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.

2021 Scholar-Athlete Finalists Announced

By Geoff Kimmerly
MHSAA.com senior editor

January 19, 2021

The 120 finalists for the Michigan High School Athletic Association's Scholar-Athlete Awards for the 2020-21 school year, presented by Farm Bureau Insurance, have been announced.

The program, in its 32nd year, has recognized student-athletes since the 1989-90 school year and again this winter 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 Awards and will present a $1,000 scholarship to each recipient. Since the beginning of the program, 832 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, two scholarships will be awarded at-large to minority recipients, regardless of school size.

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. Traverse City Central has four finalists this year while Hillsdale Academy has three. Fifteen schools each have two finalists: Adrian Lenawee Christian, Ann Arbor Greenhills, Bad Axe, Clare, Dollar Bay, Grand Haven, Grosse Pointe North, Grosse Pointe South, Holland West Ottawa, Lapeer, Leland, Montague, Mount Pleasant, Newaygo and Pontiac Notre Dame Prep.

Multiple-sport participation remains the norm among applicants. The average sport participation rate of the finalists is 2.858. There are 74 three-plus sport participants in the finalists field, and all but one of the 28 sports in which the MHSAA sponsors postseason tournaments are represented.

Of 418 schools which submitted applicants, 12 submitted the maximum allowed. This year, 1,356 applications were received. All applicants will be presented with certificates commemorating their achievement. Additional Scholar-Athlete information, including a complete list of scholarship nominees, can be found on the MHSAA Website.

The applications were judged by a 72-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 Feb. 9, Class B scholarship recipients will be announced Feb. 16 and Class A scholarship recipients will be announced Feb. 23. All announcements will be made on the MHSAA Website.

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 a 500-word essay on the importance of sportsmanship in educational athletics.

Farm Bureau Insurance of Michigan was founded in 1949 by Michigan farmers who wanted an insurance company that worked as hard as they did. Those values still guide the company today and are a big reason why it is known as Michigan’s Insurance Company, dedicated to protecting the farms, families, and businesses of this great state. Farm Bureau Insurance agents across Michigan provide a full range of insurance services—life, home, auto, farm, business, retirement, Lake Estate®, and more—protecting nearly 500,000 Michigan policyholders.

The MHSAA is a private, not-for-profit corporation of voluntary membership by more than 1,500 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 more than 1.4 million spectators each year. 

2020-21 Scholar-Athlete Award Finalists

GIRLS CLASS A
Sadie Freisthler, Ann Arbor Pioneer
Laura O'Brien, Ann Arbor Skyline
Audrey DaDamio, Birmingham Seaholm
Samantha Yamin, Bloomfield Hills
Emily Song, Canton
Sadie Gerlach, Dearborn Edsel Ford
Tatiana Mason, Grand Ledge
Catelyn Gagnier, Grosse Pointe North
Madeline Kohler, Grosse Pointe North
Alexa Downey, Grosse Pointe South
Kennedy Dumas, Holland West Ottawa
Alyssa M. Karner, Holland West Ottawa
Michaela Castle, Ionia
Jane C. Heystek, Kalamazoo Loy Norrix
Charity Dundas, Lapeer
Emma Muir, Lapeer
Addison Bruwer, Lowell
Grace Ann Whipple, Mason
Iris Hwang, Mount Pleasant
Zoe Ziegler, Okemos
Sarah Liederbach, Petoskey
Megan Lorenzo, Rochester
Regina Duerst, Saline
Katherine Potter, South Lyon

