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 Survey Shows Lower Rate of ‘Pay-to-Play’ Fees Continued as Participation Rose in 2022-23

By Geoff Kimmerly
MHSAA.com senior editor

July 27, 2023

Participation continued to bounce back at Michigan High School Athletic Association member schools during the 2022-23 school year, but the percentage of those schools charging fees to participate in sports was nearly unchanged for the third-straight year as it remained near its lowest rate of the last two decades.  

Just 41 percent of MHSAA member schools charged participation fees during the 2022-23 school year, following 40 percent using them during 2021-22 and 41 percent in 2020-21.

The MHSAA participation fee survey has measured the prevalence of charging students to help fund interscholastic athletics annually since the 2003-04 school year. The percentage of member schools charging fees crossed 50 percent in 2010-11 and reached a high of 56.6 percent in 2013-14 before falling back to 50 percent or below. The survey showed 48 percent of member schools charged fees during 2019-20, the first school year affected by COVID-19, before the substantial reduction followed as programs continued to navigate the pandemic.  

Of the 574 schools (77 percent of membership) which responded to the 2022-23 survey, 234 assessed a participation fee, while 340 did not during the past school year. For the purposes of the survey, a participation fee was anything $20 or more regardless of what the school called the charge (registration fee, insurance fee, etc.).

Class A schools, as in past years, made up the largest group charging fees, with 55 percent of respondents doing so. Class B and Class D schools followed, with 41 and 36 percent charging fees, respectively, and 30 percent of Class C schools also charged for participation.

Among schools assessing fees, a standardized fee for each team on which a student-athlete participates – regardless of the number of teams – has shown for a number of years to be the most popular method, with that rate unchanged in 2022-23 at 46 percent of schools with fees. Next again were 33 percent of assessing schools charging a one-time standardized fee per student-athlete, followed by 14 percent assessing fees based on tiers of the number of sports a student-athlete plays (for example, charging a larger fee for the first team and less for additional sports).

The amounts of participation fees have remained relatively consistent over the last decade. For 2022-23, the median annual maximum fee per student was again $150, although the median maximum fee per family increased slightly to $350 – up $50 from 2021-22. The median fee assessed by schools that charge student-athletes once per year was $120 for the second straight, and the median fee for schools that assess per team on which a student-athlete plays was $100, up from $75 in 2021-22.

The survey for 2022-23 and surveys from previous years can be found on the MHSAA Website.

As reported earlier this month, participation in MHSAA-sponsored sports continued to climb in 2022-23, up 2.7 more percent for a combined 9.9-percent increase over the last two school years. More on participation can be found here.

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 1.3 million spectators each year.