Logo

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. 

Second Half by MHSAA

Week 9 Football Playoff Listing

October 22, 2013

By Geoff Kimmerly
Second Half editor

Here is a list of Michigan High School Athletic Association football playing schools, displaying their win-loss records and playoff averages through the eighth week of the season. Schools on this list are in enrollment order. An asterisk (*) beside a record indicates that a team has eight or fewer games scheduled. A caret (^) beside a school’s name indicates that a team is one win away from playoff qualification.

Those schools with 11-player teams with six or more wins playing nine-game schedules, or five or more wins playing eight games or fewer, will qualify for the MHSAA Football Playoffs beginning Nov. 1-2. Schools with 5-4, 4-3 or 4-4 records may qualify if the number of potential qualifiers by win total does not reach the 256 mark. Schools with six or more wins playing nine-game schedules or five or more wins playing eight games or fewer may be subtracted from the field based on playoff average if the number of potential qualifiers exceeds the 256 mark.

Once the 256 qualifying schools are determined, they will be divided by enrollment groups into eight equal divisions of 32 schools, and then drawn into regions of eight teams each and districts of four teams each.

Those schools with 8-player teams will be ranked by playoff average at season’s end, and the top 16 programs will be drawn into regions of eight teams each for the playoff in that division, which also begins Nov. 1-2.

To review a list of all football playoff schools, individual school playoff point details and to report errors, visit the Football page of the MHSAA Website.

The announcement of the qualifiers and first-round pairings for both the 11 and 8-player playoffs will take place on Oct. 27 on the Selection Sunday Show at 7 p.m. on FOX Sports Detroit. The playoff qualifiers and pairings will be posted to the MHSAA Website following the Selection Sunday Show.
--------------------------------------------------------------------------------------------------------------------
11-Player Playoff Listing

