Girls, Boys and Concussions
September 13, 2016
On Monday the Michigan High School Athletic Association announced the major findings from the first year that member high schools were required to report all suspected concussions in the practices and competitions conducted in the 28 sports served by the MHSAA.
It surprises no one that 11-player and 8-player football ranked first and third, with 49 and 34 head injuries per thousand participants, respectively.
And while I’m told it’s not surprising to the experts that girls report more head injuries than boys, it is stunning to me how very many more head injuries are reported for girls than boys.
In sports with identical playing rules, girls reported head injuries with approximately twice the frequency that boys did.
In soccer, girls reported 30 head injuries per 1,000 participants, compared to 18 per 1,000 for boys.
In basketball, girls reported 29 head injuries per 1,000 participants, compared to only 11 per 1,000 for boys.
Girls reported concussions at the rate of 11 per 1,000 participants in softball, while boys reported just 4 per 1,000 in baseball.
Only a small percentage of either girls or boys were cleared by licensed medical personnel to return to activity in less than six days, and more than half were withheld between six and 15 days in soccer and basketball. The data suggests that clearance for girls to be returned to activity was slightly more gradual than it was for boys.
Researchers and reporters may find dozens of other observations and curiosities from the summary of 4,452 confirmed head injury reports submitted by the MHSAA’s 755 member high schools for MHSAA-supported sports in 2015-16; but what has the MHSAA’s attention is this giant gender difference.
Is this gender difference accurate, and if so, what are the physiological factors involved that make it so?
Is there a tendency for over-reporting by females, or under-reporting by males, and if so, what are the social and/or psychological factors that may cause this?
Regardless, what does this mean for how coaches work with boys and girls; and what does that mean for how we prepare coaches through the MHSAA Coaches Advancement Program?
The MHSAA will take to an even deeper level its nearly 30-year partnership with the Institute for the Study of Youth Sports at Michigan State University to explore the issues related to coaches education that have emerged as a result of the first year of mandated concussion reporting for Michigan high schools.
The 2015-16 school year was only a start; it identified some initial themes. The more important value will be realized after the 2016-17 school year, and subsequent school years, when year-over-year comparisons will be made and trends will become apparent that will demand action to further promote the welfare of participants in school-sponsored sports.
Fit to Fly
February 3, 2017
I suppose I’ve flown more than a half million miles on commercial or chartered aircraft. Nevertheless, it still amazes me to witness a large passenger jet lift off the earth and take to the sky.
Sometimes it has occurred to me that, with enough thrust, almost anything can be made to fly. Of course, the more aerodynamic the object, the less power is needed to send the object into the sky and keep it there.
The metaphor is obvious.
If there is enough force behind it, almost any idea can take flight. However, the best ideas take flight with little effort ... they have been fitted for the intended purpose and the environment ... while bad initiatives require extraordinary effort to get up and keep going.
This doesn't suggest that leaders should always take the path of least resistance. But it does mean leadership should count the costs. Is the amount of effort required to launch an initiative worth the collateral damage? Is the amount of energy required to maintain an initiative worth the results?
The image some people have of the current proposal to seed Boys and Girls District and Regional Basketball Tournaments is of an ungainly object being thrust into the air. It can be done, but should it be done? Will the result be worth it?
The proponents want the Michigan High School Athletic Association to adopt and modify a system used to seed the NCAA Division I Men's Basketball Tournament. That's a tournament limited to just 68 of 350 universities that sponsor Division I men's basketball programs. One person collects the scores of all the games involving those teams and enters the data to compute the strength of each team’s record and schedule.
But the MHSAA tournament involves 750 varsity teams for boys and nearly the same number of varsity teams for girls which together play approximately 27,500 games in a single season. There are often more than 350 high school varsity basketball games on a single evening. One person is NOT going to be physically able to collect all those scores and enter all that data. And the MHSAA would be foolish to think that it could be accomplished, and irresponsible to have the basketball tournament experience depend on such a scheme.
Well-intentioned people have unrealistic expectations about this. They don't appreciate the amount of resources the MHSAA would have to put into making this thing fly. We could do it by mandating that every school use the same schedule and score software and conditioning a school’s tournament participation on 100 percent compliance with score reporting.
But even if we launch it and apply even more force to keep it in the air, we have to wonder about the fairness and outcome of easing the path in the MHSAA Basketball Tournaments for teams which had the best regular-season records, at least up to some point before the end of that season when the number crunching would have to stop and pairings and sites would need to be announced.
Three of the four state high school associations that border Michigan have seeding for their high school basketball tournaments (basketball crazy Indiana does not). But those three state associations seed only the first round of the tournament, and those three use no fancy formula ... they have the coaches of the teams assigned by geography to the tournament site meet to separate the better teams in the earliest games.
If there is to be seeding in MHSAA Basketball Tournaments – and that’s a big if – our neighboring states’ approach is more practical and better fitted for an all-comers tournament at the high school level. That might fly, and stay in the air without excessive force.