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.
This Week in High School Sports: 3/21/23
By Jon Ross
MHSAA Director of Broadcast Properties
March 21, 2023
This final edition for the 2022-23 school year reviews all four MHSAA Girls Basketball Finals and highlights some of the top performances from Boys Basketball Regional play.
The 5-minute program each week includes feature stories from MHSAA.com or network affiliates, along with "Be the Referee," a 60-second look at the fine art of officiating.
"This Week in High School Sports" is powered by MI Student Aid, a part of the Office of Postsecondary Financial Planning located within the Michigan Department of Treasury.
Listen to this week's show by Clicking Here.
March 15: Ice Hockey Finals review, Lower Peninsula Boys Swimming & Diving Finals highlights - Listen
March 8: Individual Wrestling Finals review, Competitive Cheer Finals highlights - Listen
March 1: Midland heroes, Team Wrestling Finals review - Listen
Feb. 22: Basketball Districts begin, Finals cap Upper Peninsula swimming & diving season - Listen
Feb. 15: Hockey tournament changes, MHSAA social media - Listen
Feb. 8: Winter Postseason Starts, Scholar-Athlete Award - Listen
Feb. 1: Kent City coach Jill Evers, "Officials Appreciation Week" - Listen
Jan. 25: Historic hoops wins, Michigan's national ranking in sports participation - Listen
Jan. 18: Brad Bush joins MHSAA, Al DeMott sets coaching record - Listen
Jan. 4: Winter Championships, Officials Recruitment - Listen
Nov. 23: 8-Player Football Finals, Lower Peninsula Girls Swimming & Diving Finals, Volleyball Finals - Listen
Nov. 18: Concussion Myths, Navea Gauthier's record-setting Shelby volleyball season - Listen
Nov. 11: Lower Peninsula Cross Country, Boys Soccer Finals review - Listen
Nov. 2: Football Playoffs Week 1 notables, Fall 2022 championships and broadcasts - Listen
Oct. 26: Football Playoffs pairings selection, Upper Peninsula Cross Country Finals - Listen
Oct. 19: Sunday Selection Show, Lower Peninsula Girls Golf & Boys Tennis Finals - Listen
Oct. 12: 25th Women In Sports Leadership Conference highlights - Listen
Oct. 5: Upper Peninsula Girls Tennis Finals champions, Rockford's Anna Tracey - Listen
Sept. 28: MHSAA Sportsmanship Summits return, Owosso's Macy Irelan - Listen
Sept. 21: MHSAA/Farm Bureau Insurance Scholar-Athlete Awards, Marquette's Maddy Stern - Listen
Sept. 14: MHSAA record books, Detroit Renaissance's Kaila Jackson - Listen
Sept. 7: Sports Participation rebounding, Paw Paw's Paige Miller - Listen
Aug. 31: Michigan Power Ratings and soccer seeding, Fenton's Gracie Olsen - Listen
Aug. 24: Redesigned MHSAA.com, key dates and how to watch football in 2022 - Listen