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.

Week 9 Football Playoff Listing

October 22, 2013

By Geoff Kimmerly
Second Half editor

Here is a list of Michigan High School Athletic Association football playing schools, displaying their win-loss records and playoff averages through the eighth week of the season. Schools on this list are in enrollment order. An asterisk (*) beside a record indicates that a team has eight or fewer games scheduled. A caret (^) beside a school’s name indicates that a team is one win away from playoff qualification.

Those schools with 11-player teams with six or more wins playing nine-game schedules, or five or more wins playing eight games or fewer, will qualify for the MHSAA Football Playoffs beginning Nov. 1-2. Schools with 5-4, 4-3 or 4-4 records may qualify if the number of potential qualifiers by win total does not reach the 256 mark. Schools with six or more wins playing nine-game schedules or five or more wins playing eight games or fewer may be subtracted from the field based on playoff average if the number of potential qualifiers exceeds the 256 mark.

Once the 256 qualifying schools are determined, they will be divided by enrollment groups into eight equal divisions of 32 schools, and then drawn into regions of eight teams each and districts of four teams each.

Those schools with 8-player teams will be ranked by playoff average at season’s end, and the top 16 programs will be drawn into regions of eight teams each for the playoff in that division, which also begins Nov. 1-2.

To review a list of all football playoff schools, individual school playoff point details and to report errors, visit the Football page of the MHSAA Website.

The announcement of the qualifiers and first-round pairings for both the 11 and 8-player playoffs will take place on Oct. 27 on the Selection Sunday Show at 7 p.m. on FOX Sports Detroit. The playoff qualifiers and pairings will be posted to the MHSAA Website following the Selection Sunday Show.
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11-Player Playoff Listing

