Interscholastic Youth Sports Brain Injury Report MSHSAA

2012-13

Interscholastic Youth Sports

Brain Injury Report

MSHSAA Missouri State High School Activities Association

Interscholastic Youth Sports Brain Injury Prevention Report

SCS HCS HB 300, 334, and 387 became law in August 2011, and it mandates that an organization with public schools as members must publish and distribute an annual report regarding the impact of student athlete concussions and head injuries which should include efforts that may be made to minimize damages from school sports injuries. The Department of Health and Senior Services, along with a statewide association of school boards [Missouri School Board Association (MSBA)], a statewide activities association that provides oversight for athletic or activity eligibility for students and school districts, [Missouri State High School Activities Association (MSHSAA)], and an organization named by the Department of Health and Senior Services that specializes in support services, education, and advocacy of those with brain injuries [Brain Injury Association of Missouri (BIA-MO)] developed guidelines, pertinent information, and forms to educate coaches, staff members, athletes, and parents or guardians of youth athletes of the nature and risk of concussion and brain injury including continuing to play after a concussion or a brain injury (1).

MSHSAA has distributed and updated head injury materials annually since August of 2009 to its member schools using a variety of sources (2). These materials provide information that will educate parents, coaches, staff members, and athletes on the prevention, management, and dangers of head injuries in interscholastic sports (3). In December of 2011, MSHSAA conducted its first annual survey of member schools and the impact of head injuries. During the summer of 2013, a third survey was conducted to collect data from the MSHSAA member schools. Seven hundred and forty-nine schools were contacted to complete the survey (4). The survey window was from July 1 through August 16, 2013. Information that could not be completed on the survey was forwarded by e-mail to headinjury@. Working with the Brain Injury Association of Missouri, Dr. Joseph Waeckerle, Department of Health and Senior Services, Missouri Athletic Trainers Association, Missouri School Nurses Association and Missouri School Board Association a pilot program has been put in place for the Winter and Spring of 2014, Sports Concussions: Facts, Fallacies and New Frontiers. The program will have four regional sites presenting a one day seminar educating staff members, coaches, nurses and Athletic trainers on the new research and policies pertaining to head injuries (5).

Harvey Richards, Associate Executive Director in charge of Sports Medicine for MSHSAA (6), was a part of the state legislative process for the head injury bill, responsible for the distribution of educational materials to member schools, and conducted the Head Injury Survey.

(1) Time table of meetings, Appendix A. (2) Fall membership mailing, e-mails, website (), district in-services. (3) Educational packet for member schools, Appendix B. (4) 2012-2013 Head Injury Survey, Appendix C. (5) Sports Concussions: Facts, Fallacies and New Frontiers, Appendix D. (6) Harvey Richards, Associate Executive Director, 1 N Keene St, Columbia MO 65201; harvey@; (573) 875-4880.

Head Injury Survey

School Level

All Schools High Schools 9-12 Combined Schools 7-12 Jr. High Schools 7-8

Total Schools

2013 749 268 322 159

2012 751 267 322 162

Completed Survey

2013 613 237 285 91

2012 584 226 279 79

Did Not

Complete the

Survey

2013 2012

136 167

31

41

37

43

68

83

% of Member

Schools that

Completed Survey

2013

2012

82%

78%

88%

85%

89%

87%

57%

49%

Use of Online Video

Did your school district use the NFHS video "concussion in Sports-What you Need to Know," to educate your coaching staff for the 2012-13 school year?

Yes- 237 High Schools Yes- 285 Combined Schools Yes- 91 Jr. High Schools

Note: 14- St. Louis Public Schools used an In-service day to educate their staff, with the video available.

This means that 91% of our High Schools utilized the free, online video to educate their coaching staffs.

The National Federation of High School Activities (NFHS) has produced and made available for free, the online course "Concussions in Sports: What You Need to Know." MSHSAA has approved this course for coaches to take as their educational component of the law. Many districts viewed this course as an inservice with the entire coaching staff, while others have taken it separately to meet this requirement. For the year July 1, 2012 through June 30, 2013, 5672 online courses have been completed in Missouri.

