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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.

See the Whole Play

August 19, 2014

“What I Learned from That Play” was the name given to a session at the National Association of Sports Officials (NASO) Summit in Albuquerque last month. Several prominent officials talked about tough calls they made. One official was telling us of an error made, the other of a correct call; but the message was the same from both: “See the whole play.”

One official described an apparent touchdown reception where the focus of the officials was intent upon whether or not the receiver had a foot inbounds and maintained possession of the ball. Both occurred, but all the officials missed the fact that the receiver’s foot had brushed the pylon at the goal line, which made the pass incomplete regardless of what followed. “In focusing so intently on two key aspects of the play, we missed a detail that overruled the other two.”

“To make the right call we have to avoid narrow focus and be aware of all details,” this college official opined.

The other official described a play in which the quarterback rolled to his left to throw a pass while linemen provided protection. There was a near chop block by the left guard and running back, near hold by the right tackle, and a center/guard double team that had to be observed closely. But there were no penalties called, correctly according to the video the audience was shown.

The play ended with the quarterback heaving a forward pass just as he was being tackled. The referee called him down by contact, before the pass; and the video showed that call to also be correct.

The referee said: “If the officials had fixated on the double team, or the potential hold or the possible chop block, the crew may have missed that the quarterback was down by contact for a seven-yard loss.”

Each official was speaking of the importance of seeing the whole play – all of the key factors. Staying open to all the details.

Game officials must do this over the span of a few seconds or less, but countless times over the course of a contest. Administrators have the luxury of minutes, days, weeks or longer to get it right.

Here are a few more pearls of wisdom from the nation’s leading gathering of sports officials, these from Barry Mano, NASO president:

  • “Incorrect no-calls are easier to explain than incorrect calls.”
  • “Officials are to enforce, not appease.”
  • “In spite of their criticisms, there is no sensible parent who would want their child to participate without officials.”