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. 

MHSAA Winter Sports Underway with 65,000 Athletes Beginning Competition

By Geoff Kimmerly
MHSAA.com senior editor

December 5, 2023

With the first girls basketball games, wrestling matches and ski races joining the event schedule this week, an estimated 65,000 athletes will be competing across the 13 sports for which the Michigan High School Athletic Association sponsors postseason tournaments.

Girls basketball tipped off Monday, Dec. 4, and the first boys and girls wrestling meets may take place Wednesday, Dec. 6. The first girls and boys ski races may begin Saturday, Dec. 9, when they will join competition already underway in boys basketball, girls and boys bowling, girls competitive cheer, girls gymnastics, boys ice hockey, Upper Peninsula girls swimming & diving, and boys swimming & diving across both peninsulas.

The MHSAA winter schedule concludes this 2023-24 school year with the Girls Basketball Finals on March 23. This will be the first time since 2018-19 that the girls basketball tournament will finish the winter season, a switch made necessary by the start of the NCAA Women’s Basketball Tournament March 22-23 and the possibility Michigan State University could host first-round games at the Breslin Center, where the MHSAA plays both its girls and boys basketball Semifinals and Finals.

Three more sports will incorporate changes this season related to MHSAA Tournament format or qualification.

For girls and boys bowling, Regionals will be conducted at eight sites – instead of the previous six – with each site qualifying to Finals its top two team finishers and the top seven singles for both girls and boys competitions. For the Team Bowling Finals, match play has been switched to a head-to-head, best-of-five Baker game format, whereas previously the format included regular games rolled by individual bowlers.

In girls gymnastics, an addition to criteria is expected to classify gymnasts more accurately as Division 1 (most skilled/experienced) or Division 2 for MHSAA Tournament individual competition. Athletes who have previously competed in a non-school event at either the Sapphire or Diamond Xcel levels would be required to compete at the Division 1 level for MHSAA postseason competition. These designations were added to other criteria used to determine an individual competitor’s division.

A change that led to much larger event fields at the Lower Peninsula Girls Swimming & Diving Finals this fall is expected to produce the same at the LP Boys Swimming & Diving Finals this winter. Beginning this season, qualifying times have been determined based on the past five years of MHSAA race data, but also accounting for past numbers of qualifiers in each swim race – which should, as with the girls, allow for more boys to advance to the Finals in events where fields have not been full over the previous five seasons.

Additionally, the Competitive Cheer Finals will return to its traditional Friday-Saturday schedule, March 1-2 at McGuirk Arena at Central Michigan University, with Division 1 on Friday and Divisions 2-4 on Saturday.

This regular season, wrestlers have two more opportunities to compete. Teams are allowed two more dual meets (between two teams only, not to be converted into three or four-team meets), bringing the total allowed days of competition to 16 with no more than eight of those allowed for tournament-type events where a wrestler competes more than twice.

At those tournament-type events, wrestlers may now compete in up to six matches on one day of competition (as opposed to the previous five matches per day) – but an athlete may not wrestle in more than 10 matches over two consecutive days.

An adjustment to the awarding of free throws in basketball is likely to be the most noticeable in-game change for any winter sport this season. One-and-one free throws have been eliminated, and fouls no longer will be totaled per half. Instead, fouls are totaled and reset every quarter, and two free throws are awarded with the fifth foul of each quarter.

The 2023-24 Winter campaign culminates with postseason tournaments, as the championship schedule begins with the Upper Peninsula Girls & Boys Swimming & Diving Finals on Feb. 17 and wraps up with the Girls Basketball Finals on March 23. Here is a complete list of winter tournament dates:

Boys Basketball
Districts – Feb. 26, 28, March 1
Regionals – March 5, 7
Quarterfinals – March 12
Semifinals – March 14-15
Finals – March 16

Girls Basketball
Districts – March 4, 6, 8
Regionals – March 11, 13
Quarterfinals – March 19
Semifinals – March 21-22
Finals – March 23

Regionals – Feb. 23-24
Finals – March 1-2

Competitive Cheer
Districts – Feb. 16-17
Regionals – Feb. 24
Finals – March 1-2

Regionals – March 2
Finals – March 8-9

Ice Hockey
Regionals – Feb. 19-28
Quarterfinals – March 2
Semifinals – March 7-8
Finals – March 9

Regionals – Feb. 12-16
Finals – Feb. 26

Swimming & Diving
Upper Peninsula Girls/Boys Finals – Feb. 17
Lower Peninsula Boys Diving Regionals – Feb. 29
Lower Peninsula Boys Finals – March 8-9

Wrestling – Team
Districts – Feb. 7-8
Regionals – Feb. 14
Finals – Feb. 23-24

Wrestling – Individual
Districts – Feb. 10
Boys Regionals – Feb. 17
Girls Regionals – Feb. 18
Finals – March 1-2

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.