Specialization Risks

July 21, 2014

Another informed and influential voice has joined our frequent refrain that sports specialization is rarely in a student’s best interest.

David Epstein, author of The Sports Gene, offered an opinion piece for the New York Times last month that “hyper-specialization . . . is both dangerous and counterproductive.”

Epstein described the results of a three-year study at Loyola University of Chicago that found highly specialized youth had a 36 percent increased risk of suffering a serious overuse injury, including “stress fractures in their backs, arms and legs; damage to elbow ligaments; and cracks in the cartilage in their joints.”

Epstein continued: “Because families with greater financial resources were better able to facilitate the travel and private coaching that specialization requires, socio-economic status turned up as a positive predictor of serious injury.”

“In case health risks alone aren't reason enough for parents to ignore the siren call of specialization,” wrote Epstein, “diversification also provides performance benefits.” He cited “better learning of motor and anticipatory skills – the unconscious ability to read bodies and game situations – to other sports. They take less time to master the sport they ultimately choose.”

More Than X’s & O’s

April 17, 2015

It’s nearly the fourth quarter. We are just completing year six of eight years in which we have been addressing four important health and safety issues that, for ease of conversation, we call the “Four H’s.” These are much more important than the X’s and O’s of sports.

During the 2009-10 and 2010-11 school years, the first quarter, our focus was on Health Histories. During this time we made enhancements in the pre-participation physical examination form, stressing the student’s health history, which we believe was and is the essential first step to participant health and safety.

During the 2011-12 and 2012-13 school years, the second quarter, our focus was on Heads. We were an early adopter – before state law mandates – of removal-from-play and return-to-play protocols, and our preseason rules/risk management meetings for coaches included information on concussion prevention, recognition and aftercare.

Without leaving that behind, during the 2013-14 and 2014-15 school years, the third quarter, our focus was on Heat – acclimatization. We adopted a policy to manage heat and humidity – it is recommended for regular season and it’s a requirement for MHSAA tournaments. The rules/risk management meetings for coaches during these years focused on heat and humidity management. At the mid-point of this two-year period, the MHSAA adopted policies to enhance acclimatization at early season football practices and to reduce head contact at practices all season long.

Without leaving any of the three previous health and safety “H’s” behind, during the 2015-16 and 2016-17 school years, the fourth quarter, our focus will be on Hearts – sudden cardiac arrest and sudden cardiac death. Coinciding with this emphasis is the requirement that all high school level, varsity level head coaches be CPR certified starting this fall. Our emphasis will be on AEDs and emergency action plans – having them and rehearsing them; and this summer we are expecting to deliver to every high school free of charge the “Anyone Can Save a Life” program developed in Minnesota and being distributed nationwide with the assistance of the National Federation of State High School Associations.