The next table reflects the number of participants for each sport and/or activity by our member schools. This number will include duplicates for students who are in multiple activities. Junior high seasons are set by the school and may not have taken place at the same time as the high school season. Music/Band, Sideline Cheerleading (Spirit) and Dance begin in the fall, but some schools will only participate in the winter or spring. The following table reflects the participation rates for the 2011-12 and 2012-13 school years.

Sport/Activity

Baseball Sideline Cheerleading (Spirit) Field Hockey 11-man Football 8-man Football Dance/Pom Team Water Polo Winter Guard Wrestling Music-Band Basketball-Boys Cross Country-Boys Cross Country-Girls Soccer-Boys Swimming and Diving-Boys Softball-Girls Tennis-Girls Volleyball-Girls Softball-Boys Golf-Boys Tennis-Boys Track and Field-Boys Volleyball-Boys Basketball-Girls Golf-Girls Soccer-Girls Swimming and Diving-Girls Track and Field-Girls Lacrosse-Girls Totals

Participants

Junior High

2011-12 2012-13

820

802

3,521 3,610

18

27

9,783 9,707

291

295

131

140

0

0

88

151

2,336 2,623

0

0

8,516 8,451

2,060 2,099

1,876 1,957

174

182

51

47

1,187 1,338

0

0

6,288 6,421

0

1

1

1

0

0

8,478 8,586

0

0

7,311 7,112

1

0

81

79

88

99

8,017 8,180

0

0

61,117 61,908

Participants High

Schools

2011-12 2012-13

14,453 14,657

9,648

9,602

1,115

1086

22,869 22,836

425

490

2,992

3,097

564

587

1,141

1,137

7,192

7,423

19,655 21,242

13,962 14,121

5,243

5,328

4,007

3,824

8,110

8,074

1,811

1,969

9,908

9,835

3,769

3,830

10,212 10,264

178

186

4,148

4,217

3,607

3,432

13,924 14,223

1,138

1,155

10,369 10,383

1,634

1,633

7,991

7,930

2,975

2,886

10,975 11,287

1,228

1,243

195,243 197,977

Participants

Total

2011-12 2012-13

15,273 15,459

13,169 13,212

1,133 1,113

32,652 32,543

716

785

3,123 3,237

564

587

1,229 1,288

9,528 10,046

19,655 21,242

22,478 22,572

7,303 7,427

5,883 5,781

8,284 8,256

1,862 2,016

11,095 11,173

3,769 3,830

16,500 16,685

178

187

4,149 4,218

3,607 3,432

22,402 22,809

1,138 1,155

17,680 17,495

1,635 1,633

8,072 8,009

3,063 2,985

18,992 19,467

1,228 1,243

256,360 259,885

Sport/Activity

Sport *Taking into Account 20% Duplication of Athletes Total Adjustment Participation Sport Activity *Taking into Account 20% Duplication of Students Total Adjustment Participation Activity Total Adjustment Participation Sport/Activity

*20% duplication is only an estimate and not an actual number.

Total Participation

220,906 44,181 176,725 38,979 7,796 31,183 207,908

Data Collected

ALL ? HIGH SCHOOL AND JUNIOR HIGH SCHOOL SPORTS AND ACTIVITIES

Level HS JH HS JH HS HS JH JH HS JH HS HS JH JH HS JH HS JH HS JH HS HS JH JH HS JH HS JH HS JH HS HS JH JH HS HS JH JH HS JH HS HS JH JH HS

Sport/Activity Scholar Bowl Scholar Bowl Baseball - Spring Baseball Basketball - Boys Basketball - Girls Basketball - Boys Basketball - Girls Sideline Cheerleading Sideline Cheerleading Cross Country - Boys Cross Country - Girls Cross Country - Boys Cross Country - Girls Field Hockey Field Hockey 11-Man Football 11-Man Football 8-Man Football 8-Man Football Golf - Boys Golf - Girls Golf - Boys Golf - Girls Gymnastics Gymnastics Music Activities Music Activities Dance/Pom Team Dance/Pom Team Soccer - Boys Soccer - Girls Soccer - Boys Soccer - Girls Softball - Boys Softball - Girls Fall Softball - Boys Softball - Girls Speech and Debate Speech and Debate Swimming & Diving - Boys Swimming & Diving - Girls Swimming & Diving - Boys Swimming & Diving - Girls Tennis - Boys

