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.”

Pilot Programs 2.0

May 10, 2016

Two sideline concussion detection pilot programs launched with 62 schools at the start of the 2015-16 school year will continue in 2016-17, with several significant modifications.

For the upcoming school year, a smaller number of schools will be invited to participate, training will be both earlier and longer, and the focus will be on those sports which the MHSAA’s mandated concussion reporting by all high schools has identified as having the highest risk for head injuries.

The primary purpose for the MHSAA to initiate, drive and monitor these pilot programs is to emphasize the removal-from-play phase of the concussion care continuum, and to encourage more care, consistency and courage during that decision-making process.

Data from the most recent fall and winter seasons tends to demonstrate that schools in the pilot programs reported more concussions than non-pilot schools and they withheld students from activity longer than schools which did not participate in the pilot programs.

These tendencies are supported by both systems being tested, King-Devick and XLNTbrain, both of which have significant improvements in store for pilot schools in 2016-17.

The purpose of the pilot programs is not to select a single system to be recommended to or required of all MHSAA member schools, but to demonstrate to vendors how to serve the needs of our diverse constituency and to help our schools serve their student-athletes better. Further progress toward these purposes is a certainty during 2016-17.