Counting Concussions

December 9, 2016

Member high schools of the Michigan High School Athletic Association are in the second year of required reporting of concussions that occur during practices and contests in all levels of all sports served by the MHSAA. In year one there were 4,452 confirmed concussions reported. Less than two percent of almost 300,000 participants sustained a concussion, about half of which caused the student to be withheld from activity for between five and 15 days.

Not surprisingly, approximately half of the confirmed concussions were reported by Class A schools, which typically sponsor more sports and have larger squads than smaller schools. Class B schools provided almost 30 percent of the reports; Class C schools nearly 15 percent; and Class D schools less than six percent.

As we transition from fall to winter season, we can begin to make comparisons between years one and two of the mandated reporting. At this point, schools are reporting 1.6 percent fewer concussions this year than last.

This is surprising, because sideline personnel of member high schools have become more alert to the signs and symptoms of concussions. We anticipated that this would lead to more concussions being reported.

It is possible that these early stats are a sign of real progress in reducing head injuries in school sports. And, grabbing our attention most from the early reports is that 11-player football is reporting 3.9 percent fewer concussions as of Nov. 30, 2016 compared to the same week in 2015; and boys soccer is reporting 10.9 percent fewer than on the same date last year.

The Specialty of School Sports

July 24, 2018

(This blog first appeared on MHSAA.com on November 18, 2016.)


There is much finger pointing when it comes to sports injuries, and I’d like to point in a direction that is often missed.

Some people blame equipment – it’s either inadequate, or it’s so good that it encourages athletes to use their bodies in unsafe ways.

Some people say the rules are inadequate, or inadequately enforced by contest officials.

Some people say the pool of coaches is inadequate, or they are inadequately trained.

But let’s not miss the fact that risk of injury is inherent in athletic activities, and at least part of the reason injuries occur is because the participants are developmentally deficient. In fact, this may be the fastest growing contributing cause to injuries in youth sports. It’s not the sport; it’s the lack of development, the lack of physical preparation.

When rushed into early and intense specialization in a single sport, youth may not be ready for the rigors of that sport. Lindsay J. DiStefano, PhD, ATC, of the University of Connecticut, has researched the topic among youth basketball and soccer players and linked higher injury rates to lower sports sampling, and vice versa. Exposure to multiple sports during early childhood positively influences neuromuscular control and reduces injuries.

Do we encourage youth to sample several sports and help them learn basic athletic movements and skills? Do we offer opportunities to train and condition and focus special attention on strengthening knees and necks? Do we provide more time and attention on practice than on competition and assure safe technique is taught and learned?

Early and intense specialization, with excessive attention to competition, invites injury. There is a much healthier way for most youth – and that’s balanced, multi-sport participation – the specialty of junior high/middle school and high school sports.