Preliminary Concussion Data Announced
December 9, 2015
By Geoff Kimmerly
Second Half editor
The Michigan High School Athletic Association this school year requested for the first time that member schools report possible concussions by their student-athletes during both practice and competition. Preliminary data from the fall season shows two percent of more than 100,000 high school athletes experienced concussions, and 27 percent of high schools responding reported that none of their athletes experienced concussions while participating in MHSAA sports.
The MHSAA received data from 744 – or 99 percent – of its member high schools at the end of the fall season. The average number of concussions reported by member high schools through Dec. 4, 2015, was 3.2 concussions per school. Fifty-two percent of reporting schools stated they had two or fewer concussions by athletes this fall.
Football, the fall season’s most-played sport with 39 percent of all fall participants, revealed 79 percent of all concussions reported for the season. Boys soccer, with nearly 14 percent of fall sport participants, revealed 11 percent of all concussions reported.
Data collected by the MHSAA remains preliminary, in part, because results noted include pending reports that have not been verified. After completion of these follow-up reports, the final number of concussions that actually occurred this past season may be lower than the preliminary numbers being reported at this time. The data analyzed to date is for high schools only, although middle schools also have the opportunity to report possible concussions. A full breakdown of the data including concussions by gender, sport, team level (varsity through junior high) and setting (practice or event) will be reported after the conclusion of the spring 2016 season.
The reporting of possible concussions is part of a three-pronged advance by the MHSAA in concussion care during the 2015-16 school year, all of which are producing data related to the frequency and severity of head injuries. The MHSAA this fall became the first state association to offer pilot sideline concussion testing, with 62 schools taking part in one of two programs. One of the objectives of the pilot programs was to increase awareness of concussions and improve sideline detection; and preliminary results indicate that the average number of possible concussions reported by pilot schools exceeds the average reported by schools outside the pilot group.
Of 36 schools reporting the most concussions this fall, 11 are part of the MHSAA’s pilot sideline detection programs. Those programs – King-Devick Test and XLNTbrain Sport – utilize technology to provide on-site testing of athletes who have sustained possible concussions, with results of those examinations then compared against baseline tests taken by athletes previously.
The MHSAA also is 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. The program will produce additional data about the frequency and severity of head injuries. While it is still early, only 34 claims have been made on the insurance policy designed to assist in payment for concussion care. Twenty of the claims are for football, 11 for soccer.
“These three efforts combined are part of making our good programs better,” MHSAA Executive Director John E. “Jack” Roberts said. “We’re pleased to provide these services to our schools, and we anticipate having a comprehensive report after the end of the school year, with that data then used by the National Federation of State High School Associations and research institutions to continue to make our games safer.”
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.
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 for activity by a doctor (M.D. or D.O.), physician’s assistant or nurse practitioner.
“These pilot programs, and the reporting of potential concussions by all of our schools, have made administrators, coaches and athletes more aware of the possibility of concussions and the importance of immediate detection and care,” Roberts said. “Many of our schools have long had programs in place to detect concussions and provide care. The opportunities to test, report and receive financial assistance in the event of a concussion have encouraged all of our schools to consider additional ways to better care for their student-athletes.
“These latest in a long line of health and safety initiatives will establish a baseline, and eventually allow us to determine if we are making progress year-to-year in Michigan school sports in this critical area of health and safety.”
The MHSAA is a private, not-for-profit corporation of voluntary membership by more than 1,400 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.
Cohen Champions Treatment, Technology
By
Geoff Kimmerly
MHSAA.com senior editor
March 10, 2014
Abby Cohen was looking for a problem to solve.
Two years later, she’s potentially only one more year from helping relieve a medical dilemma faced by 25 million Americans.
And the most impressive part might be that she graduated from high school a mere five years ago and is 23 years old.
Cohen, a 2009 MHSAA Scholar-Athlete Award winner as a senior at Bloomfield Hills Cranbrook-Kingswood, certainly could be called proactive, going back to her days as a volleyball, basketball and soccer standout for the Cranes. Less than a year after graduating from Washington University in St. Louis, Mo., she’s co-founder and co-CEO of Sparo Labs, which seeks to provide asthma sufferers with a proactive way of monitoring their symptoms and improving their treatments.
