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.
Hockey Star-Turned-Champion for School Sports to Receive MHSAA's Forsythe Award
By
Geoff Kimmerly
MHSAA.com senior editor
March 11, 2022
Once or twice a year, Bruce Horsch gets the question – mostly during a Winter Olympics year or after someone has watched “Miracle on Ice” and found out the “Horsch” that is mentioned twice is actually the recently-retired Houghton High School athletic director.
The final goaltender cut from the 1980 U.S. hockey team that went on to stun the world in winning Olympic gold, Horsch went on to coach at multiple college programs before becoming Houghton’s athletic director in 1996 at the age of 40.
These days, many also know him for the commitment, mentorship and leadership shown in that position through his retirement in 2019.
To celebrate his many contributions to interscholastic athletics, Horsch has been named the 2022 honoree for the Michigan High School Athletic Association’s Charles E. Forsythe Award.
The annual award is in its 45th year and 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 contributions to the interscholastic athletics community.
Horsch was described as a “not in the spotlight guy” by one of those who recommended him for the Forsythe Award, but he certainly spent time there. Horsch was a college hockey star and NHL draft pick, and had begun his minor league hockey career before playing with the U.S. team right up until the final cuts on the way to Lake Placid, N.Y.
After his playing days concluded, he coached collegiately before eventually settling in as Houghton’s athletic director for the 1996-97 school year.
“I was fortunate enough to play at Michigan Tech, and I was on a national championship team (in 1975) and I was on a national runner-up team (in 1976). When you played for (coach) John MacInnes up here, it wasn’t individuals – although we had great individuals – we won because we were a team” Horsch said.
“I’m not out for recognition. I enjoy being part of a team. I enjoy working with other people, and that’s my satisfaction.”
He led many important ones in his roles as a school sports administrator.
Horsch was named his region’s Athletic Director of the Year in both 2003 and 2019 by the Michigan Interscholastic Athletic Administrators Association (MIAAA), and served on the Upper Peninsula Athletic Committee from 2001-05. He has been an active member of the MIAAA, National Interscholastic Athletic Administrators Association (NIAAA) and Upper Peninsula Athletic Directors Association (UPADA), serving as secretary and president of the UPADA.
He also served as president of the Keweenaw Area Athletic Directors Association and secretary and commissioner of the Western Peninsula Athletic Conference.
“For years Bruce was one of the most respected voices not only in the Upper Peninsula but also the entire state,” MHSAA Executive Director Mark Uyl said. “He brought that perspective as a high-end athlete and transitioned extremely well as an educator and athletic director.”
Horsch was a frequent host of MHSAA Tournaments at the District and Regional rounds during his time at Houghton, and also hosted MHSAA Upper Peninsula Finals. He served as a host for sessions of the MHSAA PACE program, the coaching education program predecessor to the current Coaches Advancement Program (CAP).
His dedication to Houghton athletics was further noted when he considered retiring in 2017 but stayed on two more years to assist with a bond that resulted in in the upgrading of the school’s football field and track and building of softball and baseball fields as part of the athletic complex. Previously, he had led a referendum to have a second gymnasium built to provide an additional practice venue with girls basketball moving from the fall to winter season beginning with the 2007-08 school year.
“I’m proud of the fact that in the U.P. there are not many, if any schools that have the facilities that Houghton High School has,” Horsch said.
Horsch is a graduate of Hastings High School in Minnesota and earned a bachelor’s degree in business administration from Michigan Technological University. He led the Huskies hockey team to 58 victories in goal over four seasons and was part of the 1975 NCAA championship team, two of many reasons he was inducted into the Michigan Tech Sports Hall of Fame in 2007. He was drafted by the Montreal Canadiens during the ninth round of the 1976 NHL draft and played minor league hockey for two seasons. He then coached hockey collegiately for most of the 1980s as an assistant at Ferris State and then Michigan Tech.
He has continued to serve his community as a member of the Rotary Club of Houghton.
Past recipients of the Charles E. Forsythe Award
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
2012 - Bill Mick, Midland
2013 - Jim Gilmore, Tecumseh; Dave Hutton, Grandville
2014 - Dan Flynn, Escanaba
2015 - Hugh Matson, Saginaw
2016 - Gary Hice, Petoskey; Gina Mazzolini, Lansing
2017 - Chuck Nurek, Rochester Hills
2018 - Gary Ellis, Allegan
2019 - Jim Derocher, Negaunee; Fredrick J. Smith, Stevensville
2020 - Michael Garvey, Lawton
2021 – Leroy Hackley Jr., Byron Center; Patti Tibaldi, Traverse City
PHOTO: Houghton athletic director Bruce Horsch, left, hands coach Corey Markham the Division 3 finalist trophy after the Gremlins finished Division 3 hockey runners-up in 2019.