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.

Mixed Messages

November 27, 2013

One of the very few enjoyable aspects of waiting in an airport is the guiltless time it allows me to visit its bookstores and page slowly through some of the old classics I vaguely remember and the new releases I can’t wait to read.

Two months ago in one of the terminals of Sky Harbor Airport in Phoenix, my attention went quickly to a prominent display of books about football. Five titles were mostly critical of the game, focusing on the sport at the major college and professional levels. Down at the bottom of the display was one title that addressed the positive value of football to students, schools and communities.

One month ago, while I was eating breakfast, the television news reported on the results of new research about youth concussions. While the narration mentioned multiple sports, the video was mostly of football. I saw that story repeated on another television channel that evening. I wondered, how many times on how many channels did how many people get this gift of the latest youth concussion statistics for all sports presented in football-only wrapping paper?

The public is getting mixed messages about school-sponsored football. The problem of college and professional football is not the problem of school-sponsored football. And what problems of head trauma that do exist in school sports are not exclusively problems of football.

In fact, school-sponsored football has never been freer of serious injury than it is today – that’s true whether we are talking about heads, necks, knees or nicks. It’s the result of the most careful and cautious rules making, coaching and officiating ever. And it’s safer – not less so – as we ever more quickly assess and refer injuries to ever more educated and capable health care professionals.