“Everyone has a different perspective on how to go about doing things,” Cohen said. “For me, growing up trying to improve in sports, I’d write down a list of things to do every day and actually do them, follow through. That aspect of always wanting to get better, and improve, is something that’s carried through to the rest of what we do at Sparo and in general how I approach things.”
On March 22, the MHSAA and Farm Bureau Insurance will recognize a 25th class of Scholar-Athlete Award winners. In advance of the celebration, Second Half has caught up with some of the hundreds who have been recognized (see additional links at the bottom of this page).
Cohen, who also served on the MHSAA Student Advisory Council from 2007-09, chose Washington based on its strong engineering problem and successful women’s basketball program. She studied bio-medical engineering and was a freshman on the Bears team that defeated Hope College for the Division III national championship in 2010.
But that first season was followed by a series of ankle injuries that required reconstructive surgery – and, effectively, ended her collegiate sports career. She still can play pick-up games, but four-hour daily practices and the other commitments of a varsity program would've been too much.
She missed basketball. But the end of her competitive career on the court, as it turned out, allowed more time to dive into a new pursuit – and, in her words, “work with another kind of team.”
“I’m a big believer in everything happens for a reason,” Cohen said. “It was disappointing having to have surgery to make everything feel better, for the long term, not just basketball. For me at that time, I didn't appreciate that with the extra time I could have, I could take the time to try new things, make the world a better place.”
Cohen planned at first to eventually become a physician. She shadowed a number of doctors, but decided that in the long run she could have a greater impact as an engineer designing products physicians could use.
In addition to her classwork, she helped form an extracurricular entrepreneurial group – and set out for an issue in need of repair. She and her now-business partner Andrew Brimer didn't realize how many Americans are affected by asthma, “that respiratory diseases are the only ones getting worse over time rather than getting better. That although technology is improving, why it’s not making a dent.”
They set out find out and make that dent themselves.
Through a series of interviews with patients, doctors, respiratory therapists and others in the field, Cohen and Brimer got an idea what could help – an affordable, easy-to-use device to allow patients to monitor on their own their symptoms so they can better manage them and the treatments to help. Cohen and Brimer designed a device that plugs into a smart phone and allows patients to blow into it like a whistle and register lung function readings – while also collecting data on medications, pollen counts, and other variables that affect lung function. Their device also should dent the health care costs that go with current testing, which generally requires an office visit.
Sparo will work over the next six months to improve its app interface and user experience, and then submit for Food and Drug Administration approval at the end of this year or the beginning of 2015 – with the hope it will then become available to patients later next spring.
Cohen is based in St. Louis, where she and Brimer have been able to work with three large local hospitals and within a nurturing entrepreneurial community. Brimer's brother owns a tech education company in New York which has provided additional support as she and Brimer discussed what was possible. “We were talking to patients and physicians, and it just seemed like the right thing to do,” Cohen said. “If we weren’t going to do this, who was?”
Cohen and Brimer have won 9 of 11 entrepreneurship grant competitions they've entered, netting more than $300,000 to get their lab rolling and allow them to hire two more engineers. Long-term, today’s work could just be the start of what Cohen hopes eventually will reach into developing countries as well.
She remains in touch with a number of teachers at Cranbrook-Kingswood – also, her mother Sheila Cohen teaches sixth-grade math at the school – and she spoke there at the end of 2013 as part of a TEDx event.
As she continues to build her team, Cohen is reminded of additional lessons she learned on the courts and soccer field – including a major one that will continue to pay as Sparo expands.
“Learning how to work on a team, with really different personalities, different people who all play different roles,” Cohen said. “That really came from sports – the ability to work with people and reach one common goal.”
Click to read the series' first installments:
- 25 Years Later, Scholar Athletes Shine On
- On Call as Doctor, Director, Mom
- "Mailloux Management" Goes Global
- Goorhouse Gives Back at Home
PHOTO: Abby Cohen (10) helps her teammates hoist a trophy while a player at Bloomfield Hills Cranbrook-Kingswood in 2009. (Photo courtesy of Cranbrook-Kingswood.)