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.
Best Practices
April 10, 2012
For decades, football has had the greatest participation among high school sports. In recent years it’s become the greatest spectator sport as well. Today, MHSAA Football Playoff revenue exceeds that of Boys and Girls Basketball Tournaments combined. And if I ever want to generate comments to a blog, all I have to do is mention football.
I can write either the most inspired or inane words about most topics, and not generate a comment. But mention “football,” and opinions come fast and usually furious.
So it was with my eyes wide open that I challenged some “sacred cows” in my posting of March 20, questioned some of the standard operating procedures of high school football practice, and predicted that we will soon be making some changes in the sport I played through four years of college and coached in high school and to which I owe more of my character development than any other sport. I knew some readers would call me out of date and out of touch, knowing nothing of my past or my passion.
I knew some readers would challenge any comparison made with college and professional players, asserting that older players need fewer practices with less contact because they already have the skills and techniques of blocking and tackling. However, they miss the fact that it is the younger and still growing body that needs more care and caution, not less. Less hitting, not more. More heat and humidity acclimatization, not less.
I knew some readers would complain about diminishing time to develop young players, overlooking the proliferation of camps, clinics, combines, 7-on-7 leagues and the like which have improved skills and conditioning for many athletes prior to the official start of practice. If that were not true or if we would dial down the out-of-season demands, then I might not join the amassing advocates for reduced in-season practice demands. But sadly, it is true; coaches already have these kids year-round.
On the same day that I posted predictions of changes for football practice policies in Michigan, including more days before pads and fewer days with double sessions, the Georgia High School Association adopted policies that did just that, requiring five days of practice before the first with full pads and prohibiting two-a-day practices on consecutive days.
Such changes reflect the growing body of evidence regarding “best practices” for high school football, including the recommendations of the American Academy of Pediatrics, the Centers for Disease Control and Prevention, and the National Federation of State High School Associations. This train has left the station; and Michigan should be an early stop, an early adopter of practice policies modifications. We put our players, coaches and selves in peril if we ignore the evidence.
I’m embarrassed to say that for too long I avoided this topic because I knew it would bring ridicule. Then recently, a young but experienced head football coach told me that these are the kinds of changes that football needs. Needs to keep the game attractive to kids; and needs to keep the game safe for kids.