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 Accepting Student Advisory Council Applications for Class of 2025

By Geoff Kimmerly
MHSAA.com senior editor

April 10, 2023

The Michigan High School Athletic Association is seeking student-athletes to become members of its Student Advisory Council beginning with the 2023-24 school year.

Four boys and four girls from the Class of 2025 will be selected to two-year terms, and will meet on matters related to maintaining and promoting a proper perspective and sensible scope for high school sports in Michigan. Eight members from the Class of 2024 already are serving on the Council, while eight members from the Class of 2023 are leaving the Council this spring.

To be eligible for the committee, candidates must be a member of the Class of 2025, complete the official application including answering the three short-answer questions, submit a letter of recommendation from a school administrator, have a cumulative GPA of at least 3.0 (on a 4.0 scale) and be available for all scheduled meetings.

In addition, candidates should show a history of leadership on athletic teams as well as with other extracurricular activities, community service projects, or in the workplace; and show an understanding of the role of school sports and have ideas for promoting a proper perspective for educational athletics.

Applications are due to the MHSAA by 4:30 p.m. on April 24. Applications can be downloaded from the Student Advisory Council page of the MHSAA Website and must be returned via e-mail, fax or any mail delivery service.

The Student Advisory Council meets six times each school year, and once more for a 24-hour leadership camp. In addition to assisting in the promotion of the educational value of interscholastic athletics, the Council discusses issues dealing with the 4 S’s of educational athletics: scholarship, sportsmanship, safety (including health and nutrition) and the sensible scope of athletic programs. A fifth S – student leadership – is also a common topic. Members contribute to the planning of Sportsmanship Summits, Captains Clinics and other student leadership events, and assist with medal ceremonies at MHSAA championship events.

Newly-chosen members will join the following from the Class of 2023: Kannon Duffing, Manchester; Claire Gorno, Gaylord; M'Khi Guy, Muskegon; Dawsen Lehew, Marcellus; Christian Sanders, Detroit Renaissance; Ben Sytsma, Grand Rapids Christian; Madeline Werner, Bay City All Saints; and DaNia Womack, Dearborn Advanced Tech Academy.

The eight new members of the Student Advisory Council will be notified by May 5. The 2023-24 meetings are tentatively scheduled for Aug. 27, Oct. 1, Dec. 3, Feb. 11, April 21 and May 12. Meetings will take place at the MHSAA Office in East Lansing. For additional information, contact Andy Frushour at the MHSAA – 517-332-5046 or [email protected].