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.

Only in Football

November 22, 2011

There was a time when even undefeated teams might not qualify for the MHSAA Football Playoffs. Eventually, the playoffs were expanded to eight divisions, each of 32 teams, assuring any team which could manage six wins was an automatic qualifier, and also that many teams with only five wins would qualify (20 five-win teams in 2011).

It was anticipated that this would allow good teams to schedule like-size, nearby opponents without fear of a loss or two.  But some observers now complain that mediocre teams won’t schedule certain nearby opponents because they fear a fourth loss that could keep them from certain postseason play. Long-standing league affiliations are being stressed by this mindset.

There are very smart, very sincere people who want the MHSAA to once again expand the playoffs to, they hope, eliminate these problems; but the MHSAA has already done its part to accommodate football’s “uniqueness.”  For example. . .

  • It is only in football that MHSAA tournaments have more than four classes and divisions. In football there are now eight divisions for the 11-player game, plus one division for the 8-player game.
  • It is only in football that MHSAA tournaments are longer than three weeks. In football, it takes five weeks to crown champions in those eight divisions for the 11-player game.
  • It is only in football where first-round tournament matchups can result in round-trip travel of 600, 700, 800 or more miles.

Proposals that would create even more extravagance – more 11-player divisions, more weeks of playoffs and more long trips – all because schools are reluctant to schedule nearby opponents during the regular season – are all proposals that should be sacked.