Study: Single-Sport Athletes Injured More

November 3, 2016

A study conducted by the University of Wisconsin School of Medicine and Public Health and funded by the National Federation of State High School Associations (NFHS) Foundation revealed that high school athletes who specialize in a single sport sustain lower-extremity injuries at significantly higher rates than athletes who do not specialize in one sport. 

The study was conducted throughout the 2015-16 school year at 29 high schools in Wisconsin involving more than 1,500 student-athletes equally divided between male and female participants. The schools involved in the study represented a mixture of rural (14), suburban (12) and urban (3) areas, and enrollments were equally diverse with 10 small schools (less than 500 students), 10 medium schools (501-1,000 students) and nine large schools (more than 1,000 students).

Athletes who specialized in one sport were twice as likely to report previously sustaining a lower-extremity injury while participating in sports (46%) than athletes who did not specialize (24%). In addition, specialized athletes sustained 60 percent more new lower-extremity injuries during the study than athletes who did not specialize. Lower-extremity injuries were defined as any acute, gradual, recurrent or repetitive-use injury to the lower musculoskeletal system.

“While we have long believed that sport specialization by high school athletes leads to an increased risk of overuse injury, this study confirms those beliefs about the potential risks of sport specialization,” said Bob Gardner, NFHS executive director. “Coaches, parents and student-athletes need to be aware of the injury risks involved with an overemphasis in a single sport.”

Among those who reported previously sustaining a lower-extremity injury, the areas of the body injured most often were the ankle (43%) and knee (23%). The most common types of previous injuries were ligament sprains (51%) and muscle/tendon strains (20%).

New injuries during the year-long study occurred most often to the ankle (34%), knee (25%) and upper leg (13%), with the most common injuries being ligament sprains (41%), muscle/tendon strains (25%) and tendonitis (20%).

In addition, specialized athletes were twice as likely to sustain a gradual onset/repetitive-use injury than athletes who did not specialize, and those who specialized were more likely to sustain an injury even when controlling for gender, grade, previous injury status and sport.

Thirty-four (34) percent of the student-athletes involved in the Wisconsin study specialized in one sport, with females (41%) more likely to specialize than males (28%). Soccer had the highest level of specialization for both males (45%) and females (49%). After soccer, the rate of specialization for females was highest for softball (45%), volleyball (43%) and basketball (37%). The top specialization sports for males after soccer were basketball (37%), tennis (33%) and wrestling (29%).

The study, which was directed by Timothy McGuine, Ph.D., ATC, of the University of Wisconsin, also documented the effects of concurrent sport participation (participating in an interscholastic sport while simultaneously participating in an out-of-school club sport), which indicated further risk of athletes sustaining lower-extremity injuries.

Almost 50 percent of the student-athletes involved in the survey indicated they participated on a club team outside the school setting, and 15 percent of those individuals did so while simultaneously competing in a different sport within the school. Seventeen (17) percent of the student-athletes indicated that they took part in 60 or more primary sport competitions (school and club) in a single year. Among those student-athletes in this group who sustained new lower-extremity injuries during the year, 27 percent were athletes who specialized in one sport.

The student-athletes involved in the study were deemed “specialized” if they answered “yes” to at least four of the following six questions: 1) Do you train more than 75 percent of the time in your primary sport?; 2) Do you train to improve skill and miss time with friends as a result?; 3) Have you quit another sport to focus on one sport?; 4) Do you consider your primary sport more important than your other sports?; 5) Do you regularly travel out of state for your primary sport?; 6) Do you train more than eight months a year in your primary sport? 

Although some sports (field hockey, lacrosse) are not offered in Wisconsin and were not included in the study, the study concluded that since specialization increased the risk of lower-extremity injuries in sports involved in the survey it would also likely increase the risk of injuries in sports that were not a part of the study.

Detroit PSL’s McEvans, Comstock’s Ansel & KLAA’s Masi Named 2024 Bush Award Recipients

By Geoff Kimmerly
MHSAA.com senior editor

July 23, 2024

Detroit Public School League assistant director Anika McEvans, Comstock Public Schools athletic director Justin Ansel and Kensington Lakes Activities Association commissioner Bryan Masi all have served educational athletics for multiple decades in high-profile positions – but as is common in those roles, with much of their difference-making work taking place behind the scenes.

To recognize their efforts and celebrate those vast contributions to school sports, they have been named the 2024 recipients of the Michigan High School Athletic Association’s Allen W. Bush Award.

Al Bush served as executive director of the MHSAA for 10 years. The award honors individuals for past and continuing service to school athletics as a coach, administrator, official, trainer, doctor or member of the media. The award was developed to bring recognition to people who are giving and serving locally, regionally or statewide without a lot of attention. This is the 33rd year of the award.

McEvans finished her fifth school year this spring serving in the Office of Athletics for the Detroit Public Schools Community District, which administers programs for the Detroit PSL. She is responsible for planning and implementation of the PSL’s sports offerings for 72 elementary and middle schools in addition to her several responsibilities supporting the league’s 20 high schools.