Sport Related

0 0 64 0 174 209 9 13 169 0 1 2 0 0 16 0 1295 65 30 0 0 1 0 0 0 0 2 0 7 0 194 198 0 0 0 61 0 2 0 0 7 11 0 0 0

Non-Sport Related 0 0 10 0 11 18 3 2 10 0 0 3 0 0 1 0 52 7 0 0 0 0 0 0 0 0 0 0 5 0 18 8 0 0 0 6 0 0 2 0 1 1 0 0 1

Days/Class Sport 0 0 40 0 185 326 10 10 162 0 1 0 0 0 14 0 1451 65 29 0 0 3 0 0 0 0 0 0 24 0 236 232 0 0 0 69 0 1 0 0 5 32 0 0 0

Days/Class Non-Sport

0 0 11 0 25 24 13 5 15 0 0 6 0 0 2 0 36 10 0 0 0 0 0 0 0 0 0 0 11 0 16 12 0 0 0 27 0 0 0 0 0 1 0 0 0

Days Missed Sport 0 0 636 0 1897 2409 60 141 2260 0 0 17 0 0 152 0 13944 589 339 0 0 21 0 0 0 0 7 0 72 0 2077 2287 0 0 0 931 0 24 0 0 51 206 0 0 0

Days Missed Non-Sport

0 0 64 0 103 270 30 24 105 0 0 44 0 0 10 0 522 63 0 0 0 0 0 0 0 0 0 0 95 0 149 67 0 0 0 65 0 0 0 0 6 25 0 0 2

Reporting Schools

0 0 38 0 100 113 10 12 73 0 1 3 0 0 10 0 217 38 14 0 0 1 0 0 0 0 2 0 9 0 86 81 0 0 0 44 0 2 1 0 7 9 0 0 1

HS

Tennis - Girls

JH

Tennis - Boys

JH

Tennis - Girls

HS

Track and Field - Boys

HS

Track and Field - Girls

JH

Track and Field - Boys

JH

Track and Field - Girls

HS

Volleyball - Boys

HS

Volleyball - Girls

JH

Volleyball - Boys

JH

Volleyball - Girls

HS

Water Polo

JH

Water Polo

HS

Winter Guard

JH

Winter Guard

HS

Wrestling

JH

Wrestling

HS

Baseball - Fall Season

HS

Softball - Girls Spring

HS

Lacrosse - Girls

HS

Bass Fishing

JH

Bass Fishing

HS

Bowling

JH

Bowling

HS

Chess

JH

Chess

HS

Target Shooting

JH

Target Shooting

TOTAL

6

2

7

0

0

0

0

0

0

7

3

11

11

6

11

3

1

3

1

0

0

3

0

2

87

9

83

0

0

0

9

1

10

21

1

12

0

0

0

2

0

0

0

0

0

218

8

234

3

0

2

3

2

3

4

1

4

33

1

28

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

2941

194

3305

5

31

0

0

0

0

2

71

3

111

3

12

0

1

0

24

4

1068

0

0

2

79

2

269

0

0

0

17

0

0

14

2637

0

29

7

37

40

22

3

372

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

299

32900

19 0 0

20 69 10

0 0 107 0 7 7 0 0 0 65 0 30 32 15 0 0 0 0 0 0 0 0

2025

6 0 0 9 13 4 1 3 55 0 8 7 0 2 0 79 3 4 5 15 0 0 0 0 0 0 0 0

1086

HIGH SCHOOL ACTIVITIES

Level HS HS HS HS HS HS HS HS HS HS

Activity Scholar Bowl Sideline Cheerleading Music Activities Dance/Pom Team Speech and Debate Winter Guard Bass Fishing Bowling Chess Target Shooting