1. Sterling Heights Stevenson, 2781, 4-4, 51.500                 
2. Utica Eisenhower, 2772, 4-4, 53.750                                    
3. Clarkston, 2737, 7-1, 95.500                                     
4. Macomb Dakota, 2693, 8-0, 108.000                                    
5. Howell ^, 2672, 5-3, 64.625                                      
6. Grand Blanc, 2624, 6-2, 81.625                                               
7. East Kentwood ^, 2612, 5-3, 66.750                                     
8. Rockford, 2572, 7-1, 92.750                                     
9. Clinton Township Chippewa Valley, 2506, 7-1, 95.875  
10. Lake Orion, 2490, 6-2, 78.375                                                
11. Dearborn Fordson ^, 2309, 5-3, 68.589                             
12. Holland West Ottawa ^, 2293, 5-3, 66.000                       
13. Northville, 2275, 7-1, 97.250                                 
14. Detroit Cass Tech, 2262, 8-0, 107.000                                                
15. Brighton ^, 2164, 5-3, 69.000                                                                
16. Monroe ^, 2145, 5-3, 62.500                                 
17. Detroit Catholic Central, 2132, 7-1, 94.161                      
18. Plymouth ^, 2126, 5-3, 61.625                                              
19. Canton, 2078, 7-1, 95.750                                       
20. Novi, 1986, 4-4, 52.375                                                            
21. Livonia Stevenson, 1983, 4-4, 49.000                                 
22. Macomb L'Anse Creuse North, 1965, 7-1, 89.500         
23. West Bloomfield ^, 1941, 5-3, 63.750                                                
24. New Baltimore Anchor Bay, 1899, 4-4, 48.875                               
25. Saline, 1897, 7-1, 94.275                                         
26. Westland John Glenn ^, 1880, 5-3, 61.375                      
27. Holt, 1866, 4-4, 53.250                                                             
28. Warren Mott, 1796, 8-0, 99.000                                           
29. Romeo, 1793, 4-4, 54.750                                                       
30. Oxford, 1782, 4-4, 51.625                                                       
31. Rochester Hills Stoney Creek, 1759, 6-2, 79.250           
32. Hudsonville ^, 1736, 5-3, 70.875                                          
33. Ann Arbor Skyline, 1715, 4-4, 49.250                                 
34. Grand Ledge, 1715, 4-4, 51.250                                           
35. Belleville ^, 1714, 5-3, 64.750                                                
36. Davison, 1692, 4-4, 44.250                                                     
37. Walled Lake Northern, 1688, 6-2, 80.125                         
38. Traverse City West ^, 1653, 5-3, 66.500                            
39. Rochester, 1615, 4-4, 52.125                                 
40. Waterford Kettering ^, 1604, 5-3, 66.125                        
41. Temperance Bedford, 1600, 8-0, 114.000                        
42. Grosse Pointe South ^, 1598, 5-3, 62.500                        
43. Rochester Adams ^, 1582, 5-3, 67.000                                              
44. Saginaw Heritage ^, 1575, 5-3, 60.250                               
45. Warren DeLaSalle ^, 1564, 5-3, 74.500                                              
46. Walled Lake Western, 1556, 8-0, 108.000                        
47. Flint Carman-Ainsworth, 1488, 7-1, 86.875                     
48. Detroit U-D Jesuit, 1476, 4-4, 55.500                                 
49. Midland, 1462, 7-1, 90.750                                     
50. Ypsilanti Lincoln, 1460, 7-1, 85.875                                      
51. Pinckney ^, 1452, 5-3, 65.625                                               
52. Traverse City Central ^, 1448, 5-3, 60.571                        
53. Oak Park ^, 1438, 5-3, 64.875                                                
54. Detroit Martin Luther King *, 1432, 7-0, 103.571          
55. Royal Oak, 1414, 4-4, 47.625                                 
56. Southgate Anderson, 1409, 4-4, 48.500                           
57. Ypsilanti Community, 1399, 4-4, 45.000                            
58. Port Huron ^, 1398, 5-3, 63.107                                           
59. Wyandotte Roosevelt, 1373, 8-0, 110.000                       
60. Portage Central, 1372, 8-0, 108.000                                   
61. Lansing Everett ^, 1369, 5-3, 58.625                                   
62. Portage Northern, 1364, 6-2, 74.625                 
63. Garden City, 1362, 4-4, 47.125                                             
64. Southfield, 1356, 7-1, 95.875                                                
65. North Farmington *, 1352, 5-3, 56.286                             
66. Caledonia ^, 1350, 5-3, 60.000                                              
67. Battle Creek Lakeview, 1348, 8-0, 90.000                        
68. Birmingham Seaholm, 1337, 8-0, 103.000                        
69. Birmingham Brother Rice, 1326, 8-0, 111.200                 
70. Grosse Pointe North ^, 1323, 5-3, 65.375                        
71. Muskegon Mona Shores, 1314, 6-2, 79.500                    
72. Midland Dow, 1304, 7-1, 85.036                                          
73. Farmington Hills Harrison, 1300, 7-1, 93.750                   
74. South Lyon, 1277, 6-2, 82.250                                               
75. Swartz Creek, 1277, 4-4, 52.768                                           
76. Birmingham Groves, 1274, 7-1, 85.875                             
77. Grand Rapids Ottawa Hills ^, 1231, 5-3, 52.500                              
78. Fenton, 1188, 8-0, 101.000                                                    
79. Grand Rapids Northview, 1182, 4-4, 49.750                    
80. Mattawan, 1176, 4-4, 45.625                                                
81. Warren Woods Tower, 1170, 6-2, 62.750                         
82. Muskegon Reeths-Puffer, 1151, 7-1, 92.500                  
83. Lowell, 1146, 8-0, 118.000                                                      
84. Taylor Truman, 1131, 6-2, 74.500                                        
85. East Lansing, 1124, 4-4, 52.750                                             
86. Holly, 1124, 4-4, 49.375                                                           
87. Muskegon, 1118, 7-1, 97.875                                                
88. Lapeer East, 1113, 4-4, 50.625                                              
89. Marquette *, 1110, 5-2, 73.286                                           
90. Detroit East English ^, 1109, 5-3, 59.750                           
91. Detroit Cody ^, 1106, 5-3, 57.250                                        
92. Allen Park, 1103, 6-2, 76.625                                 
93. Detroit Renaissance ^, 1097, 5-3, 53.268                         
94. Detroit Mumford, 1090, 6-2, 72.732                  
95. Grand Rapids Forest Hills Northern, 1079, 6-2, 71.250               
96. St. Johns, 1079, 4-4, 47.625                                   
97. Zeeland East ^, 1071, 5-3, 67.125                                        
98. Lapeer West, 1063, 7-1, 91.375                                            
99. Redford Thurston ^, 1063, 5-3, 65.375                              
100. Auburn Hills Avondale, 1055, 4-4, 42.375                      
101. Byron Center, 1039, 6-2, 68.750                                        
102. Mt. Pleasant, 1033, 7-1, 92.875                                         
103. Riverview, 993, 6-2, 66.625                                 
104. St. Joseph, 986, 7-1, 88.875                                 
105. Orchard Lake St. Mary's, 980, 4-4, 54.625                      
106. Petoskey ^, 965, 5-3, 62.000           &a