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.
Council Adopts Heat Management Policy
March 26, 2013
The adoption of a heat management policy for MHSAA tournaments and a detailed model policy to be submitted to member schools for suggested use during practice and regular-season competition was the main focus of the Representative Council of the Michigan High School Athletic Association during its annual Winter Meeting on March 22 in East Lansing.
Heat and humidity management is the next step of the MHSAA’s ongoing focus on health and safety issues in school sports. The model policy, while not setting requirements for member schools, proposes actions based on heat index – the degree of felt discomfort derived by combining temperature and humidity measurements – that are designed to minimize the risk of heat-related illness during interscholastic participation. It will be published as a recommendation for regular-season practice and competition in the 2013-14 MHSAA Handbook, and it will be mandatory for MHSAA tournaments beginning this fall.
Executive director John E. “Jack” Roberts said there are a number of member schools with solid heat management policies in place, but he hopes the adoption of this “best practice” will further raise awareness of the risks of heat-related illness while giving schools – especially those without a protocol – an opportunity to adopt a standardized policy similar to what is in place for other environmental factors such as lightning and tornadoes.
“For the past several years, we’ve used four ‘H’s’ to focus our efforts to improve the health and safety of student-athletes: Heads, Hearts, Heat and health Histories,” Roberts said. “To maintain momentum, we’ve identified several focus areas for the next four years: better acclimatization of athletes, better health and safety preparedness for coaches and modification of practice policies and contest rules to reduce head trauma and the frequency of each sport’s most injurious situations.
“Friday’s action was significant; but it’s just the next step in a continuous series of actions being taken to make school sports as healthy as possible for students.”
The heat management policy states that temperature and humidity readings should be taken at the site of the practice or competition 30 minutes prior to its start and then 60 minutes after it has begun. Recommendations for hydration and levels of activity are suggested for each of four levels of heat index readings.
Key tenets include frequency and length of water breaks, appropriate uniforms based on heat index and mandates on what time of day practices should be conducted and for how long. Practices are suggested to be postponed or moved when the heat index measures 99 to 104 degrees, and all outdoor activity (and indoor if air conditioning is unavailable) is to be stopped if the heat index rises above 104.
The Representative Council also discussed raising expectations for coaches’ education and preparedness for promoting student-athletes’ health and safety. Three proposals are under consideration for Council votes during its next three meetings:
- The first would require all assistant and sub-varsity coaches at the high school level to complete the same MHSAA rules meeting required of varsity head coaches (which includes safety information) or one of the free online sports safety courses posted on or linked to MHSAA.com. This would take effect in 2014-15 and could be voted on at the Council’s May meeting.
- The second proposal would require current CPR certification for all varsity head coaches at the high school level, with AED training a recommended component of the course. This would take effect in 2015-16 and could be voted on at the December meeting.
- The third proposal would require varsity head coaches hired to begin on or after July 1, 2016 to complete Level 1 or 2 of the MHSAA’s Coaches Advancement Program, a six-level educational regimen that aids coaches in their growth and development. This could be voted on at the Council’s March 2014 meeting.
Two sport-related actions also were taken by the Council during last week’s meeting:
- Boys lacrosse: Beginning this season, an official must be a member in good standing of an approved local boys lacrosse officials association in order to be eligible to work MHSAA tournament games. This is in addition to other existing requirements.
- Wrestling: For school years during which there are only 15 Saturdays between the first day of practice and the MHSAA Individual Finals (rather than the traditional 16 Saturdays), the number of days from the beginning of practice until the first competition shall be reduced from 23 to 19. For the 2013-14 season, the earliest day of competition is Dec. 7, instead of Dec. 11 under the previous regulation. There is no reduction in the minimum number of days when practice actually is held prior to the first competition.
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.