NFHS Voice: No HS Football Link to CTE

October 21, 2019

By Karissa Niehoff
NFHS Executive Director

When it comes to the long-term effects of concussions in sports, there is a wide range of information published – almost on a daily basis. Unfortunately, much of the media coverage as it relates to high school sports – and particularly the sport of football – is misleading.

Last week, the Concussion Legacy Foundation introduced its new public-service announcement that compared youth football dangers to smoking. As the pre-teen football players puff on cigarettes, the voiceover says, “Tackle football is like smoking, the younger I start, the longer I’m exposed to danger.”

The “Tackle Can Wait” campaign by the foundation is an attempt to steer children under the age of 14 into flag football. Although establishing a finite age may be difficult, reducing contact at youth levels is certainly a positive. USA Football is doing just that nationally through its Football Development Model. Likewise, the 51 member state associations of the National Federation of State High School Associations (NFHS) have enacted limitations on contact during preseason and practice sessions.

Our concern is the term “exposed to danger.” These types of messages continue to spread unwarranted fear to parents of high school student-athletes. The “danger” refers to reports that players who incur repeated concussions can develop chronic traumatic encephalopathy (CTE).

A 2017 study from the Journal of American Medical Association (JAMA) linked CTE in the brains of deceased National Football League players. Even if this report is accurate, these are individuals who endured repeated blows to the head for 20 to 25 years BEFORE any concussion protocols were in place.

Less publicized is a study by Dr. Munro Cullum and his colleagues at the Peter O’Donnell Jr. Brain Institute, which is a part of the University of Texas Southwestern Medical Center in Dallas. Cullum’s group studied 35 former NFL players age 50 and older who had sustained multiple concussions throughout their careers. The findings showed no significant association between the length of the individuals’ careers, the number of concussions and their cognitive function later in life.

Two studies, two different conclusions. Regardless of the outcome, however, they are not applicable to kids playing football before and during high school. There is absolutely no linkage to CTE at these levels, and the word “danger” should not be a part of the discussion.

A more applicable and significant study was also published in JAMA in 2017. In a study of about 4,000 men who graduated from Wisconsin high schools in 1957, there was no difference in cognitive function or decline between those who played football and those who did not as they reached 65 years of age. We would assume the majority of these individuals discontinued football after high school.

With more than one million boys – and girls – playing the contact sport of football each year, severe injuries do occur from time to time, but parents should know that efforts to lessen the risk of a catastrophic injury, including head injuries, have never been stronger than they are today.  

In fact, new data from the National High School Sports-Related Injury Surveillance Study indicates some positive trends in concussion rates. The study, which was released in the American Academy of Pediatrics online issue of Pediatrics last week, indicated that concussion rates during football practices dropped from 5.47 to 4.44 concussions per 10,000 athletic exposures between the 2013-14 and 2017-18 seasons.

In addition, repeat concussion rates across all sports declined from 0.47 to 0.28 per 10,000 exposures during the same time period.

Concussion laws are in place in every state. All NFHS sports rules books have concussion management protocols. Helmet-to-helmet hits are not allowed in football. Limits on contact in preseason and practice in football are in place in every state.

After considering all the available research, we encourage parents to let their kids play their sport of choice in high school, but we would discourage moving away from football – or any contact sport – solely based on the fear of developing CTE later in life.

Dr. Karissa L. Niehoff is in her second year as executive director of the National Federation of State High School Associations (NFHS) in Indianapolis, Indiana. She is the first female to head the national leadership organization for high school athletics and performing arts activities and the sixth full-time executive director of the NFHS, which celebrated its 100th year of service during the 2018-19 school year. She previously was executive director of the Connecticut Association of Schools-Connecticut Interscholastic Athletic Conference for seven years.

Century of School Sports: From Nearly A to Z, Schools Repped by 221 Nicknames

By Geoff Kimmerly
MHSAA.com senior editor

May 20, 2025

Combine all the Bronchos, Cubs, Loggers, Purple Hornets and Tractors running around Michigan’s sports fields on any given day, and they still would have some work to catch up with the wide scattering of Eagles representing their Michigan high schools across the state.

There are a combined 221 mascots representing the MHSAA’s 754 member high schools this 2024-25 school year.