BOYS CLASS A
Michael Kim, Ann Arbor Huron
Charles Frank, Dearborn
Matthew Kozma, Detroit Catholic Central
Lawrence Gilliam, Detroit U-D Jesuit
Grant Uyl, DeWitt
Thomas MacDonald, Grand Haven
Michael MacDonald, Grand Haven
Jacob Harris, Grosse Pointe South
Kyle Hamlin, Hartland
Kameron Karp, Marquette
Chase R Mahabir, Midland
Caleb Qiu, Midland Dow
Daniel Forsythe, Mount Pleasant
Alex Mooney, Orchard Lake St. Mary's
Aidan Eichman, Portage Central
Jack Eiden, Portage Northern
Liam Smith, Rockford
Troy Pratley, St. Joseph
Brendan Evert, Sterling Heights
Ryan Royston, Traverse City Central
Drew Seabase, Traverse City Central
Ethan Vander Roest, Traverse City Central
Maxwell Werner, Traverse City Central
Jonathan Holland, Walled Lake Western

GIRLS CLASS B
Katie DeVlaminck, Buchanan
London Eldridge, Central Montcalm
Andrea Kowalski, Chelsea
Riley Schroeder, Clare
Bailey Taylor, Clare
Caitlin Mullen, Grand Rapids Catholic Central
Katelyn Moore, Grayling
Jordyn Disbrow, Kalkaska
Katie Acker, Lake Odessa Lakewood
Allison R. Hall, Montague
Kendall Mathis, Newaygo
Elena Schwegman, Pontiac Notre Dame Prep
Rachel Joslyn, Saginaw Swan Valley
Haleigh Knowles, Sault Ste. Marie
Illyanna Marie Taylor, Three Rivers
Anna Gerardy, Yale

BOYS CLASS B
Dillon Dennison, Alma
Dhilan Nagaraju, Bloomfield Hills Cranbrook Kingswood
Ryan Tang, Detroit Country Day
Ryan Atkinson, Dundee
Brock Holek, Durand
Jackson Hoover, Edwardsburg
Wilson Bragg, Gladwin
Stuart Hamilton, Lansing Catholic
Drew Collins, Montague
Hudson Alexander Harkness, Newaygo
Cade M. Vota, Niles
Ian Burke, Ortonville Brandon
Nickolai J. Emde, Plainwell
Cole Bennett, Pontiac Notre Dame Prep
Jack Parker, Spring Lake
Zachary Huitema, Tawas

GIRLS CLASS C
Makayla Harris, Ann Arbor Greenhills
Avery McNally, Bloomfield Hills Academy of the Sacred Heart
Meagan Lasky, Bronson
Hannah Penfold, Elkton-Pigeon-Bay Port Laker
Reese Martin, Grosse Pointe Woods University Liggett
Elizabeth M. Williams, Ishpeming Westwood
Kenzie Bowers, Kent City
Grace Graham, Laingsburg
Mahrle Siddall, Maple City Glen Lake
Hope Johnson, North Muskegon
Sophia Rayes, Oscoda
Grace Kalb, Petersburg Summerfield

BOYS CLASS C
Jameson Chesser, Adrian Lenawee Christian
Brennan Griffith, Adrian Lenawee Christian
Zachary Stephenson, Alcona
Finn Feldeisen, Ann Arbor Greenhills
Nicholas Errer, Bad Axe
Micah Gordon, Bad Axe
Braxton Lamey, Ithaca
Trayton Wenzlaff, Kingston
Caden Kienitz, Munising
Drew Kohlmann, New Lothrop
Jeffrey Vanholla, Norway
David Jahnke, Saginaw Valley Lutheran

GIRLS CLASS D
Aubrie Sparks, Boyne Falls
Molly Myllyoja, Dollar Bay
Elise Besonen, Ewen-Trout Creek
Kiera Welden, Hillsdale Academy
Mollie Zaleski, Kinde North Huron
Olivia Lowe, Leland
Sophia Stowe, Northport
Josephine Gusa, Ubly

BOYS CLASS D
Jacob M. Werner, Bay City All Saints
Connor LeClaire, Dollar Bay
Jack Kaplan, Dryden
Jäeger Griswold, Ellsworth
Quincy Thayer, Frankfort
Christian Gossage, Hillsdale Academy
Nicholas Treloar, Hillsdale Academy
Wyatt Sirrine, Leland