Mounting Evidence

October 10, 2014

On three occasions over the last three months alone, I’ve posted opinions and statistics about the downsides of sports specialization, often citing the work and words of others because, frankly, I’m expected to oppose sports specialization – it’s in my DNA and job description – and anyway, the experts always come from some other place.
  • On July 15 (“Misspent Money”), the Chicago Tribune’s William Hageman was the reporter and Utah State University provided the research. The message was that sports specialization is a serious waste of family resources.

  • On July 18 (“Specialization Risks”), the renowned David Epstein was the writer and Loyola University of Chicago provided the work. The message was that serious health risks make specialization counterproductive to successful sports careers.

  • On Sept. 5 (“More Than a Myth”), I reported that the Lansing State Journal picked a three-sport male and four-sport female as its 2013-14 high school athletes of the year – practical proof that the reports of the death of the multi-sport athlete are greatly exaggerated.

Last month, Athletic Business recalled its August 2013 interview with the often quoted Dr. James Andrews, the orthopedic surgeon and injury consultant and author of “Any Given Monday: Sports Injuries and How to Prevent Them for Athletes, Parents and Coaches – Based on My Life in Sports Medicine.” In this interview, Dr. Andrews reiterated his earlier statements (some quoted in earlier postings here) that there is a “dramatic increase in overuse injuries ... due in large part to kids participating in one sport all year ...”

Athletic Business editor-in-chief Dennis Van Milligen added in his September 2014 editorial:

“Parents are ‘investing’ outrageous amounts of money into their children’s athletic development, because the fear is that they will not reach the level they need to without specialization, a notion constantly disproved.”

For multiple reasons, the multiple-sport experience is best. We must strive continually to make that experience possible for most of our student-athletes.

Medical Mystery

September 4, 2015

Each year in MHSAA member schools there are approximately 200,000 student-athletes who complete a pre-participation physical examination for which an MD, DO, Nurse Practitioner or Physician’s Assistant will sign a form certifying the fitness of the student for one or more interscholastic sports.

That massive number of physical exams will produce a minimal number of complaints – mostly from medical personnel – regarding the “burden” of MHSAA procedures. But if there is one group for whom I have little sympathy, it’s for these medical offices.

During the past half-year I have had personal appointments at a half-dozen different medical offices. On each occasion of a first visit, I was required to complete a half-dozen or more forms, including information regarding my medical history. I became increasingly unimpressed with the antiquated operations of our health care system. This is a mystery to me.

  • Why is it that I must answer the same questions at every medical office to which I’m referred? Why, for example, don’t the orthopedic specialist and the physical therapist receive electronically my medical history from my primary physician?

  • Why is it that my primary physician does not receive a complete record of my immunizations from the county health department or any one of several pharmacies that has given me shots?

  • Why is it necessary to rely on the memory of the patient? Why isn’t there a medical database for me, accessible with my permission to every health care provider I see?

I expect that within three years, the MHSAA will follow a handful of other state high school associations to promote (and some state associations may require) electronic pre-participation medical history/physical exam forms which will not require parents to complete entirely new medical histories each and every year their child participates in school sports. 

While we may follow a few states by a year or two, it appears we will precede the medical establishment by many years in modernizing procedures. This will tend to assure that student-athlete medical histories are more complete and accurate; it will be a greater convenience to both parents and medical providers; and it will promote greater participant health and safety.