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.

Scholar-Athlete Awards Finalists Named

By Geoff Kimmerly
MHSAA.com senior editor

January 25, 2012

The 120 finalists for the Michigan High School Athletic Association's Scholar-Athlete Award for the 2011-12 school year -- including three each from three schools -- have been announced.

The program, which has been recognizing student-athletes since the 1989-90 school year, will honor 32 individuals from MHSAA member schools who participate in at least one sport in which the Association sponsors a postseason tournament. Farm Bureau Insurance underwrites the Scholar-Athlete Award, and will present a $1,000 scholarship to each recipient. Since the beginning of the program, 544 scholarships have been awarded.

Scholarships will be presented proportionately by school classification, with 12 scholarships to be awarded to Class A student-athletes, six female and six male; eight scholarships will be awarded to Class B student-athletes, four female and four male; six scholarships will be awarded to Class C student-athletes, three female and three male; and four scholarships will be awarded to Class D student-athletes, two female and two male. In addition, there also will be two at-large honorees which also are part of the general judging process, may come from any classification, and are designated by their school at the time of entry.

Every MHSAA member high school could submit as many applications as there are scholarships available in its classification, and could have more than one finalist. Marlette, Northville and Rochester Adams each have three finalists this year, while 20 schools have two: Bay City Central, Bloomfield Hills Brother Rice, Birmingham Groves, Dearborn, Delton Kellogg, East Lansing, Frankfort, Hillsdale Academy, Hopkins, Jenison, Kinde-North Huron, Midland, Midland Dow, Pontiac Notre Dame Prep, Rochester, Spring Lake, Springport, Tecumseh, White Lake Lakeland and Williamston.

Multiple-sport participation remains the norm among applicants. The average sport participation rate of the finalists is 2.58, while the average of the application pool was 2.13 – both within a tenth of last year’s rates in those categories. There are 66 three-plus sport participants in the finalist field, and all but three of the 28 sports in which the MHSAA sponsors postseason tournaments are represented.

Of 386 schools which submitted applicants, 51 submitted the maximum allowed. This year, 1,636 applications were received. All will be presented with certificates commemorating their achievement.  Additional Scholar-Athlete information, including a complete list of scholarship nominees, can be found on this MHSAA Website link.

The applications were judged by a 62-member committee of school coaches, counselors, faculty members, administrators and board members from MHSAA member schools. Selection of the 32 scholarship recipients will take place in early February. Class C and D scholarship recipients will be announced on February 7; Class B scholarship recipients will be announced on February 14, and Class A scholarship recipients will be announced on February 21. All announcements will be made on the MHSAA Web site.

To honor the 32 Scholar-Athlete Award recipients, a ceremony will take place during halftime of the Class C Boys Basketball Final, March 24 at the Breslin Student Events Center in East Lansing.

To be eligible for the award, students must have a cumulative grade point average of 3.50 (on a 4.0 scale), and previously have won a varsity letter in at least one sport in which the MHSAA sponsors a postseason tournament. Students also were asked to respond to a series of short essay questions, submit two letters of recommendation and submit a 500-word essay on the importance of sportsmanship in educational athletics.

Farm Bureau Insurance, one of Michigan's major insurers, has a statewide force of more than 400 agents serving more than 380,000 Michigan policyholders. Besides providing life, home, auto, farm, business and retirement insurance, the company also sponsors life-saving, real-time Doppler weather tracking systems in several Michigan communities.              

The MHSAA is a private, not-for-profit corporation of voluntary membership by more than 1,600 public and private senior high schools and junior high/middle schools which exists to develop common rules for athletic eligibility and competition. No government funds or tax dollars support the MHSAA, which was the first such association nationally to not accept membership dues or tournament entry fees from schools.  Member schools which enforce these rules are permitted to participate in MHSAA tournaments, which attract approximately 1.6 million spectators each year.


2011-12 Scholar-Athlete Award Finalists

BOYS CLASS A

Matthew Alexander Beem, Traverse City West

Brendon Clover, White Lake Lakeland

Ryan Denison, Dearborn

Saeed El Saghir, Bay City Central

Steven Alexander Fox, Grand Rapids Forest Hills Central

Christopher Robert Hagan, East Lansing

Alexander Hassan, Ann Arbor Huron

Joshua M. Heinze, Plymouth

Knute Hoffman, Midland

Hunter Holtrop, Okemos

Josh Hoogendoorn, Jenison

Nick Iacobellis, DeWitt

Jeremy Kozler, Livonia Stevenson

Conrad Arthur Lather, Midland Dow

Alec Latta, Northville

Gabriel Martinez, Livonia Franklin

Robert Paul, Bay City Central

Andrew Poterala, Northville

Nick Rao, Bloomfield Hills Brother Rice

Christopher Sesi, Bloomfield Hills Brother Rice

Blaine Stannard, Birmingham Groves

Alex Taylor, Rochester Adams

Daniel Tzou, Midland Dow

Garret Zuk, White Lake Lakeland

 

