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.
MHSAA Survey Shows Lower Rate of ‘Pay-to-Play’ Fees Continued as Participation Rose in 2022-23
By
Geoff Kimmerly
MHSAA.com senior editor
July 27, 2023
Participation continued to bounce back at Michigan High School Athletic Association member schools during the 2022-23 school year, but the percentage of those schools charging fees to participate in sports was nearly unchanged for the third-straight year as it remained near its lowest rate of the last two decades.
Just 41 percent of MHSAA member schools charged participation fees during the 2022-23 school year, following 40 percent using them during 2021-22 and 41 percent in 2020-21.
The MHSAA participation fee survey has measured the prevalence of charging students to help fund interscholastic athletics annually since the 2003-04 school year. The percentage of member schools charging fees crossed 50 percent in 2010-11 and reached a high of 56.6 percent in 2013-14 before falling back to 50 percent or below. The survey showed 48 percent of member schools charged fees during 2019-20, the first school year affected by COVID-19, before the substantial reduction followed as programs continued to navigate the pandemic.
Of the 574 schools (77 percent of membership) which responded to the 2022-23 survey, 234 assessed a participation fee, while 340 did not during the past school year. For the purposes of the survey, a participation fee was anything $20 or more regardless of what the school called the charge (registration fee, insurance fee, etc.).
Class A schools, as in past years, made up the largest group charging fees, with 55 percent of respondents doing so. Class B and Class D schools followed, with 41 and 36 percent charging fees, respectively, and 30 percent of Class C schools also charged for participation.
Among schools assessing fees, a standardized fee for each team on which a student-athlete participates – regardless of the number of teams – has shown for a number of years to be the most popular method, with that rate unchanged in 2022-23 at 46 percent of schools with fees. Next again were 33 percent of assessing schools charging a one-time standardized fee per student-athlete, followed by 14 percent assessing fees based on tiers of the number of sports a student-athlete plays (for example, charging a larger fee for the first team and less for additional sports).
The amounts of participation fees have remained relatively consistent over the last decade. For 2022-23, the median annual maximum fee per student was again $150, although the median maximum fee per family increased slightly to $350 – up $50 from 2021-22. The median fee assessed by schools that charge student-athletes once per year was $120 for the second straight, and the median fee for schools that assess per team on which a student-athlete plays was $100, up from $75 in 2021-22.
The survey for 2022-23 and surveys from previous years can be found on the MHSAA Website.
As reported earlier this month, participation in MHSAA-sponsored sports continued to climb in 2022-23, up 2.7 more percent for a combined 9.9-percent increase over the last two school years. More on participation can be found here.
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 1.3 million spectators each year.