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.
'Always just a phone call away'
By
Geoff Kimmerly
MHSAA.com senior editor
March 30, 2012
By the time Charles Schwedler joined the Bullock Creek school district nearly 19 years ago, Bill Mick had moved on to other educational roles in the Midland area.
They had never worked together. They didn’t know each other from a previous experience. Schwedler, now his district’s Superintendent, had never worked with either of Mick’s children.
The only connection they shared was an interest in the success of Bullock Creek’s students.
“Bill has always been just a phone call away for anything that I have needed from the day I arrived in Bullock Creek,” Schwedler wrote in his letter of recommendation for this year’s MHSAA Charles B. Forsythe Award. “That may not sound all that unusual except for the fact that he really has never had a reason to help me. … Bill intuitively knew that if I succeeded, kids would have a better shot at succeeding. No hidden agenda; just what’s best for kids.”
For more than four decades, Mick contributed to high school athletics as a coach, administrator and then mentor to those who followed him in those roles. That drive, which has continued after Mick’s official retirement from education, made him this year’s recipient of the MHSAA’s highest honor.
The Forsythe Award is in its 35th year and is named after former MHSAA Executive Director Charles E. Forsythe, the Association's first full-time and longest-serving chief executive. Forsythe Award recipients are selected each year by the MHSAA Representative Council, based on an individual's outstanding contribution to the interscholastic athletics community. Mick received the award during halftime of Saturday’s Class B Boys Basketball Final at Michigan State’s Breslin Center.
“I think it’s just being around athletic directors, particularly the new or younger athletic directors, that keeps the juices flowing, so to speak,” Mick said. “It goes both ways. I think I have experiences I can share with people that can help them. And it sounds trite, but it’s the truth: Their enthusiasm makes them flow faster.”
Mick began his career at Bullock Creek Public Schools from 1963-76, first as a science and physical education teacher and later as a counselor and Guidance Department head. He then moved to Midland Public Schools, serving as a counselor at Midland High and then Counseling Department Head at Midland Dow until becoming the district’s Coordinator of Health, Physical Education and Athletics from 1985-97. Mick finished his educational career as a part-time counselor at Midland’s Windover High School from 1997-2002 and then again at Bullock Creek High School from 2002-03.
Among his various contributions to athletics, Mick served on the MHSAA Representative Council for three years and in a number of roles with the Michigan Interscholastic Athletic Administrators Association (MIAAA) over 24 years. He coached cross country, track, football and basketball, and has served as an instructor in the MHSAA Coaches Advancement Program.
He remains part of the committee that organizes the MIAAA’s annual statewide conference, and also makes a trip to the MHSAA office once a year to assist in a conference for new athletic directors. He passes on lessons from the challenges he's faced over the years, with an eye on new ones that continue to crop up.
“The whole electronic media thing, things happen so much quicker. There is so much more with the Internet, and that’s probably the biggest change I can see since I got started,” Mick said. “(And) the role of the AD now is so much more complex, and we don’t see as many fulltime ADs. They have other responsibilities and obligations, so much on their plates – probably more than we had on our plates when we were ADs.”
Mick has received multiple honors from the MIAAA, including the State Award of Merit in 2002 and Distinguished Service Award in 2008. He also received the MHSAA’s Al Bush Award in 1998 for his many contributions to the association, and the Midland Area Community Foundation’s Lloyd Osborn Award in 1997 for his service to youth and athletics in that community. He was inducted into the Midland County Sports Hall of Fame in 1998.
Mick also was an MHSAA Track Finals meet manager for three years and served as executive secretary of the Mid-Michigan B league for five.
“Bill Mick contributed to high school athletics in a number of mentorship capacities during his career, and he remained engaged in that service after his retirement,” said MHSAA Executive Director John E. “Jack” Roberts. “Through his work with the MHSAA and MIAAA, Bill has provided valuable training to the next generation of leaders. We’re proud to honor Bill Mick with the Forsythe Award.”
A Tawas High School and Albion College graduate, Mick also received a master’s degree from Central Michigan University and did post-graduate work at Saginaw Valley State University.
His father and brothers all were superintendents and his mother was a teacher. His wife Mary Lou was an elementary school counselor for Midland Schools, and together they still attend a number of Battle Creek basketball games – where they now watch the children of those they taught, counseled and mentored.
They have two sons who are both doctors, one living in California and the other in Maine.
Past recipients of the Charles E. Forsythe Award are:
1978 - Brick Fowler, Port Huron; Paul Smarks, Warren
1979 - Earl Messner, Reed City; Howard Beatty, Saginaw
1980 - Max Carey, Freesoil
1981 - Steven Sluka, Grand Haven; Samuel Madden, Detroit
1982 - Ernest Buckholz, Mt. Clemens; T. Arthur Treloar, Petoskey
1983 - Leroy Dues, Detroit; Richard Maher, Sturgis
1984 - William Hart, Marquette; Donald Stamats, Caro
1985 - John Cotton, Farmington; Robert James, Warren
1986 - William Robinson, Detroit; Irving Soderland, Norway
1987 - Jack Streidl, Plainwell; Wayne Hellenga, Decatur
1988 - Jack Johnson, Dearborn; Alan Williams, North Adams
1989 - Walter Bazylewicz, Berkley; Dennis Kiley, Jackson
1990 - Webster Morrison, Pickford; Herbert Quade, Benton Harbor
1991 - Clifford Buckmaster, Petoskey; Donald Domke, Northville
1992 - William Maskill, Kalamazoo; Thomas G. McShannock, Muskegon
1993 - Roy A. Allen Jr., Detroit; John Duncan, Cedarville
1994 - Kermit Ambrose, Royal Oak
1995 - Bob Perry, Lowell
1996 - Charles H. Jones, Royal Oak
1997 - Michael A. Foster, Richland; Robert G. Grimes, Battle Creek
1998 - Lofton C. Greene, River Rouge; Joseph J. Todey, Essexville
1999 - Bernie Larson, Battle Creek
2000 - Blake Hagman, Kalamazoo; Jerry Cvengros, Escanaba
2001 - Norm Johnson, Bangor; George Lovich, Canton
2002 - John Fundukian, Novi
2003 - Ken Semelsberger, Port Huron
2004 – Marco Marcet, Frankenmuth
2005 – Jim Feldkamp, Troy
2006 – Dan McShannock, Midland; Dail Prucka, Monroe
2007 – Keith Eldred, Williamston; Tom Hickman, Spring Lake
2008 – Jamie Gent, Haslett; William Newkirk, Sanford-Meridian
2009 – Paul Ellinger, Cheboygan
2010 – Rudy Godefroidt, Hemlock; Mike Boyd, Waterford
2011 – Eric C. Federico, Trenton
PHOTO: Midland's Bill Mick (right) receives the Charles B. Forsythe Award from MHSAA Representative Council president James Derocher during halftime of the Class B Final.