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.
Flashback 100: One Last Look Back as We Turn Focus Toward Future
July 10, 2025
We hope you’ve enjoyed this school year's retrospective on some of the most iconic athletes and personalities who began their journeys in MHSAA sports. While we’ve done our best to highlight a diverse range of individuals across various sports and professions, a single year simply isn’t enough to capture every standout story.
Michigan high schools have produced an incredible array of talent — and the following, in addition to those we've wrote about over the last 10 monrths, are just another glimpse of that legacy:
- Kirk Gibson (Waterford Kettering) – The 1988 National League MVP also played a pivotal role in the Detroit Tigers’ 1984 World Series championship and starred in football as well at Michigan State.
- Jake Long (Lapeer East) – Selected as the NFL’s No. 1 overall draft pick in 2008, he's among a distinguished list of Michigan high school alums to go early in the draft, including Braylon Edwards (Harper Woods Bishop Gallagher, No. 3 in 2005), Carl Banks (Flint Beecher, No. 3 in 1984), Jerome Bettis (Detroit Mackenzie, No. 10 in 1993), and Tyrone Wheatley (Dearborn Heights Robichaud, No. 17 in 1995).
- Jeff Daniels (Chelsea) – Before becoming a renowned actor with credits like The Newsroom, Escanaba in da Moonlight, and Dumb and Dumber, Daniels was a high school baseball player.
- Lisa Byington (Portage Northern) – A trailblazing broadcaster, she serves as the play-by-play voice for the Milwaukee Bucks and regularly appears on CBS during NCAA Basketball Tournaments.
- Kristin Haynie (Mason) – She was first athlete to play in both the NCAA Women’s Division I Basketball Championship and the WNBA Finals in the same calendar year.
- Jalen Rose, Voshon Lenard, and Howard Eisley – This trio of NBA professionals once shared the court at Detroit Southwestern, making it one of the most talent-rich high school teams in state history.
- Jim Abbott (Flint Central) – Born without a right hand, Abbott defied the odds to pitch for 10 seasons in Major League Baseball.
- Earl Morrall (Muskegon) – He was named NFL MVP in 1968 and enjoyed a long and successful pro football career.
- Charlie Gehringer (Fowlerville) and Hal Newhouser (Detroit Wilbur Wright) – Both legends of Major League Baseball, each captured MVP honors during their Hall of Fame careers.
- Kate Markgraf (Detroit Country Day) – A champion at every level of soccer, she earned titles in high school and college, an Olympic Gold Medal, and a FIFA World Cup victory.
- Allison Schmitt (Canton) – One of the most decorated American swimmers of all time, Schmitt has earned 10 Olympic medals.
- Jason Richardson (Saginaw Arthur Hill) and Charles Rogers (Saginaw) – Both were drafted among the top five in their respective college sports (Richardson to the NBA in 2001, Rogers to the NFL in 2003) and faced off against each other as part of one of the state's most historic basketball rivalries.
- Staying with the city of Saginaw, Draymond Green (Saginaw) won a basketball championship in high school (2007) and then four in the NBA (2015, 2017, 2018, 2022) after being drafted in the second round of the 2012 draft by the Golden State Warriors.
And the legacy continues. Olympic gold medal dreams are alive in track & field standouts like Taylor Manson (East Lansing), Hobbs Kessler (Ann Arbor Skyline), and Grant Fisher (Grand Blanc), who are already well-accomplished on the worldwide stage.
So, who’s next?
Who will be the next MHSAA athlete selected on draft night? Hoisting an MVP trophy? Standing atop the podium as a champion?
We don’t know yet — but as we close the book on the first 100 years of MHSAA history, we can’t wait to see what the next century will bring.
Previous "Flashback 100" Features
June 23: Hutchinson's Dominance Starts as Multi-Sport Divine Child Standout - Read
June 10: Wagner's Dream of Going on Tour Realized - with Greta Van Fleet - Read
May 23: Tarpley's Legendary Run Began as Portage Central's Miss Soccer - Read
May 16: Scane’s Record-Setting Lacrosse Run Began at Cranbrook Kingswood - Read
May 8: Duckett's High School Domination Extended to Shot Put Circle - Read
May 6: MHSAA Titles Just Start for NCAA Champion, Olympian Stark - Read
May 1: Legendary Actor Played Multiple Sports Roles at Country Day - Read
April 23: Legacy Program Provided Start for Pioneering NBA Official Schroeder - Read
April 11: Rice's Championship-Winning Ways Started at Flint Northwestern - Read
March 28: Youngquist's Times Still Among MHSAA's Fastest - Read
March 18: After 40 Years, Coles' Shot Remains Among Century's Most Famous - Read
March 7: Walled Lake Northern's Hellebuyck Reigns as NHL's Elite Netminder - Read
Feb. 27: Zeerip's Mat Stats Remain Rarely-Challenged Chart Toppers - Read
Feb. 21: Before TV Stardom, Kerwin Excelled as All-State Skier - Read
Feb. 14: Detroit Central Star Voted into Pro Football Hall of Fame - Read
Feb. 6: Multi-Sport Star Look Becomes Super Bowl Officiating Legend - Read
Jan. 31: Johnson Family Put Magical Stamp on Michigan High School Hoops - Read
Jan. 24: Future Hall of Famers Face Off First in MHSAA Class A Final - Read
Jan. 17: First-Ever WNBA Draft Pick Rocked at Salem, Won Titles at Tennessee - Read
Jan. 10: Despite Launching Before 3-Point Line, Smith Still Tops Scoring List - Read
Jan. 3: Edison's Jackson Earns Place Among State's All-Time Elite - Read
Dec. 20: Future Olympian Piper Leads Grosse Pointe North to Historic Heights - Read
Dec. 13: The Other Mr. Forsythe in Michigan School Sports - Read
Dec. 6: Coleman's Legendary Heroics Carry Harrison Through Repeat - Read
Nov. 29: Harbaugh Brothers' Football Roots Planted in Part at Pioneer - Read
Nov. 22: 8-Player Football Finals Right at Home at Superior Dome - Read
Nov. 15: Leland Career Helps Set Stage for Glass' International Stardom - Read
Nov. 8: Future Baseball Pro Led Escanaba's Legendary Football Title Run - Read
Nov. 1: Michigan High School Baseball Trio Provide World Series Voices - Read
Oct. 25: Before Leading Free World, Ford Starred for Champion GR South - Read
Oct. 18: Mercy Links Legend Becomes World Golf Hall of Famer - Read
Oct. 11: Fisher Races to Finals Stardom on Way to U.S. Olympic First - Read
Oct. 4: Lalas Leaves High School Legacies on Ice & Pitch - Read
Sept. 27: Tamer's History-Making Run Starts in Dexter, Continues to Paris - Read
Sept. 20: Todd Martin’s Road to Greatness Starts at East Lansing - Read
Sept. 13: James Earl Jones, Dickson High Hoops to Hollywood Legend - Read
Sept. 6: Pioneers' Unstoppable Streak Stretches 9 Seasons - Read
Aug. 30: Detroit dePorres Rushes to 1995 Class CC Football Championship - Read
PHOTOS Clockwise from left: Taylor Manson sprints for East Lansing, Hobbs Kessler wins a race for Ann Arbor Pioneer, Jason Richardson plays in a Class A Basketball Final for Saginaw Arthur Hill and Allison Schmitt swims a championship race for Canton. (Manson photo courtesy of the Lansing State Journal; Kessler photo by RunMichigan.com. Others are MHSAA file photos.)