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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.

Ready for Some Football

August 12, 2014

How seriously should we take public criticism of tackle football when that public promotes boxing or cage fighting? Or how seriously should we take public criticism of football played with helmets when that public allows motorcyclists to ride without any helmets at all?

This fickle if not hypocritical focus on football deserves to be exposed. 

However, and more importantly, this does not reduce our obligation to rise above the obvious questions of fair and balanced criticism and keep pressing for a safer environment for schools’ most popular participation sport.

In Michigan this has led to new limitations on head-to-head contact in football practices that began for more than 600 high schools this week. Specifically, no team or individual may participate in more than one collision practice per day before the first game, and no more than two collision practices per week after the first game.

The new policies promote instruction in proper blocking and tackling technique. It is full speed head-to-head contact that is further reduced, not full speed shoulder contact with sleds, shields and dummies nor slow speed contact between players.

Last month, and perhaps two years too late to be helpful, the National Federation of State High School Associations hosted a high-profile, high-powered summit to discuss practice policies of the kind that we developed, debated and adopted during the past school year to be ready for this 2014 season.