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.
Rep Council Wrap-Up: Fall 2015
December 14, 2015
By Geoff Kimmerly
Second Half editor
Results of recent changes to health and safety policies and possibilities for future work to help keep school sports safe were main topics of discussion by the Representative Council of the Michigan High School Athletic Association during its annual Fall Meeting on Dec. 4 in East Lansing.
Generally, Council takes only a few actions during its Fall Meeting, with topics often introduced for additional consideration and actions during its meetings in winter and spring. The Council heard reports on a number of subjects, chiefly the “4 H’s” of health and safety – Health Histories, Heads, Heat and Hearts – and the MHSAA’s recent work on these topics.
Among data most noteworthy, it was reported that 747 of 750 member high schools complied with the first-time requirement this fall that all head coaches have a valid certification in CPR. Eighty percent of high schools arranged in-person CPR training for all of their high school varsity head coaches, and two-thirds of high schools included assistant and subvarsity coaches in school-arranged in-person training.
The Council reviewed the preliminary concussion care data released to the public Dec. 9, recent actions by U.S. Soccer to reduce heading in youth soccer, discussion in the girls lacrosse community regarding head protection and actions taken by other states and the National Federation of State High School Association regarding football practice policies and their similarities to changes adopted for MHSAA schools prior to the 2014 season. Council members also examined results from this fall’s Update Meeting opinion poll, including questions related to the possibility of using electronic forms to track students’ health histories and the possibility of practice limitations for all sports similar to those adopted for football.
As a result of the recent amendment of the MHSAA Constitution allowing for membership at the 6th-grade level, a number of potential changes to the MHSAA Handbook necessitated by the amendment were presented to the Council, as was a draft of an updated 2016-17 Membership Resolution. Both are expected to be voted on at the March meeting.
The Council also received reports on athletic-motivated and athletic-related transfers, reviewed an updated list of Approved International Student Programs for 2015-16 and discussed concerns regarding the exception to the Transfer Regulation for residential students of boarding schools.
Changes to out-of-season coaching rules were among the most significant efforts taken up by MHSAA staff over the last year, and Council members shared their observations of the impacts of changes including the rule change that allows a school coach to work with up to four athletes at one time instead of the previous three. The Council discussed if the MHSAA should consider a policy requiring in all sports athletes to participate in a minimum number of contests against school teams to be eligible for MHSAA tournaments, but declined to take action on the topic beyond policies already in place for skiing, ice hockey and soccer. Council members also were presented with examples of calendars for a balanced school year and possible movement of standardized testing dates, which both have the potential to affect the school sports calendar in the future.
The Council voted on one matter concerning MHSAA tournaments, approving a recommendation by the Girls Lacrosse Committee to not accept the new overtime rule of U.S. Women’s Lacrosse that grants in tournament play sudden victory to the first team that scores. The MHSAA will retain its current overtime procedure for tournament games, which calls for two full 3-minute halves of stop-clock overtime – and, if the game remains tied after those first two halves – additional 3-minute overtime periods with sudden victory.
The Fall Meeting also saw the addition of Courtney Hawkins, athletic director at Flint Beecher High School, to the 19-person Council. He was appointed to a two-year term and also serves as his school’s varsity football coach. He fills the position formerly held by Maureen Klocke, athletic director at Yale High School, whose term ended. Also, Cheri Meier, principal at Ionia Middle School, was re-appointed for a second two-year term.
The Council re-elected Scott Grimes, assistant superintendent of human services for Grand Haven Area Public Schools, as its president; Benton Harbor athletic director Fred Smith was re-elected vice president and Vic Michaels, director of physical education and athletics for the Archdiocese of Detroit, was re-elected secretary-treasurer.
The Representative Council is the legislative body of the MHSAA. All but five members are elected by member schools. Four members are appointed by the Council to facilitate representation of females and minorities, and the 19th position is occupied by the Superintendent of Public Instruction or designee.
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.