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 25, 2013

The 120 finalists for the Michigan High School Athletic Association's Scholar-Athlete Award for the 2012-13 school year have been announced.

The program, which has been recognizing student-athletes since the 1989-90 school year, 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 Award, and will present a $1,000 scholarship to each recipient. Since the beginning of the program, 576 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, there also will be two at-large honorees which also are part of the general judging process, may come from any classification, and are designated by their school at the time of entry.

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. Saline has five finalists this year, while Kalamazoo Hackett and Muskegon Mona Shores have three.  Eleven schools each had two finalists: Ann Arbor Gabriel Richard, Comstock Park, Grosse Ile, Hillsdale Academy, Macomb Dakota, Okemos, Oxford, Portland, Rock Mid-Peninsula and Sand Creek.  

Multiple-sport participation remains the norm among applicants. The average sport participation rate of the finalists is 2.48, while the average of the application pool was 2.16 – both within a tenth of last year’s rates in those categories. There are 59 three-plus sport participants in the finalist field, and all but one of the 28 sports in which the MHSAA sponsors postseason tournaments are represented.

Of 409 schools which submitted applicants, 54 submitted the maximum allowed. This year, 1,675 applications were received. All 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 66-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 on February 5; Class B scholarship recipients will be announced on February 12, and Class A scholarship recipients will be announced on February 19. 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 23, 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 submit 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.              
 
2012-13 Scholar-Athlete Award Finalists

BOYS CLASS A
Marcus William Barnett, St Clair Shores Lake Shore
Connor James Bos, Holland
Andrew Camp, Midland Dow
Bryan Condra, Hartland
Jarrod Eaton, St. Johns
Tristan Eggenberger, Okemos
Alex Fauer, Macomb Dakota
Thomas Greidanus, Grand Rapids Christian
Kalvis Hornburg, Traverse City Central
Reed Hrynewich, Muskegon Mona Shores
Austin Jones, Bay City Central
Tyler Scott Kemerer, Saginaw Heritage
Anthony Lamus, Saline
Jacob J. Presto, Orchard Lake St Mary's
Charles Robert Proctor, Bay City Western
David Read, Midland Dow
Harrison Schurr, Jenison
Jeremy Simon, Richland Gull Lake
Jonathan Sollish, Berkley
Thomas Spicuzza, Oxford
Jason Vander Horst, Milford
Kevin W. Walsh, Detroit Catholic Central
Pierce Watson, Lowell
Adam Whitener, Saline

GIRLS CLASS A
Kristy Allen, East Grand Rapids
Casie Ammerman, Ann Arbor Huron
Jacqueline Burke, Troy
Francesca Ciaramitaro, Grosse Pointe North
Lara Fawaz, Dearborn
Kayla Giese, Macomb Dakota
Morgan Alexandria Gilliam, North Farmington
Kristin Nicole Green, Saline
Sarah Gutknecht, Farmington
Kelly Hall, Saline
Hailey Hrynewich, Muskegon Mona Shores
Jessica Kalbfleisch, Traverse City West
Jillian Klein, Muskegon Mona Shores
Brooke Kovacic, Oxford
Teresa LaForest, St. Joseph
Elizabeth Michno, Macomb L'Anse Creuse North
Kelly Raterink, Zeeland East
Roxanne Raven, Okemos
Kerigan Riley, Livonia Churchill
Haley Schaafsma, Riverview
Carley Serowoky, Waterford Kettering
Kendall Tamler, Birmingham Seaholm
Reinie Thomas, Portage Central
Lindsay Walter, Saline

BOYS CLASS B
Michael Azzopardi, Detroit Country Day
Michael Broderick, Pontiac Notre Dame Prep
Brice Brown, Ionia
Michael Chickeral, Flat Rock
Thomas D. Finch, Otsego
Alec Robert Fisher, Battle Creek Harper Creek
Mark Gibson, Freeland
Patrick Gifford, Haslett
Andrew Hammond, Grand Rapids Forest Hills Eastern
Michael Heinrich, Ludington
Luke James Hurst, Ovid-Elsie
Matthew Liu, Bloomfield Hills Cranbrook-Kingswood
Adam Olszewski, Ann Arbor Gabriel Richard
Scott Parkinson, Grayling
Keeton Thayer Ross, Grosse Ile
Ryan Schall, Comstock Park

GIRLS CLASS B
Brittany Beeler, Spring Lake
Ashley M. Carney, Jackson Northwest
Kelsi Caywood, Sturgis
Amanda Ciancio, Comstock Park
Morgan Kathleen Cinader, Goodrich
Mary Emington, Cadillac
Hannah C. Engle, Adrian
Nicole L. Green, Portland
Haley June Obetts, Wayland Union
Molly Oren, Hamilton
Catherine Polgar, Grosse Ile
Emily Quinn, Portland
Florence Ann Sobell, Croswell-Lexington
Anjali Sood, Ann Arbor Gabriel Richard
Megan Taylor, Houghton Lake
Shelby Walsh, Livonia Ladywood

BOYS CLASS C
Brian Christopher Aldrich, Kalamazoo Hackett
Jesse Anderson, Union City
Kenner Broullire, Manistique
Jesse Corbat, Breckenridge
Parker Eldred, Blanchard Montabella
Ashwin Fujii, Ann Arbor Greenhills
Zachary A. Kerr, Saugatuck
Connor Lockman, Royal Oak Shrine Catholic
Mike O'Brien, Maple City-Glen Lake
Elliott Rains, Sand Creek
Quinton Rice, Marcellus
Luke Schaffner, Clinton

GIRLS CLASS C
Alyssa R. Briolat, Ubly
Kara Craig, Schoolcraft
Lindsey Dopheide, Lawton
Margaret Elizabeth Durbin, Boyne City
Macayla Geiner, Hart
Natalie Perry, Sand Creek
Theresa Pickell, Reese
Abigail Radomsky, Kalamazoo Hackett
Kylei Ratkowski, Bronson
Faith Schroeder, Saginaw Michigan Lutheran Seminary
Grace Smith, Kalamazoo Hackett
Nicole Winter, Watervliet

BOYS CLASS D
Charles Barchett, Watervliet Grace Christian
Charles A. Blood, Hillsdale Academy
Brett Branstrom, Rock-Mid Peninsula
Matthew R. Katz, Tekonsha
Alexander G. Knight, Lake Linden-Hubbell
Francisco Jay Noyola, Lansing Christian
Joseph Samuel Paquette, Munising
Hunter Selby, Genesee Christian

GIRLS CLASS D
Anna Marie Couture, Posen
Sarah Cullip, St. Ignace 
Erica LeClaire, Dollar Bay
Elyse Kathleen Lisznyai, Hillsdale Academy
Elena Victoria Luce, Mason County Eastern
Christina Smith, Gaylord St. Mary
Kari L. Steenwyk, Ellsworth
Krysta M. VanDamme, Rock-Mid Peninsula