2017-18 Report Shows Fewer Concussions

August 8, 2018

By Geoff Kimmerly
Second Half editor

Concussions are down, according to data compiled by the Michigan High School Athletic Association during its third year of collecting head injury reports from member high schools. 

The work is not done – but this year’s data reinforces trends that emerged during the first two years of reporting and will assist the MHSAA as it explores solutions to continue reducing the incidence of head injuries in school sports.

The 2017-18 concussion report found a 9.6-percent decrease in the number of confirmed concussions from the previous year. Student-athletes at MHSAA member high schools encountered during 2017-18 a total of 3,580 head injuries – or 4.8 per member school, compared to the 2016-17 average of 5.2. Total participation in MHSAA sports for 2017-18 was 284,920 – with students counted once for each sport he or she played – and only 1.3 percent of participants experienced a head injury, down from 1.4 in 2016-17 and 1.6 percent the first year of the study. 

As first mandated in 2015-16, member schools are required to report head injuries to the MHSAA identifying the sport that each student-athlete was participating in and whether the injury was sustained during practice or competition. Schools also are required to designate at which level – varsity, junior varsity or freshman – the injury occurred.

The full report of all head injuries experienced during 2017-18 by student-athletes at MHSAA member high schools – including percentages by sport (per 1,000 participants), gender and team level, as well as data tracking when athletes returned to play – is available by clicking here.

Consistent with the first two years of the study, the MHSAA received data from more than 99 percent of its member high schools after the fall, winter and spring seasons and continued to track each injury report through its conclusion this summer. Member junior high and middle schools also were allowed, although not mandated, to report their potential head injuries; and those findings are not part of the published report.

The decrease in overall head injury reports collected for 2017-18 follows a similar reduction from 2015-16 to 2016-17 – and brings the total decrease to 19.6 percent fewer reports since the first year of the study. 

MHSAA Executive Director John E. “Jack” Roberts noted that the decreases in reports, both year to year and since the first year of the survey, likely have some relation to year-to-year fluctuation, refinement of the follow-up reporting process and a better understanding by schools of what is not to be included for the survey – including head injuries not diagnosed as concussions and head injuries that did not take place during MHSAA-sponsored activities. 

However, the findings of this year’s study – and their similarities to the findings from the first two surveys – has begun to clarify the identification and understanding of trends. Continuing to emerge perhaps most prominently is the higher incidence of concussion reports from girls sports – and pertinent questions about physiological and social causes behind those results. 

“With three years of reporting by virtually 100 percent of our high schools, what we’re learning is no longer anecdotal; the results are beginning to identify valid trends and genuine issues that need to be addressed,” Roberts said. “For example, it’s even clearer than before that girls are reporting three times the number of concussions as boys when comparing similar sports – soccer, basketball and baseball versus softball. As a result, we’ve already begun to incorporate these gender differences into our coaches education, and the writers of high school playing rules are obligated to focus on these gender differences as well.”

Although the total number of confirmed concussions was significantly lower again in 2017-18, a number of findings detailing those injuries fell in line with results of the first two surveys. 

Boys experienced 2,373– or 66 percent – of those injuries, the same ratio as 2016-17, and not surprisingly as boys have a much higher participation in contact sports. More than half of head injuries – 56 percent – were experienced by varsity athletes, which for the second year also fell within a percent difference of the previous year’s findings. 

A total of 2,330 head injuries – or 65 percent – came in competition as opposed to practice. More than half took place during either the middle of practice or middle of competition as opposed to the start or end, and 52 percent of injuries were a result of person-to-person contact. The MHSAA also asked schools to report the number of days between the head injury and the athlete’s return to activity – and the two largest groups, both at 24 percent, returned to activity after either 6 to 10 days of rest or 11 to 15. All of these findings were within 1-3 percent of those discovered from the 2016-17 data. 

Contact sports again revealed the most head injuries. Ranking first was football, 11 and 8-player combined, with 41 head injuries per 1,000 participants – a decrease for the second straight year, this time from 44 head injuries per 1,000 participants in 2016-17 and down from 49 head injuries per 1,000 football participants shown by the first study in 2015-16.

Ice hockey repeated with the second-most injuries per 1,000, with 32 (down from 36 injuries per 1,000 from 2016-17 and 38 per 1,000 in 2015-16), and girls soccer and wrestling tied for third with 25 head injuries per 1,000 participants – girls soccer down from 28 head injuries per 1,000 participants and wrestling down from 26 per 1,000 in 2016-17. 

Also consistent with 2016-17, the next five sports (after football and hockey) to show the highest incidences of head injuries were girls sports – girls soccer followed by girls basketball (22 per 1,000), girls competitive cheer (20) and girls lacrosse (20). Boys lacrosse (17), girls gymnastics (16) and boys soccer (12) were the only other sports to show double-digit head injuries per 1,000 participants. 