GIRLS CLASS A

Kelsey Adamski, Richland Gull Lake

Ellery Alexander, Caledonia

Kortnie L. Bush, Southgate Anderson

Jaymie Dyer, Hartland

Bethany Easom, Saline

Yara Nidal Fakhoury, Dearborn

Heather Smith, Farmington Hills Mercy

Amanda Marie Fodera, Fraser

Alexa Giovanatti, Rochester Adams

Morgan Hawver, Grand Haven

Hannah Marie Howarth, Gibraltar Carlson

Kelsey Kerin, St Clair

Hannah Lee, Rochester Adams

Maria Lepore, Rochester

Kelly Lunghamer, Birmingham Marian

Nicole McDermott, Mason

Gina Marie McNamara, Northville

Katelyn Alexandra Pekala, Midland

Abigail Rawling, Rochester

Dana Schrauben, Lake Orion

Alexis Stanton, Jenison

Alexandra Trecha, East Lansing

Jessica Turner, Birmingham Groves

Abigail Wilson, Trenton

 

BOYS CLASS B

Jordan S. Daley, Grand Rapids Christian

Griffin Dean, Grayling

Nathaniel P. Gaynor, Pontiac Notre Dame Prep

Mason E. Geno, Essexville Garber

Jeffrey John Gregory, Kingsford

Nathaniel Ferris Iveson, Middleville Thornapple Kellogg

Andrew Kelley, Allegan

Nathan Kossey, Tecumseh

Joseph Longstreet, Hastings

Dan Macalka, Comstock Park

Dillon McCarthy, Whitehall

Jacob Mineau, Marysville

Nick Huston Parnell, Spring Lake

Caleb Pung, Portland

Craig Zebell, Dowagiac

Alan Zhen, Livonia Clarenceville

 

GIRLS CLASS B

Sara Marie Barron, Pontiac Notre Dame Prep

Kathryn MacDermid Bollman, Williamston

Julie Buursma, Holland Christian

Kristin Gilbert, Hopkins

Hannah Grischke, Williamston

Sarah Hartley, Birch Run

Emily Kendro, Spring Lake

Nathalie Kenny, Manistee

Keara Kilbane, Hopkins

Laurin Masnari, Three Rivers

Erin Moser, Midland Bullock Creek

Rachel Neumann, Flint Powers Catholic

Brianne Nowak-Scott, Tecumseh

Emily Oren, Hamilton

Miranda Scott, Charlotte

Kaitlyn Stevens, Ovid-Elsie

 

BOYS CLASS C

Zachary French, Ishpeming Westwood

Dakota M. Hard, Quincy

Jonathan Andrew Harper, Clare

Ryan Hook, Delton Kellogg

Kolby Lange, Marlette

Trevor Lewis, Elkton-Pigeon-Bay Port Laker

Gregory Long, Sand Creek

Sean McBrayer, Unionville-Sebewaing

David Powers, Jr., Michigan Center

Benjamin Rebertus, Negaunee

Dirk E. Stoneman, Breckenridge

Ryan Watson, Delton Kellogg

 

GIRLS CLASS C

Brandy Bowers, Springport

Cayla Broton, Hesperia

Emily Crick, East Jordan

Lauren Dietrich, Gobles

Megan Kangas, Norway

Rachel Leightner, Springport

Lena Madison, New Buffalo

Rachel McEwen, Marlette

Karley Sauder, Marlette

Elyse Ann Louise Starck, Morley-Stanwood

Kelcey Stauffer, Sandusky

Isabella Yzerman, Bloomfield Hills Academy of the Sacred Heart

 

BOYS CLASS D

Evan Chalker, Buckley

Evan Dhyse, Kinde-North Huron

Seth Kintigh, Jackson Christian

Timothy Logghe, Peck

Joseph Nugent, Frankfort

Adam Plumstead, Frankfort

Sabeek Pradhan, Hillsdale Academy

Benjamin Ross, Lawrence

 

GIRLS CLASS D

Haley Buckey, Caseville

Kelsey Butcher, Morrice

Quinnlin Daily, Kingston

Natalija Galens, Watervliet Grace Christian

Haley Moore, Kinde-North Huron

Margaret Aileen Ryan, Hillsdale Academy

Jamie Lyn Seppanen, Eben Junction Superior Central

Alexandria Whitman, Fulton