How Can COVID-19 Impact Student-Athletes' Return-To-Play?
October 5, 2021
COVID-19 And Student Athletes: How Can the Virus Impact Return-To-Play?
The end of summer marked the start of the school year, and for student athletes, the kickoff of the fall sports season. For many, COVID-19 sidelined practices, team gatherings and games to some extent last year. And while there is still hope that young athletes will have more opportunity to play this season despite rising cases of the Delta variant, there are other factors causing concern among athletes and their parents.
According to Ramsey Shehab, M.D., a sports medicine physician for Henry Ford Health System, many athletes are concerned about reaching peak performance after a long time off or after they have recovered from a COVID diagnosis. He reassures students that the feeling of exhaustion or even underperformance compared to past years is to be expected when you take time off or after fighting an illness.
“When you are infected with a virus, it taxes your immune system, and all of your energy goes towards fighting off that infection,” says Dr. Shehab. “You’ll likely feel weak and more tired during this time.”
Fortunately, as the body begins to recover, you’ll start to feel more like yourself again as you get your energy back. But this doesn’t mean that you won’t lose some of that fitness and endurance you’ve built up.
“It only takes about a week of deconditioning to set you back from peak athletic abilities,” says Dr. Shehab. “It is completely expected that your body will need time to get back to performing at your best.”
Playing Sports After Recovering From COVID-19
The unfortunate news: COVID-19 affects people differently in the long term. Some people are able to recover and get back to their routine without delay, whereas others see further complications months after an infection.
Akshay Khandelwal, M.D., a cardiologist with Henry Ford Health System, breaks down some of the more serious findings regarding COVID-19 and your heart health.
“With COVID-19, there is a risk of direct injury like heart failure or an arrhythmia due to the stress your body is under while fighting off the virus,” says Dr. Khandelwal. “As a result, having the virus can cause inflammation of the heart, a condition called myocarditis.”
Because of this, talking to your doctor before returning to a sport is a must if you had COVID or are recovering from the virus. It is important to make sure there are no systemic changes to your body such as overall heart health and lung function. They will be able to rule out any long-term effects that could impact your fitness output.
Expert-Recommended Steps for Return-To-Play
As you get back to your game, both experts share their insights for a healthy recovery:
1. Take quarantine periods seriously. If you are sick, even if you don’t necessarily feel sick, make sure you are taking time to rest and recover properly. “Don’t try to push or overexert yourself,” says Dr. Khandelwal. “It could prolong your recovery.”
2. Get back to training slowly. “Start using low-exertion activities to get your body used to working out again,” says Dr. Shehab. “Once you are able to handle each activity, you can push ahead to something more challenging.” Realistically, it may take a couple of weeks before you are able to get back to your peak.
3. Listen to your body. If workouts seem increasingly difficult, talk with your doctor or trainer before pushing yourself further. You can also help your body recover by making healthy, thoughtful choices:
► Get plenty of sleep
► Warm up and cool down before and after workouts
► Stay hydrated
► Take breaks when you’re tired
► Practice injury prevention
► Make smart food choices
4. Get vaccinated. If medical or religious reasons, or age requirements aren’t stopping you from getting the vaccine, consider getting the shot for yourself and those around you. The Delta variant is highly transmittable, meaning that, it is much easier for it to spread to teammates and family members than the original strain of the virus. To learn more about the COVID-19 vaccine, visit our Vaccine FAQs page.
Talk to your doctor to learn more about safely returning to a sport. To find a doctor, visit henryford.com or call 1-800-436-7936.
Dr. Ramsey Shehab is the deputy chief of Sports Medicine at Henry Ford Health System. He sees patients at the Henry Ford Center for Athletic Medicine and Henry Ford Medical Center - Bloomfield Township.
Dr. Akshay Khandelwal is an interventional cardiologist who sees patients at Henry Ford Medical Center – Second Avenue.
Class D Schools Set Multi-Sport Participation Record, Overall Rate Remains Steady
By
Geoff Kimmerly
MHSAA.com senior editor
September 22, 2026
The MHSAA's eighth Multi-Sport Participation Survey, conducted last spring for the 2025-26 school year, showed just more than 45 percent of athletes at member high schools participated in more than one sport – for the most part consistent with past findings although the state’s smallest schools posted a record high rate of athletes playing more than one sport.
The annual Multi-Sport Participation Survey was inspired by the MHSAA’s Task Force on Multi-Sport Participation, which was appointed in 2016 to study early and intense sport specialization – a serious issue related to health and safety at all levels of youth sports – and to promote multi-sport participation as a way to help stave off overuse injuries and burnout among athletes that have been tied to chronic injuries and health-related problems later in life.
The 2025-26 Multi-Sport Participation Survey received responses from 73.8 percent of member high schools and showed 45.3 percent of athletes at those MHSAA member high schools participating in two or more sports, an almost identical percentage as in 2024-25. For 2025-26, 47.5 percent of male athletes and 42.6 percent of female athletes played multiple sports, again percentages nearly identical to the previous school year. The percentage of multi-sport athletes remains inversely proportional to schools’ enrollments, as Class D schools – the state's smallest – again enjoyed the highest percentage of multi-sport athletes at 64.2 percent, followed by Class C schools (59.5), Class B (49.0) and Class A (38.4).
Results for Class A, B and C schools have remained consistent over the lifetime of the multi-sport participation survey, showing small increases over the years but not overwhelming changes. However, Class D multi-sport participation reached a high in 2025-26, with that 64.2 percent of athletes participating in at least two sports an increase of 6.1 percent since 2017-18. During that time, Class A multi-sport participation is up 3.0 percent, Class B is up 2.3 and Class C is up 4.3.
Battle Creek Harper Creek and Grand Rapids Northview have appeared among the top 10 percent of their respective Classes (A/B/C/D) for multi-sport participation seven of the eight years the survey has been conducted. Three more schools have appeared among the top 10 percent of their respective Classes six of the eight years – Decatur, Detroit Cody and Warren Michigan Collegiate – while East Grand Rapids, Lake Leelanau St. Mary, Manton and Parma Western have appeared among the top 10 percent of their Classes five times apiece.
In Class A, Harper Creek (73.2 percent) posted the highest percentage of multi-sport athletes for 2025-26, followed by Saginaw United (72.7), Harper Woods (72.1) and Macomb L’Anse Creuse North (65.9) also reporting at least 65 percent of athletes playing multiple sports.
Detroit Denby led Class B schools at 83.6 percent of athletes playing more than one sport, followed by Warren Michigan Collegiate (83.3), Ecorse (78.1), Detroit Osborn (75.6), Dearborn Heights Robichaud (76.2) and Flint Hamady (76.1) all topping 75 percent. In Class C, Detroit Community reported all 72 of its athletes played multiple sports during the 2025-26 school year, followed by Galesburg-Augusta (82.7 percent), Kingston (82.1), Niles Brandywine (80.7) and Martin (80.4) reaching 80 percent.
Watersmeet also reported all 27 of its athletes were multi-sport participants, followed in Class D by Lake Leelanau St. Mary (95.5 percent), Carney-Nadeau (94.8), Onekama (92.5) and Atlanta (90.9) reaching 90 percent.
The full summary report on the Multi-Sport Participation Survey is available on the “Multi-Sports Benefits” page.