Winter Preliminary Concussion Data Announced
May 3, 2016
By Geoff Kimmerly
Second Half editor
The Michigan High School Athletic Association has found through collection of preliminary data that fewer than two percent of its more than 70,000 winter student-athletes experienced potential concussions during the season that concluded in March.
The MHSAA this school year requested for the first time that member schools report possible concussions by their student-athletes during both practice and competition. A first set of preliminary data announced in December showed only two percent of more than 100,000 high school fall athletes experienced concussions during that first season of the 2015-16 school year.
As it did for the fall, the MHSAA again received data from more than 99 percent of its member high schools at the end of the winter season. The average number of possible winter concussions reported by member high schools through May 2, 2016, was 1.6 concussions per school – half the average per school reported for the fall season. Just more than 39 percent of reporting schools stated they had no concussions by athletes this winter.
Girls and boys basketball, by far the most popular winter sports by participation, also revealed the highest percentage of winter concussions. Girls basketball, with 22 percent of all winter athletes, revealed 38 percent of possible concussions. Boys basketball, with 30 percent of winter athletes, followed with approximately 20 percent of reported possible concussions. Wrestling, with 13 percent of winter athletes, also registered approximately 20 percent of possible concussions.
In addition to breakdowns by sport, the breakdown by gender this winter also was significant. Total, girls make up approximately 38 percent of athletes who compete during the winter season – and girls experienced 48 percent of the possible concussions reported.
“This second set of preliminary data continues to tell a story behind concussions that we anticipated,” MHSAA Executive Director John E. “Jack” Roberts said. “Most importantly, these findings show that concussions are affecting our female athletes just as much as our male athletes. Concussion care is not a football-focused issue, but something we must work to improve for both genders and across all sports. Eventually we will want to encourage and support research that might inform as to why, beyond differences in physiology, more concussions are reported for girls than for boys.”
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 and during the fall 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 this 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 which is producing data related to the frequency and severity of head injuries. The MHSAA this fall launched the largest ever state high school association sideline concussion testing pilot program, with 62 schools taking part by using one of two screening tests designed to detect concussions. One of the objectives of the pilot is 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 30 schools reporting the most possible concussions this winter, seven 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. After the fall and winter seasons, only 110 claims have been made on the insurance policy designed to assist in payment for concussion care. Twenty-nine of the claims are for basketball (girls and boys combined), seven are for wrestling and five for injuries experienced during ice hockey activities.
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. The follow-up reports schools are providing the MHSAA reveal that the majority of students are being withheld from activity for a week or longer following the reported concussion. This will be discussed in more detail when the MHSAA releases a more comprehensive review that covers the entire school year.
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 Hot Weather Reminders
July 31, 2017
By Geoff Kimmerly
Second Half editor
As summer turns toward the beginning of fall sports practices next week, the MHSAA is providing a familiar but vital reminder that student-athletes need to prepare for activity in the hot weather that traditionally accompanies the beginning of August and the first training sessions of the school year.
Each year, the MHSAA provides information to its member schools to help them prepare for hot weather practice and game conditions during the late summer and early fall. Football practice can begin at MHSAA schools August 7, followed by first practices for all other fall sports August 9.
The topic of heat-related injuries receives a lot of attention at this time of year, especially when deaths at the professional, collegiate and interscholastic levels of sport occur, and especially since they are preventable in most cases with the proper precautions.
“We emphasize preparation for hot weather at the start of each fall, but this cannot be repeated enough: If we take precautions and plan as we should, heat illness is almost always preventable,” said John E. “Jack” Roberts, executive director of the MHSAA. “We encourage student-athletes to come to their first practice prepared for hot conditions. But coaches also are trained to assume not all student-athletes will be ready, and to be vigilant in making sure all participants are hydrating properly.”
A number of member schools continue to follow the MHSAA’s Model Policy for Managing Heat & Humidity, which while not mandated for member schools was adopted as a rule for MHSAA postseason competition in 2013. The plan directs schools to begin monitoring the heat index at the activity site once the air temperature reaches 80 degrees and provides recommendations when the heat index reaches certain points, including ceasing activities when it rises above 104 degrees.
The model heat & humidity policy is outlined in a number of places, including the publication Heat Ways, which is available for download from the MHSAA Website on the “Health & Safety” page.
To also assist in acclimatization, football practice rule changes adopted in 2014 allow for only helmets to be worn during the first two days, only shoulder pads to be added on the third and fourth days, and full pads to not be worn until the fifth day of team practice. The policy in detail can be found on the Football page of the MHSAA Website.
Heat, hydration and acclimatization continue to be focuses of the MHSAA’s required preseason rules meetings for coaches and officials. The online presentations discuss the need for good hydration in sports, regardless of the activity or time of year, and informs both how to recognize the early signs of heat illness and the immediate steps to take to respond to those symptoms. The MHSAA requires all head varsity, varsity assistant and subvarsity coaches at the high school level to complete the rules and risk minimization meeting requirement.
The first days of formal practices in hot weather should be more for heat acclimatization than the conditioning of athletes, Roberts reminded, and practices in such conditions need planning to become longer and more strenuous over a gradual progression of time. He noted that schools also must consider moving practices to different locations or different times of day, or change practice plans to include different activities depending on the conditions.
Roberts also noted that student-athletes should make sure to hydrate all day long – beginning before practice, continuing during and also after practice is done. Water and properly-formulated sports drinks are the best choices for hydration, while energy drinks, high-carbohydrate fruit juices (greater than eight percent carb content), carbonated and caffeinated beverages are among those that should be avoided.
The Health & Safety Resources page of the MHSAA Website has a number of links to various publications and information and a free online presentation on preventing heat illness from the National Federation of State High School Associations. Also accessible through the MHSAA Health & Safety page are resources from Sparrow Health System, a member of the Mayo Clinic Care Network, which lends expertise on-site at various MHSAA tournament events and provides an online “Ask the Experts” feature to connect MHSAA.com users with Sparrow sports medicine caregivers.
Visit MHSAA.com and click on "Health & Safety” in the top menu bar to find the information, or click the direct link provided above.