Females again reported significantly more concussions than males playing the same or similar sports – soccer, basketball and baseball/softball. Female soccer players reported more than double the concussions per 1,000 participants as male soccer players (25 to 12), while female basketball players also reported more than double the number of concussions per 1,000 participants (22 to 9). Softball players reported seven concussions per 1,000 participants, and baseball players reported three per 1,000. Although the percentage differences vary from year to year, the results of all three comparisons remained consistent with what the survey found in 2015-16 and 2016-17.

The MHSAA in 2018-19 is directing its sport committees to focus on a pair of questions – how to increase participation and how to make their specific sports safer – the latter aiming to put some of what has been learned from concussion reporting into practice. The MHSAA also is continuing to invite Michigan’s universities, health care systems and the National Federation of State High School Associations (NFHS) to take part in analyzing the data and resulting questions that have arisen during the past three years. 

“Regrettably, I do not see a nationwide head injury reporting effort likely,” Roberts said. “First, it’s hard to coordinate 50 states’ efforts. And second, if left to medical professionals, the survey tool might become so cumbersome that schools would be reluctant to participate – and certainly, it would not get the 99.9 percent cooperation that we’ve enjoyed from schools over these three years.” 

Schools report possible concussions online via the MHSAA Website. Reports are then examined by members of the MHSAA staff, who follow up with school administrators as those student-athletes continue to receive care and eventually return to play. Student privacy is protected. 

The reporting of possible concussions is part of a three-pronged advance by the MHSAA in concussion care begun during the 2015-16 school year. The MHSAA completed in spring 2017 the largest-ever state high school association sideline concussion testing pilot program, with a sample of schools from across the state over two years using one of two screening tests designed to detect concussions. The MHSAA also was the first state association to provide all participants at every member high school and junior high/middle school with insurance intended to pay accident medical expense benefits – covering deductibles and co-pays left unpaid by other policies – resulting from head injuries sustained during school practices or competitions and at no cost to either schools or families. 

Previously, the MHSAA also was among the first state associations to adopt a return-to-play protocol that keeps an athlete out of activity until at least the next day after a suspected concussion, and allows that athlete to return to play only after he or she has been cleared unconditionally for activity by a doctor (M.D. or D.O.), physician’s assistant or nurse practitioner.

In addition, the MHSAA’s Coaches Advancement Program – which includes courses that must be completed by all varsity head coaches hired for the first time at a member school – provides substantial instruction on concussion care. Separately, rules meetings that are required viewing for high school varsity and subvarsity head and assistant coaches at the start of each season include detailed training on caring for athletes with possible head injuries. 

Council Approves Tennis Finals Pilot Program, Girls Wrestling Titles at Districts, Regionals

By Geoff Kimmerly
MHSAA.com senior editor

May 8, 2025

The approval of a pilot program assigning all four Lower Peninsula Tennis Finals to be played at one site and the addition of girls wrestling team championships for District and Regional rounds were among actions taken by the Representative Council of the Michigan High School Athletic Association during its Spring Meeting, May 4-5 in Gaylord.

The Spring Meeting of the 19-member legislative body of the Association’s more than 1,500 member schools is generally the busiest of its sessions each year. The Council considered 22 committee proposals and dealt with a variety of eligibility rule, postseason tournament and operational issues.

The tennis pilot program was an MHSAA Tennis Committee recommendation and will be conducted during the 2025-26 and 2026-27 schools years. All four Lower Peninsula Finals for girls and boys seasons will be played at the Midland Tennis Center, which in addition to substantial outdoor courts includes up to 16 available indoor courts in case matches must be played inside due to inclement weather. Each season’s four Finals will take place over two successive days during a two-week period – one division on a Wednesday and Thursday and the next on a Friday and Saturday, to be repeated the following week.

In girls wrestling, District and Regional team champions will be awarded during the upcoming 2025-26 season for the first time, after a Finals champion was awarded for the first time this past season. Champions for all rounds will be determined by results from individual brackets as the sport continues to grow toward the possibility of a head-to-head team tournament.

A pair of football changes will be noticeable this fall. The Council approved a Football Committee recommendation to not award playoff points to a team that forfeits a football game; previously, a team that forfeited would still receive the bonus points for scheduling that opponent, although a game was never played. The Council also approved a Football Committee recommendation to assign neutral sites with artificial turf for the four 8-Player Semifinals near the end of each season. Previously that round of the MHSAA Playoffs, like the first two of the 8-Player Tournament, was hosted by the participating team with the highest playoff-point average.