Anika McEvans headshotThe 1994 Detroit Renaissance graduate, and three-sport athlete there, came to the PSL from Southfield Public Schools, where she served as athletic director from 2012-15 for the former Southfield High School and then as district athletic director through 2017-18. As district director, she supervised more than 100 coaches, staff and volunteers and assisted in the merger of Southfield High and Southfield-Lathrup into Southfield Arts & Technology High School for the start of the 2016-17 school year. She previously served as well in several roles at Detroit Academy of Arts & Sciences from 2006-12, and also as director of business operations and then general manager for the Detroit Demolition/Detroit Danger women’s professional football franchise from 2002-06 and as assistant general manager for the Motor City Mechanics minor league hockey team from 2004-06.

McEvans has provided valuable input on a variety of MHSAA committees over the last decade, including athletic equity, junior high/middle school, scholar-athlete and as part of multiple officials and site selection committees and as a key voice on the MHSAA Multi-Sport Task Force during the last half of the last decade. The mother of three – with two current college athletes and a college freshman-to-be – also served as head girls basketball coach at Academy of Arts & Sciences, assistant girls basketball coach at Southfield and assistant boys basketball coach and assistant softball coach at Renaissance. She has a bachelor’s degree in sports management & communication from University of Michigan and a master’s in business administration from University of Detroit Mercy.

“Anika McEvans has provided a valuable voice in a variety of subjects of statewide importance, but especially on topics impacting students as they transition from middle school to high school – relying not only on her experiences as an administrator, but also as a parent helping her children navigate their paths in athletics,” MHSAA Executive Director Mark Uyl said. “Her work on the Junior High/Middle School Committee and Multi-Sport Task Force directly led to the creation of more opportunities for our younger athletes, but with a continuing focus on providing them with a well-rounded athletic experience.”

Ansel has served the last 17 years as athletic director for Comstock Public Schools, and during his time in the district also has coached varsity girls basketball and boys soccer and middle school girls and boys basketball, soccer and cross country. Both of his Colts varsity programs won multiple league championships under his guidance. Ansel came to Comstock after a decade at Onaway, where he taught and coached all 10 years and also served as athletic director over the final five.

Justin Ansel headshotHis vast experiences on the sidelines and in the athletic office have made Ansel a valuable contributor on several MHSAA committees as well, including most recently the Junior High/Middle School Committee, and he’s also served as Southwest 10 Conference president and in multiple leadership roles with the Michigan Interscholastic Athletic Administrators Association (MIAAA). Locally, Ansel has raised from than $60,000 for various projects at Comstock, several highlighting the school’s athletic history.

A Monroe High graduate, Ansel earned a bachelor’s degree from Spring Arbor University in 1997, master’s degrees in education from Marygrove College in 2003 and educational leadership from Grand Valley State University in 2005, and he completed GVSU’s educational specialist in leadership program in 2018. He also has earned his certified master athletic administrator designation from the National Interscholastic Athletic Administrators Association (NIAAA) and completed the master elite level of the MHSAA Coaches Advancement Program (CAP).  Ansel was nominated by the MIAAA for the NIAAA’s Jim Teff Professional Development Achievement Award in 2019, and he was named the MIAAA’s Region 4 Athletic Director of the Year in 2023.

“Justin Ansel is known in his community, league and by those who have served with him across the state for his hands-on approach to providing enriching experiences for the communities he serves,” Uyl said. “His style as an administrator reflects what he’s provided as a coach – he’s known as an insightful team builder always working to move his programs forward.”

Masi just completed his fourth year as commissioner of the Kensington Lakes Activities Association, which is made up of 16 of the largest suburban schools in Metro Detroit, with his responsibilities including serving as liaison for the league locally and at the state level. He also previously served as the KLAA’s football commissioner from the league’s start in 2008.

Bryan Masi headshotHe previously served as athletic director at Northville for 17 years, where he created the Northville Athletic Community Service Initiative that has raised thousands of dollars and provided goods and services for needy individuals and community service groups. He also started Northville’s unified sports program and hosted one of the MHSAA’s first junior high/middle school cross country Regional meets during the pilot stage of that program. Northville also hosted several MHSAA postseason events and sessions of the Coaches Advancement Program under his leadership.

A teacher previously and longtime coach as well, Masi was named Michigan Secondary Teacher of the Year in 1997 by the Michigan Association for Health, Physical Education, Recreation and Dance (MAPHERD) and selected to coach in the Michigan High School Football Coaches Association East/West All-Star Game in 1998. He was named MIAAA Region 11 Athletic Director of the Year in 2013 and MIAAA Middle School Athletic Director of the Year in 2019, and inducted into the Northville Athletic Hall of Fame in 2021. Masi also has served on several MHSAA committees including for football, gymnastics and junior high/middle school sports.

Masi graduated from Dearborn Edsel Ford, then earned his bachelor’s degree from Western Michigan University, his master’s from Wayne State University and his certified athletic administrator (CAA) designation.

“Bryan Masi has brought the leadership, perspective and ingenuity he employed to build Northville’s success to the KLAA, and those qualities continue to show as he leads one of the state’s most high-profile leagues,” Uyl said. “Bryan is admired and respected by his counterparts, locally and across the state, not only for how he leads but the values he promotes in doing so.”