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.

Seng Leads, Coaches Others to do Same

By Geoff Kimmerly
MHSAA.com senior editor

January 25, 2018

Meg Seng misses coaching – in her words, “those relationships really are what it’s all about … stronger than just about anything other than family.”

But the coach in Seng continues to show the way in her work every day.

Seng will be honored next month with the MHSAA’s 31st Women in Sports Leadership Award for her work at Ann Arbor Huron and Greenhills over more than 30 years in educational athletics.

The award also will recognize Seng’s teaching, training and empowering of the next generation of coaches and especially women aspiring to follow her into leadership positions in a field where they remain underrepresented.

“I’ve always loved sport, and early on found I had a knack and an interest in coaching. So to be able to share with other young women what I think is a really noble profession makes it a passion for me,” Seng said. “I think it’s a great endeavor, and I’d love for more women to have the opportunity and the confidence to seek out some of those positions.”

Seng will receive this year’s award during the WISL Banquet at the Crowne Plaza Lansing West.

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.

Seng is in her 28th year at Greenhills School, serving as the athletic director the last 15 after 13 teaching physical education and health. Previously a scholarship athlete playing both volleyball and softball at Indiana University – and winning a pair of Big Ten championships on the diamond – Seng coached both sports at Ann Arbor-area high schools over nearly two decades and has continued as a role model for emerging coaches.

“I’m pretty sure I’ve been to every single (WISL) conference, and so for years, I’ve certainly been in the audience watching these great women be recognized,” Seng said. “To have followed for that long and now be on stage, it’s a tremendous honor for me – that group of women and their value to sport in Michigan is not lost on me at all. I truly respect that group, and I’m really proud to be part of it.”

A 1977 graduate of Maine South High School in Park Ridge, Ill., Seng began coaching at the college level after her playing days with the Hoosiers were done. She served first as a graduate assistant softball coach at Louisiana Tech University in 1983-84 while studying for her master’s degree, and then as a softball assistant at Illinois State University for 1984-85.

Seng took over the Ann Arbor Huron volleyball program in 1985, and over 12 seasons stretching two tenures led her team to five league titles and a District championship in 1993. She also served as Huron's co-head varsity softball coach from 1986-90.

She completed her teacher certification at Eastern Michigan University in 1990 and began teaching at Greenhills that year, later coaching that school’s varsity volleyball team from 1993-2000 and leading the Gryphons to a District title in 1997.

In 2001, Seng co-founded The Academy of Sports Leadership (TASL), a non-profit organization that provides education and training for women interested in becoming coaches and hosts a five-day residential camp for high school girls with that aspiration. In 2003, Seng became Greenhills’ athletic director and began her work as well contributing to the Michigan Interscholastic Athletic Administrators Association (MIAAA) and National Interscholastic Athletic Administrators Association (NIAAA), serving on committees for both including as part of the MIAAA’s Leadership Academy faculty since 2011 and the NIAAA’s certification committee since 2014. She served as the MIAAA’s Executive Board president in 2013-14.

At Greenhills, Seng has hosted more than 20 MHSAA tournament events in various sports at the District, Regional and Quarterfinal levels, and she’s served on a variety of MHSAA committees as well as currently the Multi-Sport Participation Task Force. She also is an instructor for the MHSAA Coaches Advancement Program.

“Meg Seng has been a leader at every level of educational athletics – as an accomplished coach, respected athletic director and someone who empowers women interested in following her lead and filling the need we have in school sports for more women in all forms of leadership positions,” MHSAA Executive Director John E. “Jack” Roberts said. “She personifies the Women In Sports Leadership Award, and we’re delighted to present her with this honor.”

Seng received the MIAAA Jack Johnson Distinguished Service Award in 2012 and her region’s Athletic Director of the Year Award in 2008. She also received the Pathfinder Award in 2004 from the National Association for Girls and Women in Sports (NAGWS), and under her leadership Greenhills received the Exemplary Athletic Program Award from the MIAAA in 2017. She also received the Girl Scouts’ Leaders and Best Award in 2005. 

In addition to her work with The Academy of Sports Leadership, she’s served since 2009 on the board as a founding member of the Michigan Softball Academy, which annually raises money for the American Cancer Society. She is published for her work in coaching education and recruitment and has spoken on various occasions on ways to provide opportunities for young women in coaching. She will present on recruiting and retaining female leaders at the annual statewide MIAAA conference this March.  

“Meg sees a need and takes initiative to put a committee, group or process in place to solve and satisfy this need,” Holly athletic director Deb VanKuiken said in her letter recommending Seng for the WISL Award. “I truly respect and admire her. She has a great mind and a great heart for athletes and coaches alike. She leads, and she serves.”

Part of filling that need is helping athletic directors find candidates and helping candidates feel confident.

Seng monitors coaching at the high school and college levels, and has watched the percentage of female coaches at the college level fall drastically since Title XI. She also hears a few things – from women finishing college athletic careers who don’t feel qualified to coach, and also from athletic directors who would love to hire women coaches but aren’t finding candidates.

“Our Academy is a grassroots organization just trying to get young girls to follow that dream and show them the possibilities,” Seng said. “It’s a primer on coaching; we show them all the things coaches do and hope it sticks, that they say, ‘I can do that.’

“Part of what we do is try to empower them to take some of those risks.”

In addition to the MIAAA and NIAAA, and NAGWS, Seng is a member of the National Association for Sport and Physical Education (NASPE) and American Alliance for Health, Physical Education, Recreation and Dance (AAHPERD).

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 Notre Dame Prep
2017 – Dottie Davis, Ann Arbor Huron

PHOTOS: (Top) Ann Arbor Greenhills athletic director Meg Seng instructs in the classroom; she taught at Greenhills for 13 years and continues teaching as part of  CAP and the Academy of Sports Leadership. (Middle) Seng, left, also was a successfull volleyball coach at Ann Arbor Huron and Greenhills. (Photos courtesy of Meg Seng.)