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: MHSAA Tickets Continue to Provide Fan-Friendly Value
By
Geoff Kimmerly
MHSAA.com senior editor
February 19, 2025
A buck went a lot farther a century ago, and a family of four wishing to watch the MHSAA Class A Boys Basketball Final in 1928 could have done so, at the minimum, for a grand total of $2 – or $6 if they were looking to splurge on the best seats.
Of course, relating the value of money 100 years ago to now is not apples to apples. But for Michigan school sports, a deal like that is meant to last forever.
The MHSAA has made it part of long-standing philosophy to keep ticket prices for its tournament events as low as possible, continuing to provide opportunities for entire families to attend together, and hoping to provide the best bargain as tickets to sporting events at other levels have climbed much more rapidly over the decades.
For the sake of comparison, consider tickets over the years for the Boys Basketball Tournament – the first event hosted by the newly-created MHSAA in 1925.
In 1928 (the first year for which cost of admission could be found), ticket prices for the MHSAA Boys Basketball Finals at the Olympia in Detroit were listed at 75 cents, $1 and $1.50, and a newspaper report after noted that in fact the cheapest seats were sold for 50 cents apiece instead. One ticket was good for all four games.
Less than 30 years later, $1.50 still got a fan two championship games – reserved seats for 1955 Boys Basketball Finals at Jenison Field House cost $1.50 per session, with Class C and B Finals in the afternoon and Class A and D in the evening. A decade after that, in 1965, tickets still cost $1.50 per session – although sessions were now split into the Class B game in the morning, Class D and C games in the afternoon, and a Class A session that night.
Sixty years later, prices have continued to rise incrementally – but again, while prioritizing keeping them as low as possible.
These days for boys basketball, District tickets cost $7, Regional tickets cost $9, Quarterfinals cost $10, and Semifinals and Finals tickets cost $12 per two-game session.
On its face, that’s quite a jump from the 1960s, much less the 1920s. But consider: Multiple inflation calculators say that $1.50 ticket for two games in 1955 would be worth more than $17 for two games now, meaning MHSAA Finals ticket prices have grown at a much slower rate.
Consider as well MHSAA ticket prices against Consumer Price Index data over the last 20 years. The U.S. Bureau of Labor Statistics reported in 2023 that admission costs to sporting events nationally had doubled over the previous two decades – literally going up 100 percent – yet price increases for the MHSAA Boys Basketball Tournament since 2005-06 have increased just 40 percent at the District level, where 60 percent of our boys basketball tickets are sold. Ticket prices for Regionals and Finals also have grown slower than that national rate.
And it remains tough to argue with what spectators get for their money at the MHSAA Tournament level.
For the 2024-25 school year, tickets for all District and Regional competitions – and some Quarterfinals and Semifinals – remain in the $7-$9 range. Finals tickets cost $10-$12, except for Individual Wrestling Finals ($18) and 11-Player Football Finals ($20) both at Ford Field – and one ticket for those is good to watch championships in five divisions in wrestling and four football championship games over one day, respectively.
In fact, the most recent change to ticketing has had nothing to do with the price – but instead, the move away from the paper tickets you see above. All tournament tickets are now digital, which keeps the MHSAA current with what’s done in college and pro sports and other forms of entertainment and assists in efficiency by taking cash out of the equation.
Previous "Century of School Sports" Spotlights
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