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.
Record-Setting Coach, Championship Program Leader Selected for 2024 WISL Awards
By
Geoff Kimmerly
MHSAA.com senior editor
January 23, 2024
On the basketball court, no woman in Michigan high school history has led her team to more victories than Bloomfield Hills Marian’s Mary Cicerone. And few schools have stacked more championships over the last decade than Ann Arbor Pioneer under the guidance of athletic director Eve Claar.
To celebrate those accomplishments, and more significantly their impacts on thousands of students over decades in those leadership positions, Cicerone and Claar have been named the 37th and 38th recipients of the Michigan High School Athletic Association’s Women In Sports Leadership Award.
Each year, the Representative Council considers the achievements of women coaches, officials and athletic administrators affiliated with the MHSAA who show exemplary leadership capabilities and positive contributions to athletics. Cicerone and Claar will receive their awards during this year’s WISL Conference, Feb. 4-5 at the Crowne Plaza Lansing West.
Cicerone retired from coaching the Bloomfield Hills Marian girls basketball team after the 2021-22 season with a record of 707-233 since taking over the program in 1983 – making her the fourth-winningest coach in MHSAA girls basketball history, and the winningest woman to lead a program.
She guided the Mustangs to six Finals championships, in Class A in 1988, 1992, 1996 and 1998 and back-to-back in Division 1 in 2014 and 2015. Her teams also won 19 Catholic High School League Central division championships, 20 overall CHSL League titles and reached the MHSAA Semifinals seven times, also finishing Class A runner-up in 1997.
“Mary Cicerone is a legend because she’s won hundreds of games and many championships, and those measurables of her success speak for themselves,” MHSAA Executive Director Mark Uyl said. “But her commitment to her teams, her sport, and leadership in women’s athletics as a whole contributed just as significantly to her tremendous legacy.”
In addition to receiving several local and statewide coaching awards over the years, Cicerone has been inducted into Halls of Fame by the University of Detroit Mercy (2007) as a player and as a coach by the Catholic High School League (1998), Basketball Coaches Association of Michigan (2017) and Marian (2022).
She has served as an officer for the Catholic League Women’s Coaches Association and in 2009 received the CHSL’s Ed Lauer Person of the Year Award.
“Being a young girl wanting to play all kinds of activities, we never had much opportunity and I participated in whatever I was able and just felt like that was something that was important to me, my friends and everybody I was associated with was always part of the same group,” Cicerone said. “I felt like (advocating for women’s sports) was something I should do because it was so important for me, and I appreciated everything everybody did for me and my friends to be able to play.
“It’s not something I needed to do – just something I wanted to do. I stepped into that role, cherished it, worked really hard at it, and hopefully made great memories – for me, for sure – and for others.”
Claar is in her 21st year as an athletic director, and over the last decade has guided one of the state’s largest athletic programs in terms of both programs and student-athletes, with 36 varsity teams and nearly 1,110 participants. The Pioneers have had ample local and statewide success during her tenure, including claiming 16 MHSAA Finals championships across seven sports over the last eight school years (including this one). Most recently, Pioneer tied for most Finals championships among Lower Peninsula schools in 2020-21 with four, were second in 2021-22 with four more, and last school year tied for most in the Lower Peninsula again with three titles.
Claar began in athletic administration as Pioneer’s assistant director from 2003-06, and she became athletic director at Bloomfield Hills Lahser at the start of the 2006-07 school year. She took over the program at Ypsilanti Lincoln as athletic director in 2009 before returning to Pioneer in 2012.
“Eve Claar continues to show the way for her programs to succeed on the field while keeping in mind the big picture of what’s important in school sports,” Uyl said. “She’s invested in providing the best experiences for Pioneer’s student-athletes, and athletes competing throughout the Southeastern Conference, while also providing support to AD colleagues and coaches who look to her for leadership and expertise.”
Claar has served as the Southeastern Conference secretary since 2009 and is the league’s sport director for softball and field hockey. She has been president of the Michigan Field Hockey League since 2018 and has served on several MHSAA sport and site selection committees and as part of the MHSAA/Farm Bureau Insurance Scholar-Athlete Award selection committee. Before becoming an athletic director, Claar worked five years in the Detroit Pistons/Detroit Shock community relations department.
She was named a Regional Athletic Director of the Year in 2019 by the Michigan Interscholastic Athletic Administrators Association (MIAAA). In 2021, she helped found the Southeastern Conference’s Women in Sports Leadership Conference for student-athletes from the league’s 14 schools.
