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.
Wrestling’s Next Big Thing
August 13, 2013
“The next big thing” is what marketers often seek. But it’s what school sports administrators usually dread because the “next big thing” is routinely a problem.
And so it is with the sport of wrestling which, at the high school level, has had an admirable record of solving the big issues that have threatened the sport’s existence.
School-based wrestling addressed unhealthy practices for weight loss, first with rules about what could not be done – e.g., rubber suits were banned from practices – and then with rules about what must be done, including a weight management program.
Twenty years ago, MHSAA member schools became one of the early adopters of policies and procedures that include the training of skinfold assessors who are employed to do measurements of all wrestlers, from which each wrestler learns his/her lowest allowed weight and the rate at which he/she may descend to that weight and still remain eligible to compete. These rules, and a nutrition education program, saved interscholastic wrestling from much public criticism and, possibly, from continuing drops in participation.
In addition, the Wrestling Committee has been unique among MHSAA sport committees in recognizing that a season that is too long is neither healthy for nor desired by student-athletes; and the committee has reduced the length of season and number of matches. All of this, combined with the MHSAA team tournament, have greatly increased the sport’s popularity among both participants and spectators.
But in spite of all this, the sport of wrestling is “one communicable skin disease outbreak from extinction,” according to those discussing the state of high school wrestling at a national meeting in June. We’ve already seen an outbreak lead to the suspension of all interscholastic wrestling for two weeks in Minnesota during the 2006-07 school year.
To avoid this next big thing, the rule makers have banned taped headgear, because tape can’t be properly cleaned. The NFHS Sports Medicine Advisory Committee, which is the MHSAA’s advisory body as well, is urging schools to mandate that all participants shower or perform an antiseptic wipe-down after every match.
The MHSAA will make this issue a point of special emphasis in its online, print and face-to-face communications this fall. In addition, an excellent free webinar is provided by the National Wrestling Coaches Association. Click here for the webinar.