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.

2022 WISL Honoree Hyman Lauded for Lifetime of Leadership

By Geoff Kimmerly
MHSAA.com senior editor

February 25, 2022

Lori Hyman was a sports standout in high school, then at Michigan State University. She then coached college basketball for 17 years, starting when she was only 23 years old, and surely could’ve continued down that path.

While always a leader, she decided to change gears in 1995 and provide guidance another way – coaching up coaches as a high school athletic director. Over the next 27 years, she became one of the most respected ADs in Michigan – and contributed in that role at her alma mater Livonia Stevenson over the last 22.

To celebrate her many contributions to school sports, at home but also statewide, Hyman has been named the 35th recipient of the MHSAA Women In Sports Leadership Award. She will receive the award during the Division 1 Girls Basketball Final on March 19 at Michigan State’s Breslin Center.

Hyman served her first five years as an athletic director at Dexter, making the move there after four college basketball coaching stops. After a memorable hoops career at MSU, she served as a women’s basketball graduate assistant at Ferris State University and then head coach at Northwood Institute (now University) from 1981-82 – when she was only 23 years old – through 1985-86. 

She then served as an assistant at University of Illinois before returning as head coach at Ferris State from 1989-90 through 1994-95. In Fall 1995, she began at Dexter.

“Every part of my career I’ve been happy with, and honored, and just thoroughly enjoyed it,” Hyman said. “It’s been a passion of mine, every aspect.

“(Playing at Michigan State) was one of the best times, if not the best time, of my life as a youngster. And then being an athletic director has probably been the most rewarding as an adult. And being at Stevenson, coming back home, has been quite an honor and just a very rich experience for me.”

Each year, the Representative Council considers the achievements of women coaches, officials and athletic administrators affiliated with the MHSAA who show exemplary leadership capabilities and positive contributions to athletics.

Lori HymanHyman is a 1975 graduate of Stevenson, where she also played softball and competed in track & field. She was named MSU’s Outstanding Athlete of the Year for women’s basketball in 1979, after serving as co-captain of the team that season but missing the majority of it with an injury.

As an athlete at MSU, she joined her teammates in filing a 1978 discrimination complaint that requested the women’s basketball team receive travel allowances equal to those received by the Spartans men’s team. “It is very meaningful that Michigan State is where they are now, not just in women’s basketball but the women’s sport program,” Hyman said. “I feel like we were part of that growing and moving forward in a positive way, and I thank Michigan State for recognizing that and moving it forward.”

She graduated with a bachelor’s degree in physical education and health in 1980 and has a master’s in athletic administration from Wayne State University. She received her certified master athletic administrator designation from the National Interscholastic Athletic Administrators Association (NIAAA) in 2006. 

Back at Stevenson, Hyman has directed the athletic program for a high school with nearly 1,700 students, which by enrollment ranks 50th out of 750 MHSAA member schools. 

She has hosted a multitude of MHSAA Tournament events while at both Dexter and Stevenson and has served on the MHSAA’s girls tennis, girls basketball and boys basketball committees. She also has served as the girls and boys tennis commissioner of the Kensington Lakes Activities Association, of which Stevenson is a member.

“Lori has been a leader and pioneer in the world of athletics, and in particular as an advocate for females and girls sports,” MHSAA Executive Director Mark Uyl said. “When she left coaching basketball to work as an AD, it was an incredible victory for kids in our state. She’s been dependable, loyal and just a model of consistency in running a first-class program.”

Hyman was named her region’s Athletic Director of the Year by the Michigan Interscholastic Athletic Administrators Association (MIAAA) in 2014 and received its Jack Johnson Distinguished Service Award in 2015.

As an instructor for the MIAAA, Hyman has provided training particularly to beginning athletic directors. She has served as a Leadership Training Institute instructor as well for the MIAAA and as a presider and speaker at the MIAAA’s annual conference. She also has spoken at the MHSAA’s Women In Sports Leadership Conference.

“I’ve always been an advocate for women in sports and equal opportunity,” Hyman added. “I treat all of the sports here equally, male and female. But if I feel that there needs to be a little bit more advocacy for women in sports, whether it’s coaching and getting more girls involved, or officiating, administration, any kind of leadership, I’m really big on that.”

“I’m a big advocate for women in athletics, but (also) just athletics in general.”

In addition to her vast school sports responsibilities and contributions, Hyman has volunteered with Special Olympics, Livonia’s Newburg United Methodist Church and Rotary Club.

The first Women In Sports Leadership Award was presented in 1990.

Past recipients

1990 – Carol Seavoy, L’Anse 
1991 – Diane Laffey, Harper Woods
1992 – Patricia Ashby, Scotts
1993 – Jo Lake, Grosse Pointe
1994 – Brenda Gatlin, Detroit
1995 – Jane Bennett, Ann Arbor
1996 – Cheryl Amos-Helmicki, Huntington Woods
1997 – Delores L. Elswick, Detroit
1998 – Karen S. Leinaar, Delton
1999 – Kathy McGee, Flint 
2000 – Pat Richardson, Grass Lake
2001 – Suzanne Martin, East Lansing
2002 – Susan Barthold, Kentwood
2003 – Nancy Clark, Flint
2004 – Kathy Vruggink Westdorp, Grand Rapids 
2005 – Barbara Redding, Capac
2006 – Melanie Miller, Lansing
2007 – Jan Sander, Warren Woods
2008 – Jane Bos, Grand Rapids
2009 – Gail Ganakas, Flint; Deb VanKuiken, Holly
2010 – Gina Mazzolini, Lansing
2011 – Ellen Pugh, West Branch; Patti Tibaldi, Traverse City
2012 – Janet Gillette, Comstock Park
2013 – Barbara Beckett, Traverse City
2014 – Teri Reyburn, DeWitt
2015 – Jean LaClair, Bronson
2016 – Betty Wroubel, Pontiac 
2017 – Dottie Davis, Ann Arbor 
2018 – Meg Seng, Ann Arbor 
2019 – Kris Isom, Adrian
2020 – Nikki Norris, East Lansing
2021 – Dorene Ingalls, St. Ignace

PHOTO Livonia Stevenson athletic director Lori Hyman (right) and Finals swimming champion McKenzie Siroky hold up a championship medal alongside photos honoring Siroky's achievements. (Photo courtesy of the Stevenson athletic department.)