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, 2014

The 120 finalists for the Michigan High School Athletic Association's Scholar-Athlete Awards for the 2013-14 school year have been announced.

The program, celebrating its 25th 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, 608 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. Dearborn Heights Crestwood, Hastings and Marlette each have three finalists this year. Fourteen schools each had two finalists: Bay City Central, Bloomfield Hills Marian, Dearborn, Grand Haven, Grand Rapids West Catholic, Manistee Catholic Central, Marquette, Middleville Thornapple Kellogg, Midland Dow, Saginaw Swan Valley, Sturgis, Traverse City Central, Walled Lake Western and Yale.

Multiple-sport participation remains the norm among applicants. The average sport participation rate of the finalists is 2.70, while the average of the application pool was 2.16. There are 75 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 407 schools which submitted applicants, 55 submitted the maximum allowed. This year, 1,701 applications were received. All applicants will be presented with certificates commemorating their achievement.  Additional Scholar-Athlete information, including a complete list of scholarship nominees, can be found on the MHSAA Website.

The applications were judged by a 63-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. 4; Class B scholarship recipients will be announced Feb. 11, and Class A scholarship recipients will be announced Feb. 18. 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 22, 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 more than 400 agents serving more than 380,000 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 1,500 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 1.4 million spectators each year.

2013-14 Scholar-Athlete Award Finalists

BOYS CLASS A
Stone Manczak, Bay City Central
Zachary Segall, Berkley
Andrew Barton, Birmingham Seaholm
Rami Kadouh, Dearborn
Samuel A Mousigian, Dearborn
Jared Hagan, Dearborn Heights Crestwood
Jalal Taleb, Dearborn Heights Crestwood
Brad King, Garden City
Ryan S Fischer, Grandville
Kenneth Elkin, Grosse Pointe North
Chris Kruger, Holt
David Doyle, Linden
Craig Ekstrum, Marquette
David Walter III, Middleville Thornapple Kellogg
Nate Fisher, Midland
Vikram Shanker, Midland Dow
Tanner Vincent, Novi
Trevor Denoyer, Petoskey
Kellen Scott Michael, South Lyon
Kyle Dotterrer, Traverse City Central
Cody James McKay, Utica Ford
Devin Kimberlin, Walled Lake Northern
Mitchell Dennis, Walled Lake Western
David J Walczyk, Walled Lake Western

GIRLS CLASS A
Anna Haritos, Auburn Hills Avondale
Saige Tomczak, Bay City Central
Jessica Hacker, Bay City Western
Tatyanna Dadabbo, Bloomfield Hills Marian
Clare Nienstedt, Bloomfield Hills Marian
Tala Taleb, Dearborn Heights Crestwood
Caroline Ann Hagan, East Lansing
Elizabeth Cowger, Fenton
Paige Blakeslee, Gibraltar Carlson
Mallory Beswick, Grand Haven
Claire Elise Borchers, Grand Haven
Joslyn Mae TenBrink, Jenison
Jessica Graves, Lowell
Gabrielle Gencheff, Marquette
Fiona B Shea, Middleville Thornapple Kellogg
Kallisse R Dent, Midland Dow
Rachel Barrett, Milford
Grace Kao, Okemos
Kirsten Avery Chambers, Riverview
Meghan Datema, Rockford
Elianna Shwayder, Saline
Molly Peregrine, Traverse City Central
Sarah O'Connor, Waterford Kettering
Jenna Ciennik, Waterford Mott

BOYS CLASS B
Tye Wittenbach, Belding
Carl Steinhauser, Berrien Springs
Ryan Spaulding, Freeland
Joseph Corey, Grand Rapids West Catholic
Nicholas Linck, Grand Rapids West Catholic
John Gatti, Grosse Ile
Matt Johnson, Hastings
Richard Cassell, Jackson Lumen Christi
Ben Woodruff, Jackson Northwest
Ismail Aijazuddin, Madison Heights Lamphere
Zachary A Ohs, Monroe St Mary Catholic Central
Michael T von Kronenberger, Ogemaw Heights
Anthony William Canonie, South Haven
Trenton Karle, Three Rivers
Daniel Kosiba, Vicksburg
Noah Nicholl, Yale

GIRLS CLASS B
Greer Elizabeth Clausen, Bloomfield Hills Cranbrook-Kingswood
Abigail Brown, Caro
Lindsey Brewis, Dearborn Divine Child
Bailey Baker, Eaton Rapids
Callie Jensen, Gladstone
Grace Bosma, Hastings
Kylee Nemetz, Hastings
Amanda M Metz, Otsego
Alexandra J Grys, Portland
Kiersten Mead, Saginaw Swan Valley
Courtney T Reinhold, Saginaw Swan Valley
Roxane L Strobel, Spring Lake
Peyton Boughton, Sturgis
Alea Penner, Sturgis
Angela Maurer, Williamston
Alana Koepf, Yale

BOYS CLASS C
Ty Michael Rollin, Beal City
Matthew S Johnson, Fennville
Carter Ballinger, Jonesville
Luke Joseph Smigielski, Mancelona
Dakota Hall, Marlette
Bradley Schaub, Marlette
Kyle Baxter, Mayville
Stephen T Erwin, Royal Oak Shrine Catholic
Jason Beckman, Shelby
James Barber, St Charles
Devin Morrow, Three Oaks River Valley
Nicholas DeSimpelare, Unionville-Sebewaing

GIRLS CLASS C
Korinna Corbin, Addison
Kirsten Olling, Breckenridge
Elizabeth Baker, Bronson
Melissa Dowell, Clinton
Amanda Reagle, Homer
Mandy Haferkorn, Iron Mountain
Megan Chapman, Ishpeming Westwood
Keara Wilson, Marlette
Grace Leighton, Mendon
Allie Kendall, Saginaw Nouvel
Kari Feddema, Schoolcraft
Erin McDonnell, Traverse City St Francis

BOYS CLASS D
Grant Hohlbein, Adrian Lenawee Christian
Bret Hiveley, Au Gres-Sims
Tyler Anthony Johnson, Bear Lake
Jeremy Bigalke, Manistee Catholic Central
Ben Feliczak, Manistee Catholic Central
Steven McKenzie, Marcellus
Alec Firack, Pickford
Harding Fears III, Southfield Christian

GIRLS CLASS D
MacKenzie Ciganick, Bellaire
Julie Ahnen, Bessemer
Sara Inbody, Deckerville
Vanessa Freberg, Eben Junction Superior Central
Kari Borowiak, Gaylord St Mary
Lyvia Deaver, Jackson Christian
Erin Gast, Lake Linden-Hubbell
Jennifer Malcolm, Plymouth Christian