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: Spring 2013
May 20, 2013
A change in the transfer regulation and the addition of safety training for assistant and subvarsity coaches were among the most significant actions approved by the Representative Council of the Michigan High School Athletic Association during its annual Spring Meeting, May 5-6, in Gaylord.
The Spring meeting of the 19-member legislative body of the Association’s more than 1,500 member schools is generally the busiest of its three sessions each year. The Council considered 40 committee proposals and also dealt with a variety of eligibility rule, postseason tournament and operational issues.
The most significant change to the MHSAA body of regulations concerns students who transfer between schools for reasons related to athletics. Effective for the 2014-15 school year, a transfer student will be ineligible for 180 school days if he or she has partaken in an activity during the previous 12 months that demonstrates the transfer is related to athletics. Offending activities may include practicing, competing or training with a member of the new school’s coaching staff including during summer activities or non-school sports seasons like for AAU basketball. Attending an open gym at the new school or being coached by a current or incoming coach while the athlete still attended his or her former high school also would be considered an offending activity.
Currently, a school that loses a student for athletics-related reasons must report this to the MHSAA for that student to incur the 180-day transfer penalty. This is no longer necessary if the above activities are verified. The rule change beginning with the 2014-15 school year will consider a student’s activity taken place during the previous 12 months. Transfers may still qualify for one of 15 exemptions that allow for immediate eligibility.
The Council also approved another step in the MHSAA’s ongoing focus on health and safety issues. Also beginning with the 2014-15 school year, all assistant and subvarsity coaches at the high school level must complete the same MHSAA rules meeting required of varsity head coaches or, alternatively, one of the free online sports safety courses posted on or linked from the MHSAA Website that is designated as fulfilling this requirement.
Here is a summary of other actions taken at the Spring Representative Council Meeting which, unless noted, will take effect during the 2013-14 school year:
Handbook/Administrative Matters
• In cases of serious injury or extended illness, including concussion or suspected concussion and symptoms of sudden cardiac arrest, students must be re-examined by a physician (MD or DO) and provide a written release from that physician before returning to practice or competition. The clearance may not be on the same date on which an athlete was removed from activity. The emphases on sudden cardiac arrest and practice are new.
• A first-time 9th grader whose first 9-12 enrollment is in a non-traditional school or program may retain eligibility at a traditional school if that student registered at the traditional school before enrolling in the non-traditional school or program.
• A faculty member may supervise a school’s team or individual competitors in cases when the head coach is unable to do so for failure to complete the annual rules meeting requirement. Previously, only an administrator was allowed to take over that supervisory role when the head coach was not allowed to be present for this reason.
• When students in grades 9 through 12 are involved, high school administrators including athletic directors may not sponsor or support out-of-season programs or perform out-of-season functions which the school itself is prohibited from sponsoring or supporting – even if the administrator is not acting as affiliated with the school. Booster clubs, alumni groups, parent organizations and other groups that exist because of the school currently are governed by the same regulation for grades 7 through 12.
• Coaches in bowling and golf may be present at a non-school facility for those respective sports when more than three of their district’s students (grades 7-12) are present, even if the coach is not employed by the facility, as long as the coach is not directly coaching or teaching more than three players and the presence of more than three students is coincidental and not prearranged by the coach.
• Beginning in 2014-15, the maximum length for all junior high/middle school sports seasons will be 13 weeks. Also, the earliest start date for junior high/middle school fall sports, beginning this fall (2013), is the 14th Monday before Thanksgiving.
Sports Matters
• In Baseball and Softball, teams and individuals will be limited to 38 contests beginning with the 2014 season. Currently, teams may participate in a combination of 56 dates and contests.
• In Competitive Cheer, additional policies and penalties were adopted to assure teams utilize the correct number of competitors in all three rounds of competition.
• In Golf, devices that measures distance may be utilized in MHSAA tournaments beginning this fall. This does not, however, include smart phones. Also, beginning in 2014, the spring Lower Peninsula boys tournament will begin and end one week earlier than is scheduled for the current season.
• In Soccer, a National Federation (NFHS) rule was adopted for MHSAA play requiring a team to play short-handed (11 vs. 10) after a player receives a second yellow card. Currently, a player is ejected after the second yellow card, but his or her team is allowed to substitute another player to take the ejected player’s place on the field. The 10-minute sit-out period after receiving a first yellow card was eliminated.
• In Volleyball, beginning with the 2014 season, the royal blue, gray and white ball is required for all high school-level regular-season and MHSAA postseason matches.
The Council also reviewed reports on membership, with 758 senior high schools and 751 junior high/middle schools in 2012-13; eligibility advancement applications, which totaled 15 for the year; the use of Educational Transfer Forms, which remained stable this year; school violations, which remained significantly below recent average; attendance at athletic director and coaches in-service workshops; officials’ registrations; rules meeting attendance; and officials reports submitted for the past three sports seasons. The Association’s $9.9 million budget for the 2013-14 school year also was approved.
The Representative Council is the 19-member 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.