The Inherent Risk of Sport Specialization

April 30, 2018

By Bob Gardner
Executive Director of the National Federation of State High School Associations
 

One of the responsibilities that parents take most seriously is protecting their children from injury, whether it is buckling seat belts in a car or wearing a helmet while riding a bike. And when their kids become teenagers and want to participate in sports or other activities, parents do everything they can to keep their sons and daughters from getting hurt.

But not all injuries are caused by a twist, fall, collision or accident. Many are caused when young athletes repeat the same athletic activity so often that muscles, ligaments, tendons and bones don’t have time to recover—especially among middle school and high school students. These injuries can end promising careers, cost families tens of thousands of dollars, squash dreams and literally change lives.

Examples include elbow and arm injuries to teenagers who play baseball or softball all year long, shoulder injuries to year-round swimmers, wrist and elbow injuries to gymnasts, and stress fractures to soccer players.

The culprit, most often, is what’s commonly known as “sport specialization,” the process of playing the same sport all year long with the goal of either gaining a competitive edge or earning a college scholarship. It involves intense, year-round training in a single sport.     

Research shows that sports specialization is putting teenage athletes at risk. According to a study commissioned by the National Federation of State High School Associations (NFHS) and conducted by researchers from the University of Wisconsin, high school athletes who specialize in a single sport are 70 percent more likely to suffer an injury during their playing season than those who play multiple sports.

The American Academy of Orthopedic Surgeons says much the same. It reports that “overuse injuries” (injuries caused when an athletic activity is repeated so often that parts of the body do not have enough time to heal) are responsible for nearly half of all sports injuries to middle school and high school students.

There is a solution. Young athletes should be encouraged to play multiple sports. 

When student-athletes cross-train, they work different muscle groups and joints which, in fact, results in better overall conditioning. They also develop a new set of athletic skills like hand-eye coordination, balance, endurance, explosion and agility that are transferable to their primary sport. It’s no coincidence that 30 of the 32 first-round picks in the 2017 National Football League draft played multiple sports in high school.  

Parents can play a key role in preventing these overuse injuries by encouraging their kids to play multiple sports rather than pushing them to specialize in one sport. They will have more fun, will be less likely to suffer burnout and will actually become better athletes.

NFHS Hall of Famers: Multi-Sport Experience Makes Major Difference

By The NFHS Voice
National Federation of State High School Associations

July 28, 2026

The theory that athletes in high school need to specialize in one sport in an out-of-school program to progress to the next level was not the theme from the five athletes inducted into the National High School Hall of Fame last month in Salt Lake City, Utah.

At a press conference preceding the 43rd Hall of Fame induction ceremony, five former extraordinary high school athletes – all of whom later excelled at the college, professional and for a few Olympic levels – delivered resounding messages about the importance of playing multiple sports within school-based programs.

Joe Carter, who was a four-sport standout in football, basketball, baseball and track at Millwood High School in Oklahoma City, Oklahoma, long before his stellar pro baseball career, said he might never have been a successful pro baseball player without his multiple sport career at Millwood.

“If I had played baseball all year long, I wouldn’t have been a professional baseball player because I would have burned out,” Carter said. “Coaches will tell you that if you don’t come out for football in the spring instead of playing another sport, you will be passed up. This is not the case because if you’re good they will find you. I will take an athlete who played two or three sports over an athlete who just played one sport because those guys know how to take advantage of a situation and know how to adjust.”

Jordan Larson, a three-sport participant at Logan View High School in Hooper, Nebraska, before settling into volleyball and leading the University of Nebraska to an NCAA championship and playing in four consecutive Olympics, also pointed to multiple sports as a reason for success.

“I can’t emphasize it enough – playing multiple sports helped me personally,” Larson said. “It helped me adapt and adjust as I got older. I can’t recommend it enough from a young age.

“Playing multiple sports helped shape me health-wise from a longevity standpoint. There’s something to be said for the mind. If you’re on the grind in the same sport, burnout will come.”

Another volleyball standout in the 2026 class was Alisha Glass Childress, who also played basketball at Leland (Michigan) High School and who would later lead Penn State University to three consecutive NCAA volleyball titles and team with Larson on the U.S. squad at the 2016 Olympics in Brazil.

“Playing for your high school team is so important – it’s such a different experience,” Childress said. “Being in the same program for four years and getting to know the athletes you’re with, I felt like it was family.

“High school was a beautiful time and the beginning of a love affair with sports. I fell in love with the sport of volleyball but also tried a lot of different sports. I played basketball as well. For me, high school is when you start to have an understanding of yourself – reflecting on who you want to be or what you want to achieve.

“The life lessons you learn along the way are so important. The majority of the athletes on our team did not continue on to play past high school. The life lessons you learn as a high school athlete – being a leader, accountability, goal-setting – carry with you the rest of your life.” 

Patrick Willis was one of Tennessee’s top two-way football players at Hollow Rock-Bruceton Central High School who also played basketball and baseball before his hall of fame football career with the San Francisco 49ers.

“Coming from a small town with two red lights, I would say the most fun I had growing up was playing sports,” Willis said. “Life can throw a lot of things at you, and to be able to adjust is amazing. In sports, we’re able to learn these things – the discipline, the toughness, the perseverance. I wanted to be a representative that anything is possible, and it’s not just the ones from the big cities or towns, but ones from small towns also.”

Another proponent of playing multiple sports was Krissy Wendell Pohl, the most dominant player in girls ice hockey in Minnesota history and the national record-holder in goals scored in a season who went to a stellar career at the University of Minnesota and won a silver medal at the 2002 Olympics. In addition to her excellence in ice hockey, Wendell Pohl also played tennis, baseball and softball.

“It was so special for me to be able to play multiple sports,” said Wendell Pohl. “For me, playing baseball, softball and hockey, you had different groups of friends, different roles on different teams, and all of that had an impact and you don’t realize it until later.

“High school is the purest form of sport. What you learn in high school, as you’re learning and growing and developing, those things stay with you. The people who impact you in high school – you will never forget that.” 

We urge coaches today to take the message from these five outstanding athletes about playing multiple sports to heart and make that option available to athletes in their schools.

These vital programs help to shape young student-athletes into successful parents, citizens and leaders of our nation for years to come.