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.

Scholar-Athlete Finalists Announced

By Geoff Kimmerly
MHSAA.com senior editor

January 23, 2015

By Geoff Kimmerly
Second Half editor

The 120 finalists for the Michigan High School Athletic Association's Scholar-Athlete Awards for the 2014-15 school year have been announced, with 18 schools having multiple candidates for the 32 awards.

The program, celebrating its 26th anniversary, 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, 640 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, the final 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. Beal City has three finalists this year.  Seventeen schools each have two finalists: Ann Arbor Pioneer, Berkley, Bloomfield Hills Cranbrook Kingswood, Cheboygan, Dearborn Divine Child, East Grand Rapids, Grandville, Hartland, Holland, Iron Mountain, Plainwell, Roscommon, Springport, Traverse City Central, Traverse City West, Utica Ford and White Lake Lakeland.

Multiple-sport participation remains the norm among applicants. The average sport participation rate of the finalists is 2.63, while the average of the application pool was 2.16. There are 65 three-plus sport participants in the finalist field, and all but two of the 28 sports in which the MHSAA sponsors postseason tournaments are represented.

Of 406 schools which submitted applicants, 45 submitted the maximum allowed. This year, 1,584 applications were received. All applicants will be presented with certificates commemorating their achievement. Click for additional Scholar-Athlete information, including a complete list of scholarship nominees.

The applications were judged by a 58-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. 3; Class B scholarship recipients will be announced Feb. 10, and Class A scholarship recipients will be announced Feb. 17. All announcements will be made on the MHSAA Website.

To honor the 32 Scholar-Athlete Award recipients, a ceremony will take place during halftime of the Class C Boys Basketball Final, March 28, at the Breslin Student Events Center in East Lansing.

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, one of Michigan's major insurers, has a statewide force of 450 agents serving nearly 500,000 Michigan policyholders. Besides providing life, home, auto, farm, business and retirement insurance, the company also sponsors life-saving, real-time Doppler weather tracking systems in several Michigan communities.             

The MHSAA is a private, not-for-profit corporation of voluntary membership by more than 1,400 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.

2014-15 Scholar-Athlete Award Finalists

BOYS CLASS A
Stone Mathers, Ann Arbor Pioneer
Matthew J. Orringer, Ann Arbor Skyline
Jacob W. Herbers, Battle Creek Lakeview
Eric Braun, Berkley
Justin Boogaart, Byron Center
David A. Posawatz, Clarkston
Michael Kenney, Detroit U-D Jesuit
Sean Lang, East Grand Rapids
Mikey Roth, East Grand Rapids
Joseph Pummill, Garden City
Miles Kuperus, Grand Rapids Christian
Andrew James Fox, Grand Rapids Forest Hills Central
Kyler Beal, Holland
Raymond Surya, Holland
Collin DeShaw, Holland West Ottawa
Andrew Bennett, Linden
Ryan Susterich, Muskegon Mona Shores
Shunhe Wang, Northville
Mark Luoma, Okemos
Ravin Randall, Port Huron
Benjamin Hill, Royal Oak
Alex Scott, Traverse City West
Blake McComas, White Lake Lakeland
Matthew Carter, Ypsilanti Lincoln 

GIRLS CLASS A
Kara N. Gehrke, Alpena
Rachel Menge, Ann Arbor Pioneer
Eliza Laramee, Berkley
Rachel DaDamio, Birmingham Seaholm
Diane Reed, Bloomfield Hills
Sheridan Skopczynski, Gibraltar Carlson
Isabella Buck, Grandville
Allison Utting, Grandville
Allegra Lanae Berry, Greenville
Sara Condra, Hartland
Carson Vestergaard, Hartland
Kirsten Smith, Lansing Eastern
Caycee Turczyn, Lapeer
Meg Darmofal, Mason
Cydney Martell, Richland Gull Lake
Hayley Rogers, Salem
Emily Diehl, Saline
Courtney Rooker, St. Joseph
Ashley Ko, Traverse City Central
Ellie Lauren Taylor, Traverse City Central
Mikenna Ray, Traverse City West
Danielle Maxwell, Utica Ford
Alex Sorgi, Utica Ford
Jessica Erickson, White Lake Lakeland 

BOYS CLASS B
Stephen Luckoff, Bloomfield Hills Cranbrook Kingswood
Francis Misra, Bloomfield Hills Cranbrook Kingswood
Samuel Swem, Buchanan
T.J. Baker, Cadillac
Derek Sturvist, Cheboygan
Dane Miller, Dearborn Divine Child
Tyler James Burkhardt, Fowlerville
Andrew Olesak, Gladstone
Bradley Madsen, Manistee
Tyler Horn, Marshall
Chandler Biggs, Midland Bullock Creek
Jonathan Krug, New Boston Huron
Jacob Almeda, Plainwell
Trenton L. Monroe, Plainwell
Mark Williamson, Spring Lake
Garrett Bondy, Yale 

GIRLS CLASS B
Kendall Latshaw, Battle Creek Harper Creek
Kalabrya LeBrae Gondrezick, Benton Harbor
Kelsey Cushway, Big Rapids
Kirstin Anderson, Charlotte
Amanda Paull, Cheboygan
Shelby Bowers, Coldwater
Riley Blair, Dearborn Divine Child
Rebecca Piron, Escanaba
Raven Jefferson-Brinkley, Ferndale
Morgan Ketola, Freeland
Rachel Money, Grayling
Courtney Vande Vorde, Hamilton
Kikel Sekoni, Haslett
Kristen Marsman, Holland Christian
Jenna Davids, Portland
Kelsey Metzger, Sturgis 

BOYS CLASS C
Deontay Walker, Bath
Nicholas Pung, Beal City
Ryan Karapas, Clinton
Blaine Michael Stowe, East Jackson
Pierce Vreeland, Gobles
Cole Rossato, Iron Mountain
Mark Holmgren, Ishpeming
Connor Thomas, Marlette
Jason Bell, Negaunee
Jacob Dibbet, Roscommon
Daniel Brown, Springport
Aaron J. Watson, Union City 

GIRLS CLASS C
Nicole Gross, Beal City
Emily Elizabeth Steffke, Beal City
Skyler Sobeski, Bronson
Marti Ann Pirkola, Iron Mountain
Mary Grace Fries, Jackson Lumen Christi
Lauren M. Skidmore, Oscoda
Jami Hubbard, Reading
Katie Burmester, Roscommon
Maggie Belcher, Springport
Mallory Munderloh, St Louis
Erica Treiber, Unionville-Sebewaing
Bridget Dewan, Wixom St Catherine 

BOYS CLASS D
Kevin Greenman, Battle Creek St. Philip
Chantz Owens, Burr Oak
James Thibodeau, Clarkston Everest Collegiate
Gideon Rea Mulka, Hillman
Aaron Van Horn, Kingston
Travis McCormick, Mason County Eastern
Thomas Gallagher, Peck
Connor Patrick Cappaert, Stephenson 

GIRLS CLASS D
Danielle Piggott, Fowler
Taylor Richards, Fruitport Calvary Christian
Rachelle Trafford, Lansing Christian
Anissa Keeler, Marion
Kelsey Rambo, Pickford
Hunter Branstrom, Rock Mid Peninsula
Margo Brown, St. Ignace
Jane Hursey, Suttons Bay