A total of 127 schools have a mascot reserved all to themselves, including those five listed above – Holly (Bronchos), Detroit U-D Jesuit (Cubs), Boyne Falls (Loggers), L’Anse (Purple Hornets) and Dearborn Fordson (Tractors).

And then there are the Eagles. A total of 48 schools are represented by the fearsome birds of prey, and that’s not counting the Golden Eagles (Brooklyn Columbia Central), Aztec Eagles (Detroit Cesar Chavez Academy) and Soaring Eagles (Hannahville Nah Tah Wahsh).

The next-most popular nickname – Panthers – is adorned by 28 schools, followed by 26 Bulldogs, 23 Vikings and 22 Wildcats. Rounding out the top 10 are Falcons and Cougars (both 20 schools), Trojans (19), and Tigers and Warriors (both 18). The Mustangs (15 schools), Pilots (11) and Comets, Lakers and Spartans (10) also reach double digits.

There have been several mascot changes of late as a number of schools have moved away from Native American names and imagery. Those have resulted in a few new sets of Red Devils, Red Wolves/Wolves, and RedHawks/Red Hawks as the most popular selections among those making a switch.

Another fun fact: Every letter but “U” and “X” start at least one MHSAA member high school nickname.

Big assist to the Quakers (Lansing Eastern) and Zebras (Wayne Memorial) for cutting down that list – and keep an eye out for Underdogs and Xylophones coming to a school near you.

Previous "Century of School Sports" Spotlights

May 13: These Record-Setters were Nearly Impossible to Defeat - Read
May 6:
200+ Representatives Fill All-Time Council Roster - Read
April 29:
MHSAA Programs Prioritize Health & Safety - Read
April 23:
Patches Signify Registered Officials' Role in MHSAA Story - Read
April 16:
Student Advisory Council Gives Voice to Athletes - Read
April 9:
State's Storytellers Share Spring Memories - Read
April 2:
Sharp Leadership Synonymous with MHSAA Success - Read
March 25:
Athletic Directors Indispensable to Mission of School Sports - Read
March 18:
2025 Finals Begin Next Half-Century of Girls Hoops Championships - Read
March 11:
Boys Basketball's Best 1st to Earn MHSAA Finals Titles - Read
March 5:
Everything We Do Begins with Participation - Read
Feb. 25:
Slogans & Logos Remain Unforgettable Parts of MHSAA History - Read
Feb. 19:
MHSAA Tickets Continue to Provide Fan-Friendly Value - Read
Feb. 11:
We Recognize Those Who Make Our Games Go - Read
Feb. 4:
WISL Conference Continues to Inspire Aspiring Leaders - Read
Jan. 28:
Michigan's National Impact Begins at NFHS' Start - Read
Jan. 21:
Awards Celebrate Well-Rounded Educational Experience - Read
Jan. 14:
Predecessors Laid Foundation for MHSAA's Formation - Read
Jan. 9:
MHSAA Blazes Trail Into Cyberspace - Read
Dec. 31: 
State's Storytellers Share Winter Memories - Read
Dec. 17: 
MHSAA Over Time - Read
Dec. 10:
On This Day, December 13, We Will Celebrate - Read
Dec. 3:
MHSAA Work Guided by Representative Council - Read
Nov. 26: 
Finals Provide Future Pros Early Ford Field Glory - Read
Nov. 19:
Connection at Heart of Coaches Advancement Program - Read
Nov. 12:
Good Sports are Winners Then, Now & Always - Read
Nov. 5:
MHSAA's Home Sweet Home - Read
Oct. 29:
MHSAA Summits Draw Thousands to Promote Sportsmanship - Read
Oct. 23:
Cross Country Finals Among MHSAA's Longest Running - Read
Oct. 15:
State's Storytellers Share Fall Memories - Read
Oct. 8:
Guided by 4 S's of Educational Athletics - Read
Oct. 1:
Michigan Sends 10 to National Hall of Fame - Read
Sept. 25: MHSAA Record Books Filled with 1000s of Achievements - Read
Sept. 18:
Why Does the MHSAA Have These Rules? - Read
Sept. 10: 
Special Medals, Patches to Commemorate Special Year - Read
Sept. 4:
Fall to Finish with 50th Football Championships - Read
Aug. 28:
Let the Celebration Begin - Read