1. Sterling Heights Stevenson, 2781, 4-4, 51.500                 
2. Utica Eisenhower, 2772, 4-4, 53.750                                    
3. Clarkston, 2737, 7-1, 95.500                                     
4. Macomb Dakota, 2693, 8-0, 108.000                                    
5. Howell ^, 2672, 5-3, 64.625                                      
6. Grand Blanc, 2624, 6-2, 81.625                                               
7. East Kentwood ^, 2612, 5-3, 66.750                                     
8. Rockford, 2572, 7-1, 92.750                                     
9. Clinton Township Chippewa Valley, 2506, 7-1, 95.875  
10. Lake Orion, 2490, 6-2, 78.375                                                
11. Dearborn Fordson ^, 2309, 5-3, 68.589                             
12. Holland West Ottawa ^, 2293, 5-3, 66.000                       
13. Northville, 2275, 7-1, 97.250                                 
14. Detroit Cass Tech, 2262, 8-0, 107.000                                                
15. Brighton ^, 2164, 5-3, 69.000                                                                
16. Monroe ^, 2145, 5-3, 62.500                                 
17. Detroit Catholic Central, 2132, 7-1, 94.161                      
18. Plymouth ^, 2126, 5-3, 61.625                                              
19. Canton, 2078, 7-1, 95.750                                       
20. Novi, 1986, 4-4, 52.375                                                            
21. Livonia Stevenson, 1983, 4-4, 49.000                                 
22. Macomb L'Anse Creuse North, 1965, 7-1, 89.500         
23. West Bloomfield ^, 1941, 5-3, 63.750                                                
24. New Baltimore Anchor Bay, 1899, 4-4, 48.875                               
25. Saline, 1897, 7-1, 94.275                                         
26. Westland John Glenn ^, 1880, 5-3, 61.375                      
27. Holt, 1866, 4-4, 53.250                                                             
28. Warren Mott, 1796, 8-0, 99.000                                           
29. Romeo, 1793, 4-4, 54.750                                                       
30. Oxford, 1782, 4-4, 51.625                                                       
31. Rochester Hills Stoney Creek, 1759, 6-2, 79.250           
32. Hudsonville ^, 1736, 5-3, 70.875                                          
33. Ann Arbor Skyline, 1715, 4-4, 49.250                                 
34. Grand Ledge, 1715, 4-4, 51.250                                           
35. Belleville ^, 1714, 5-3, 64.750                                                
36. Davison, 1692, 4-4, 44.250                                                     
37. Walled Lake Northern, 1688, 6-2, 80.125                         
38. Traverse City West ^, 1653, 5-3, 66.500                            
39. Rochester, 1615, 4-4, 52.125                                 
40. Waterford Kettering ^, 1604, 5-3, 66.125                        
41. Temperance Bedford, 1600, 8-0, 114.000                        
42. Grosse Pointe South ^, 1598, 5-3, 62.500                        
43. Rochester Adams ^, 1582, 5-3, 67.000                                              
44. Saginaw Heritage ^, 1575, 5-3, 60.250                               
45. Warren DeLaSalle ^, 1564, 5-3, 74.500                                              
46. Walled Lake Western, 1556, 8-0, 108.000                        
47. Flint Carman-Ainsworth, 1488, 7-1, 86.875                     
48. Detroit U-D Jesuit, 1476, 4-4, 55.500                                 
49. Midland, 1462, 7-1, 90.750                                     
50. Ypsilanti Lincoln, 1460, 7-1, 85.875                                      
51. Pinckney ^, 1452, 5-3, 65.625                                               
52. Traverse City Central ^, 1448, 5-3, 60.571                        
53. Oak Park ^, 1438, 5-3, 64.875                                                
54. Detroit Martin Luther King *, 1432, 7-0, 103.571          
55. Royal Oak, 1414, 4-4, 47.625                                 
56. Southgate Anderson, 1409, 4-4, 48.500                           
57. Ypsilanti Community, 1399, 4-4, 45.000                            
58. Port Huron ^, 1398, 5-3, 63.107                                           
59. Wyandotte Roosevelt, 1373, 8-0, 110.000                       
60. Portage Central, 1372, 8-0, 108.000                                   
61. Lansing Everett ^, 1369, 5-3, 58.625                                   
62. Portage Northern, 1364, 6-2, 74.625                 
63. Garden City, 1362, 4-4, 47.125                                             
64. Southfield, 1356, 7-1, 95.875                                                
65. North Farmington *, 1352, 5-3, 56.286                             
66. Caledonia ^, 1350, 5-3, 60.000                                              
67. Battle Creek Lakeview, 1348, 8-0, 90.000                        
68. Birmingham Seaholm, 1337, 8-0, 103.000                        
69. Birmingham Brother Rice, 1326, 8-0, 111.200                 
70. Grosse Pointe North ^, 1323, 5-3, 65.375                        
71. Muskegon Mona Shores, 1314, 6-2, 79.500                    
72. Midland Dow, 1304, 7-1, 85.036                                          
73. Farmington Hills Harrison, 1300, 7-1, 93.750                   
74. South Lyon, 1277, 6-2, 82.250                                               
75. Swartz Creek, 1277, 4-4, 52.768                                           
76. Birmingham Groves, 1274, 7-1, 85.875                             
77. Grand Rapids Ottawa Hills ^, 1231, 5-3, 52.500                              
78. Fenton, 1188, 8-0, 101.000                                                    
79. Grand Rapids Northview, 1182, 4-4, 49.750                    
80. Mattawan, 1176, 4-4, 45.625                                                
81. Warren Woods Tower, 1170, 6-2, 62.750                         
82. Muskegon Reeths-Puffer, 1151, 7-1, 92.500                  
83. Lowell, 1146, 8-0, 118.000                                                      
84. Taylor Truman, 1131, 6-2, 74.500                                        
85. East Lansing, 1124, 4-4, 52.750                                             
86. Holly, 1124, 4-4, 49.375                                                           
87. Muskegon, 1118, 7-1, 97.875                                                
88. Lapeer East, 1113, 4-4, 50.625                                              
89. Marquette *, 1110, 5-2, 73.286                                           
90. Detroit East English ^, 1109, 5-3, 59.750                           
91. Detroit Cody ^, 1106, 5-3, 57.250                                        
92. Allen Park, 1103, 6-2, 76.625                                 
93. Detroit Renaissance ^, 1097, 5-3, 53.268                         
94. Detroit Mumford, 1090, 6-2, 72.732                  
95. Grand Rapids Forest Hills Northern, 1079, 6-2, 71.250               
96. St. Johns, 1079, 4-4, 47.625                                   
97. Zeeland East ^, 1071, 5-3, 67.125                                        
98. Lapeer West, 1063, 7-1, 91.375                                            
99. Redford Thurston ^, 1063, 5-3, 65.375                              
100. Auburn Hills Avondale, 1055, 4-4, 42.375                      
101. Byron Center, 1039, 6-2, 68.750                                        
102. Mt. Pleasant, 1033, 7-1, 92.875                                         
103. Riverview, 993, 6-2, 66.625                                 
104. St. Joseph, 986, 7-1, 88.875                                 
105. Orchard Lake St. Mary's, 980, 4-4, 54.625                      
106. Petoskey ^, 965, 5-3, 62.000           &a