TOTALS

Sport Related

0 169

2 7 0 2 0 0 0 0

Non-Sport Related 0 10 0 5 2 0 0 0 0 0

Days/Class Sport 0 162 0 24 0 0 0 0 0 0

Days/Class Non-Sport

0 15

0 11

0 0 0 0 0 0

Days Missed Sport 0 2260 7 72 0 17 0 0 0 0

Days Missed Non-Sport

0 105

0 95

0 0 0 0 0 0

Reporting Schools

0 73

2 9 1 2 0 0 0 0

180

17

186

26

2356

200

87

HIGH SCHOOL SPORTS

Level HS HS HS HS HS HS HS HS HS HS HS HS HS HS HS HS HS HS HS HS HS HS HS HS HS HS HS HS

Activity Baseball - Spring Basketball - Boys Basketball - Girls Cross Country - Boys Cross Country - Girls Field Hockey 11-Man Football 8-Man Football Golf - Boys Golf - Girls Gymnastics Soccer - Boys Soccer - Girls Softball - Boys Softball - Girls Fall Swimming & Diving - Boys Swimming & Diving - Girls Tennis - Boys Tennis - Girls Track and Field - Boys Track and Field - Girls Volleyball - Boys Volleyball - Girls Water Polo Wrestling Baseball - Fall Season Softball - Girls Spring Lacrosse - Girls

Sport Related

64 174 209

1 2 16 1295 30 0 1 0 194 198 0 61 7 11 0 6 7 11 3 87 21 218 3 4 33

Non-Sport Related 10 11 18 0 3 1 52 0 0 0 0 18 8 0 6 1 1 1 2 3 6 0 9 1 8 2 1 1

Days/Class Sport 40 185 326 1 0 14 1451 29 0 3 0 236 232 0 69 5 32 0 7 11 11 2 83 12 234 3 4 28

Days/Class Non-Sport

11 25 24

0 6 2 36 0 0 0 0 16 12 0 27 0 1 0 5 2 3 0 4 2 14 7 40 3

Days Missed Sport 636 1897 2409 0 17 152 13944 339 0 21 0 2077 2287 0 931 51 206 0 31 71 111 24 1068 269 2637 37 22 372

Days Missed Non-Sport

64 103 270

0 44 10 522

0 0 0 0 149 67 0 65 6 25 2 19 20 69 0 107 7 65 30 32 15

Reporting Schools

38 100 113

1 3 10 217 14 0 1 0 86 81 0 44 7 9 1 6 9 13 3 55 7 79 4 5 15

TOTALS

2656

163

3018

240

29609

1691

921

JUNIOR HIGH SCHOOL ACTIVITIES

Level JH JH JH JH JH JH JH JH JH JH

Activity Scholar Bowl Sideline Cheerleading Music Activities Dance/Pom Team Speech and Debate Winter Guard Bass Fishing Bowling Chess Target Shooting

Sport Related

0 0 0 0 0 0 0 0 0 0

Non-Sport Related 0 0 0 0 0 0 0 0 0 0

Days/Class Sport 0 0 0 0 0 0 0 0 0 0

Days/Class Non-Sport

0 0 0 0 0 0 0 0 0 0

Days Missed Sport 0 0 0 0 0 0 0 0 0 0

Days Missed Non-Sport

0 0 0 0 0 0 0 0 0 0

Reporting Schools

0 0 0 0 0 0 0 0 0 0

TOTAL

0

0

0

0

0

0

0

JUNIOR HIGH SCHOOL SPORTS

Level JH JH JH JH JH JH JH JH JH JH JH JH JH JH JH JH JH JH JH JH JH JH JH JH JH

Sport Baseball Basketball - Boys Basketball - Girls Cross Country - Boys Cross Country - Girls Field Hockey 11-Man Football 8-Man Football Golf - Boys Golf - Girls Gymnastics Soccer - Boys Soccer - Girls Softball - Boys Softball - Girls Swimming & Diving - Boys Swimming & Diving - Girls Tennis - Boys Tennis - Girls Track and Field - Boys Track and Field - Girls Volleyball - Boys Volleyball - Girls Water Polo Wrestling

Sport Related

0 9 13 0 0 0 65 0 0 0 0 0 0 0 2 0 0 0 0 3 1 0 9 0 3

Non-Sport Related 0 3 2 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0

Days/Class Sport 0 10 10 0 0 0 65 0 0 0 0 0 0 0 1 0 0 0 0 3 0 0 10 0 2

Days/Class Non-Sport

0 13

5 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 2 0 0

Days Missed Sport 0 60 141 0 0 0 589 0 0 0 0 0 0 0 24 0 0 0 0 12 1 0 79 0 29

Days Missed Non-Sport

0 30 24

0 0 0 63 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 7 0 0

Reporting Schools

0 10 12

0 0 0 38 0 0 0 0 0 0 0 2 0 0 0 0 4 1 0 8 0 3

TOTAL

105

14

101

33

935

134

78

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