Preliminary data from the fall season shows two percent of more than 100,000 high school athletes experienced concussions, and 27 percent of high schools responding reported that none of their athletes experienced concussions while participating in MHSAA sports.
The MHSAA received data from 744 – or 99 percent – of its member high schools at the end of the fall season. The average number of concussions reported by member high schools through Dec. 4, 2015, was 3.2 concussions per school. Fifty-two percent of reporting schools stated they had two or fewer concussions by athletes this fall.
Football, the fall season’s most-played sport with 39 percent of all fall participants, revealed 79 percent of all concussions reported for the season. Boys soccer, with nearly 14 percent of fall sport participants, revealed 11 percent of all concussions reported.
Data collected by the MHSAA remains preliminary, in part, because results noted include pending reports that have not been verified. After completion of these follow-up reports, the final number of concussions that actually occurred this past season may be lower than the preliminary numbers being reported at this time. The data analyzed to date is for high schools only, although middle schools also have the opportunity to report possible concussions. A full breakdown of the data including concussions by gender, sport, team level (varsity through junior high) and setting (practice or event) will be reported after the conclusion of the spring 2016 season.
The reporting of possible concussions is part of a three-pronged advance by the MHSAA in concussion care during the 2015-16 school year, all of which are producing data related to the frequency and severity of head injuries. The MHSAA this fall became the first state association to offer pilot sideline concussion testing, with 62 schools taking part in one of two programs. One of the objectives of the pilot programs was to increase awareness of concussions and improve sideline detection; and preliminary results indicate that the average number of possible concussions reported by pilot schools exceeds the average reported by schools outside the pilot group.
Of 36 schools reporting the most concussions this fall, 11 are part of the MHSAA’s pilot sideline detection programs. Those programs – King-Devick Test and XLNTbrain Sport – utilize technology to provide on-site testing of athletes who have sustained possible concussions, with results of those examinations then compared against baseline tests taken by athletes previously.
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. The program will produce additional data about the frequency and severity of head injuries. While it is still early, only 34 claims have been made on the insurance policy designed to assist in payment for concussion care. Twenty of the claims are for football, 11 for soccer.
“These three efforts combined are part of making our good programs better,” MHSAA Executive Director John E. “Jack” Roberts said. “We’re pleased to provide these services to our schools, and we anticipate having a comprehensive report after the end of the school year, with that data then used by the National Federation of State High School Associations and research institutions to continue to make our games safer.”
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.
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 for activity by a doctor (M.D. or D.O.), physician’s assistant or nurse practitioner.
“These pilot programs, and the reporting of potential concussions by all of our schools, have made administrators, coaches and athletes more aware of the possibility of concussions and the importance of immediate detection and care,” Roberts said. “Many of our schools have long had programs in place to detect concussions and provide care. The opportunities to test, report and receive financial assistance in the event of a concussion have encouraged all of our schools to consider additional ways to better care for their student-athletes.
“These latest in a long line of health and safety initiatives will establish a baseline, and eventually allow us to determine if we are making progress year-to-year in Michigan school sports in this critical area of health and safety.”
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.
MHSAA Provides Reopening Guidelines
May 29, 2020
By Geoff Kimmerly
Second Half editor
The Michigan High School Athletic Association today submitted to its member schools a series of updated timelines and recommendations to guide the return of sports, which have been suspended since mid-March to alleviate the potential spread of COVID-19.
The state’s current “Safer-at-Home” order runs through Friday, June 12. There can be no use of any school facilities (indoor and outdoor) and there can be no organized on-site athletic activity, including conditioning or competition, until the current stay-at-home order expires or is lifted by Governor Gretchen Whitmer. When the “Safer-at-Home” order expires or is lifted, the return-to-activity recommendations may be implemented locally by school district leadership, provided the district declares its facilities open to students and staff and the 2019-20 school year has ended for that district (based on its last originally-scheduled school day).
The “MHSAA/NFHS Guidance for Re-Opening School Sports” is based primarily on direction provided by the MHSAA and National Federation of State High School Associations’ (NFHS) Sports Medicine Advisory Committees, in addition to reopening plans provided by the Michigan and federal governments and recommendations from the Center for Disease Control and Prevention (CDC). Concepts from the United States Olympic & Paralympic Committee also were consulted.
The MHSAA/NFHS plan recommends a three-step process to returning to full athletic participation, and for each step outlines actions to be taken in five major areas: pre-workout/contest screening of athletes and coaches for sickness, limitations of the number of participants who may be involved in a gathering, proper cleaning for facilities, the use of equipment during activity and best practices for keeping participants safely hydrated. The plan also places sports into categories based on risk for transmitting the virus (low/moderate/high), with adjusted return-to-activity steps based on that level of risk.
The MHSAA serves more than 1,500 public and private schools, including 750 high schools.
“The MHSAA and its Representative Council believe restarting school sports is essential to the physical and mental well-being of students, and the guidelines outlined for schools today provide the ‘How’ for schools to return to athletics when they’ve received the go-ahead from state and county health officials,” MHSAA Executive Director Mark Uyl said. “We are thankful for our state government, state education and health departments, our medical partners and the NFHS for their guidance these last few months, and we will continue to follow and pass on their recommendations as we prepare our schools to bring back this part of student life that’s been sorely missed.”
At the present time, the only activity allowed continues to be individual, outdoor recreational activity including walking, hiking, running, etc. (as announced in Executive Order 2020-96). If this type of conditioning activity takes place with more than one person present, it must be in groups of fewer than 10 people with social distancing followed, and the activity cannot involve school coaches, be school sponsored or occur at any school facility (indoor or outdoor) until at least June 13.
Voluntary virtual (not in-person) communication and instruction from coaches to any number of students is permitted under MHSAA rules in all sports during the summer.
“The concept is that students can continue to individually condition themselves (by walking, hiking, running), but there should be no organized, group activity by any person until at least June 13. We must all continue do our part to flatten the curve in hopes of increased activity over the coming weeks,” Uyl said. “Again, it is important to note that this document addresses ‘How’ schools can return to activity; the decision on ‘When’ schools can return to activity will be done under the direction of state government and health department officials. As government actions impact this timeline, the MHSAA will continue to update all involved.”
The return-to-activity guidelines are aimed to provide direction for schools as they continue to limit potential exposure to respiratory droplets, the primary avenue for transferring COVID-19. Specifically, the MHSAA/NFHS plan addresses social distancing, use of cloth and other face coverings, event scheduling and transportation, and the possibility that schools may have to break from or completely discontinue activity including competition during the fall or winter because of recurrent outbreaks of the coronavirus.
School district administrators will determine at which step in the MHSAA/NFHS plan their schools are operating based on the number of people allowed to gather by state medical officials.
The document in full is available from the MHSAA Website. Further guidance will be provided over the weeks ahead as new information is available and the prevalence of COVID-19 changes. Updates to the MHSAA/NFHS guidelines will continue to be in accordance with those published by the Governor’s office.
The MHSAA has remained in regular contact with the Governor’s office, Michigan Department of Health & Human Services and Michigan Department of Education throughout the pandemic, in addition to leadership from the state’s superintendents, school principals, athletic administrators and school boards associations.
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.