Anticipating the first MHSAA-sponsored boys volleyball season to be played in Spring 2026, the Council approved a pair of Volleyball Committee recommendations regarding tournament classification and structure. The first establishes a tournament with two divisions, with classification determined by enrollment and delayed until September prior to this inaugural season only as to allow for a more accurate count of how many schools will have teams. The first MHSAA Boys Volleyball Semifinals and Finals will be played June 5-6, 2026, at Kellogg Arena in Battle Creek.

The Council also approved the recommendation to include boys volleyball among sports for which cooperatives are permitted when the combined enrollment of schools involved is fewer than 3,500 students.

Here is a summary of other notable actions taken by the Representative Council at the Spring Meeting, which will take effect during the 2025-26 school year:

Regulations

• The Council approved a pair of changes to the sport-specific transfer regulation regarding the full-and-complete residential move exception that allows students to gain immediate eligibility. The first increases the number of school days to 180 that a student who has changed residences and attends a new school must complete at that new school before returning to a previous school district and potentially having athletic eligibility in that former district. The 180 days also applies to all persons with whom the student moved to the new school district; if those other persons move back to the former school district before 180 school days, the student loses eligibility in all sports at all schools until approved by the two school districts and the MHSAA.

The second change increased the amount of time an athlete’s former residence must be signed into a long-term rental or lease agreement to a minimum of 12 months.

• The Council approved multiple clarifications to the definition of a scrimmage. A clarification was added to note that win-loss records, team and individual statistics and records may not be accrued or achieved during a scrimmage. A statement was added as well explaining that in sports that do not use a timing device – for example, baseball and softball – at least one rule must be altered to indicate it is a scrimmage.

Junior High/Middle School

• The Council approved a change to allow junior high/middle school teams to begin fall practice on the first day of classes at that school if it’s before the otherwise first allowable practice date on the 14th Monday before Thanksgiving. Ninth-grade football teams from junior high/middle schools may begin practice on the same date as the grade 10-12 football teams of that school district if the ninth-grade team is comprised only of ninth-grade students who have been approved for eligibility advancement.

• Also concerning junior high/middle school athletes, the Council approved a Junior High/Middle School Committee recommendation to make seventh and eighth-grade students who are eligible for high school competition due to their high school’s small enrollments also subject to high school transfer rules while in middle school and competing at the high school level.

Sport Matters

• BASEBALL: The Council approved a Baseball Committee recommendation to allow baseball players to play on multiple levels on the same day, with the 38-game season and daily limits still applying to all students.

• BOWLING: The Council approved a Bowling Committee recommendation to establish the official start of bowling practice as the third Monday before Thanksgiving.

The Council also approved a Bowling Committee recommendation to allow students to participate in no more than eight games on a school day (Monday-Thursday).

• COMPETITIVE CHEER: The Council approved the incorporation of a series of Competitive Cheer Committee-proposed technical high school and middle school rules recommendations into the 2024-26 Girls Competitive Cheer manual.

• GOLF: The Council approved a Golf Committee recommendation to allow Regional Tournament host schools to receive reimbursement for the expense of two referees.

• TENNIS: The Council approved two more Tennis Committee recommendations. The first will allow for all teams that tie for third place at their Regional to advance to Finals, but only in Lower Peninsula divisions where there are six Regionals.

The other approved change will allow continuous coaching between points and between non-changeover games, at all levels, if that coaching does not hinder the current pace of play.

• VOLLEYBALL: The Council also approved a Volleyball Committee recommendation to allow students to play in no more than 18 sets (games) per day.

The Council also reviewed reports on membership, with 754 senior high schools and 777 junior high/middle schools in 2024-25 plus 63 elementary schools with 6th-grader participation; cooperative programs, with 409 high school programs for 750 teams during 2024-25; eligibility advancement applications, which totaled four; the use of Educational Transfer Forms, of which there were 142; travel forms for out-of-state practice, school violations, attendance at athletic director in-service workshops and Coaches Advancement Program sessions; officials’ registrations (which were up nearly two percent from 2023-24 as the total rose for the fourth-consecutive school year), and officials reports submitted for the past three sports seasons. The Association’s $15.7 million budget for the 2025-26 school year also was approved.

The Representative Council is the 19-member legislative body of the MHSAA. All but five are elected by member schools. Four members are appointed by the Council to facilitate representation of females and minorities, and the 19th position is occupied by the Superintendent of Public Instruction or designee.

The MHSAA is a private, not-for-profit corporation of voluntary membership by more than 1,500 public and private senior high schools and junior high/middle schools which exists to develop common rules for athletic eligibility and competition. No government funds or tax dollars support the MHSAA, which was the first such association nationally to not accept membership dues or tournament entry fees from schools. Member schools which enforce these rules are permitted to participate in MHSAA tournaments, which attract more than 1.4 million spectators each year.