Specialization Risks
July 21, 2014
Another informed and influential voice has joined our frequent refrain that sports specialization is rarely in a student’s best interest.
David Epstein, author of The Sports Gene, offered an opinion piece for the New York Times last month that “hyper-specialization . . . is both dangerous and counterproductive.”
Epstein described the results of a three-year study at Loyola University of Chicago that found highly specialized youth had a 36 percent increased risk of suffering a serious overuse injury, including “stress fractures in their backs, arms and legs; damage to elbow ligaments; and cracks in the cartilage in their joints.”
Epstein continued: “Because families with greater financial resources were better able to facilitate the travel and private coaching that specialization requires, socio-economic status turned up as a positive predictor of serious injury.”
“In case health risks alone aren't reason enough for parents to ignore the siren call of specialization,” wrote Epstein, “diversification also provides performance benefits.” He cited “better learning of motor and anticipatory skills – the unconscious ability to read bodies and game situations – to other sports. They take less time to master the sport they ultimately choose.”
School Sports’ Influence
June 20, 2017
As I sat a year ago in an audience consisting of my colleagues from across the U.S., I shared the general frustration – or perhaps it was exhaustion – when a veteran member of our national sports medicine advisory committee discussed the role of high school sports leaders in addressing what he said posed the greatest threat to students.
That threat was nothing we had been working on so very hard for so very long. It wasn’t heads, heat or hearts. Not extreme weight loss in wrestling or, increasingly, in other sports. Not communicable diseases, especially in wrestling. It wasn’t specialization. Not performance enhancing drugs.
He reported that the greatest threat is accidents. Away from the practice and competition venues, and especially traffic accidents. He wondered what our role should be.
He acknowledged much we’ve done regarding so many issues in the past, and all the newer issues – such as opioid addiction, depression and suicide – that are pressing for our attention; but he said it was the same issue today that it has been for decades that most threatens students. Accidents. Especially automobile accidents.
He admitted that the time and place of this threat was not under the control of athletic coaches and administrators. But his point was that the time and place is still under the influence of coaches and administrators.
Say all you want that school sports is irrelevant in this age of video games and ubiquitous non-school sports. This physician knows the score. He knows that school sports still matters mightily to kids, and that those in charge of local school sports programs still yield great power over young people.
Pick a problem – almost any problem – and people want school sports to address it. From bullying to bulimia, from obesity to overuse injuries. It is unfair to ask us to do all this, especially when funding for school sports is considered a frill in so many places.
But it’s a heck of an honor to work in an area where people think we’re the solution, or at least a deterrent. So we keep trying.