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: All-Time 'Parade of Champions'
By
Geoff Kimmerly
MHSAA.com senior editor
June 25, 2025
As we do every June, we will complete 2024-25 this week by publishing our “Parade of Champions” – a listing of every team to win an MHSAA Finals championship trophy this school year.
Recognizing about 130 champions annually – give or take a few if there were shared titles along the way during that past fall, winter and spring – it’s always an impressive list. So we’re plenty stoked – maybe even 100 times more – to present as our second-to-last “Century of School Sports” feature a few findings from our work-in-progress all-time “Parade of Champions.”
Eventually, the data we’ve collected will be provided on the MHSAA website as a searchable data base – there’s more work to come, and I’ll explain some of that below. But for today, here are some of the first facts that jump off the pages from this massive collection.
Starting with the biggest: Since its first titles were awarded to finish the Winter 1924-25 season, the MHSAA has recognized 6,876 teams for winning Finals championships.
Five schools have won at least 100 Finals titles, and 17 schools have won 50 or more. Marquette leads the list with 295, followed by East Grand Rapids (145), Escanaba (134), Ann Arbor Pioneer (122) and Detroit Country Day (107).
For several reasons, it’s difficult to compare championship totals among Upper Peninsula and Lower Peninsula schools as apples to apples – chiefly, schools in both peninsulas compete against each other in postseason competition in only 16 of 28 MHSAA-sponsored sports, and a handful of those 16 have little or no representation from the U.P. despite being statewide tournaments.
That said, here’s a look at some expanded school Finals title rankings, but by peninsula, going deeper on Lower Peninsula schools ranked because the majority of Michigan’s high schools are below Mackinac Bridge:
Lower Peninsula: 1. East Grand Rapids (145), 2. Ann Arbor Pioneer (122), 3. Detroit Country Day (107), 4. Bloomfield Hills Cranbrook Kingswood 88, 5. Detroit Catholic Central (74), 6. Bloomfield Hills Brother Rice (69), 7. Grosse Pointe Woods University Liggett (64), 8. Jackson Lumen Christi (55), 9. Petoskey (46), 10. Traverse City Central (45).
11. Okemos (44), 12. Detroit St. Martin dePorres (41), 13. East Lansing (39), 14. Rockford (37), T-15. Ann Arbor Greenhills (35), T-15. Birmingham Seaholm (35), 17. Flint Powers Catholic (33), T-18. Bloomfield Hills Marian (32), T-18. Kalamazoo Central (32), 20. Grand Rapids Forest Hills Northern (31).
Upper Peninsula: 1. Marquette (295), 2. Escanaba (134), 3. Iron Mountain (78), 4. Menominee (66), 5. Ishpeming Westwood (65), T-6. Ishpeming (64), T-6. Pickford (64), T-8. Negaunee (50), T-8. Ontonagon (50), 10. Houghton (49).
A few more interesting notes:
• Note Detroit dePorres at No. 12 among Lower Peninsula schools; dePorres closed in 2005. Flint Northern ranks 21st among Lower Peninsula schools with 30 championships despite closing in 2013. The former Ypsilanti High School, which consolidated with Willow Run in 2013 to form Ypsilanti Community, also is high on the list with 24 titles.
• Larger schools generally play more sports, and hence have more opportunities to win Finals titles. But Lower Peninsula small schools fell just outside those listed above, including Battle Creek St. Philip and Fowler – both with 29 championships – and Flint Beecher, Kalamazoo Hackett Catholic Prep and Pewamo-Westphalia with 26 apiece.
• We don’t have an easy way – yet – to figure out which schools have won at least once in the most sports. But among the top five, East Grand Rapids and Marquette both have won titles in 18 sports, Country Day has won in 17, Ann Arbor Pioneer in 15 and Escanaba in 13. Pioneer’s 15 include boys gymnastics, which was sponsored by the MHSAA from 1925-31 and 1961-81.
• Detroit Catholic Central has the most championships among all-boys schools, among 11 sports. Bloomfield Hills Marian ranks highest among all-girls schools, with its titles covering seven sports.
As noted, this remains a work in progress, as we’re continuing to research several school closings, consolidations or other name changes over the last 100 years and how those might affect our championship totals. We also need to continue figuring in how to list championships won by cooperative programs and if those are credited to primary schools or as standalone programs.
In the meantime, we’ll continue to update the data with championships won each season, including in our new sports of girls field hockey and boys volleyball debuting in 2025-26. Once the data is fully edited and complete, we’ll add this substantial source to our growing collection of historical information available for all to enjoy.
Previous "Century of School Sports" Spotlights
June 17: Top Performers Tell Us What High School Sports Mean to Them - Read
June 10: 'The Mitten' Becomes Sought-After Symbol of MHSAA Greatness - Read
June 3: MHSAA's Move to TV, Now Internet, 60 Years Old & Growing - Read
May 27: Upper Peninsula Helps Make Michigan's School Sports Story Unique - Read
May 20: From Nearly A to Z, Schools Repped by 221 Nicknames - Read
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
PHOTOS These are all past MHSAA Finals champions, clockwise from top left: The 2016 Detroit Country Day girls tennis team, 2004 Marquette ice hockey team, 1978 Ann Arbor Pioneer girls cross country team, 1981 Escanaba football team and 2013 East Grand Rapids girls lacrosse team.