“I started with (longtime Pioneer AD) Lorin Cartwright before me, and she was always a mentor for me. I’ve always had female leaders and mentors whether in sports for high school, over to Pioneer, with the Shock with Nancy Lieberman – I’ve been around amazing female leaders,” Claar said. “I feel at this point, 21 years into doing this, now it’s upon me to do the same. I’ve been honored when I’ve had other athletic directors reach out, other female ADs ask for support, and I’ve been able to give the support that (my mentors) gave me.”
Cicerone is a 1978 graduate of Coopersville High School, where she was a basketball all-stater and ran track, and she then starred on the basketball court at Detroit Mercy, leading the Titans to three Association for Intercollegiate Athletics for Women (AIAW) state titles and graduating as Mercy’s all-time career assists leader while earning a bachelor’s degree in education. She won the 1982 President’s Award as U-D’s most outstanding female student-athlete.
She taught primarily physical education at Marian beginning with the 1983-84 school year through her retirement 39 years later, and also coached track & field for a season at the start of her teaching career.
Claar is a 1991 graduate of North Farmington High School and earned her bachelor’s degree in business administration from Central Michigan University and master’s from Detroit Mercy. She received a teaching certificate from Wayne State University and education leadership certificate from Eastern Michigan University, and earned her certified athletic administrator (CAA) designation in 2008. Claar played basketball, volleyball and softball at North Farmington and was a BCAM Miss Basketball Award finalist in 1990. She continued as a standout at CMU, finishing her playing career in 1995, and remains among the most accomplished 3-point shooters in program history. She also served as a graduate assistant women’s basketball coach at U-D for two seasons.
More than 800 participants – mostly female high school student-athletes from across the state – have registered to attend this year’s sold-out WISL Conference, the 26th in the series that remains the first, largest and longest-running program of its type in the country.
The opening address Feb. 4 will be presented by Cathy George, the all-time winningest volleyball coach in Michigan State University history and the first head coach of the newly-created Grand Rapids Rise professional volleyball franchise. Current MSU volleyball coach Leah Johnson will speak during the morning’s general session Feb. 5 on the conference’s theme “Share the Vision” – she finished her second season leading the Spartans in the fall after coaching Illinois State University from 2017-21 and taking ISU to the NCAA Tournament her last four seasons before leaving for East Lansing.
Several workshops will be offered over the two days, with topics including coaching, teaching and learning leadership; sports nutrition and performance, and empowerment and goal-setting. Presenters are accomplished in their fields and represent a wide range of backgrounds in sport. A complete itinerary is available on the WISL page.
The first Women In Sports Leadership Award was presented in 1990.
Past recipients
1990 – Carol Seavoy, L’Anse
1991 – Diane Laffey, Harper Woods
1992 – Patricia Ashby, Scotts
1993 – Jo Lake, Grosse Pointe
1994 – Brenda Gatlin, Detroit
1995 – Jane Bennett, Ann Arbor
1996 – Cheryl Amos-Helmicki, Huntington Woods
1997 – Delores L. Elswick, Detroit
1998 – Karen S. Leinaar, Delton
1999 – Kathy McGee, Flint
2000 – Pat Richardson, Grass Lake
2001 – Suzanne Martin, East Lansing
2002 – Susan Barthold, Kentwood
2003 – Nancy Clark, Flint
2004 – Kathy Vruggink Westdorp, Grand Rapids
2005 – Barbara Redding, Capac
2006 – Melanie Miller, Lansing
2007 – Jan Sander, Warren Woods
2008 – Jane Bos, Grand Rapids
2009 – Gail Ganakas, Flint; Deb VanKuiken, Holly
2010 – Gina Mazzolini, Lansing
2011 – Ellen Pugh, West Branch; Patti Tibaldi, Traverse City
2012 – Janet Gillette, Comstock Park
2013 – Barbara Beckett, Traverse City
2014 – Teri Reyburn, DeWitt
2015 – Jean LaClair, Bronson
2016 – Betty Wroubel, Pontiac
2017 – Dottie Davis, Ann Arbor
2018 – Meg Seng, Ann Arbor
2019 – Kris Isom, Adrian
2020 – Nikki Norris, East Lansing
2021 – Dorene Ingalls, St. Ignace
2022 – Lori Hyman, Livonia
2023 – Laurie Glass, Leland
PHOTOS Bloomfield Hills Marian coach Mary Cicerone, left, huddles with her team during an MHSAA Finals weekend, and Ann Arbor Pioneer athletic director Eve Claar welcomes John and Jim Harbaugh into the school's Pioneer Hall of Fame. (Claar photo courtesy of Ann Arbor Public Schools.)