The Inherent Risk of Sport Specialization

April 30, 2018

By Bob Gardner
Executive Director of the National Federation of State High School Associations
 

One of the responsibilities that parents take most seriously is protecting their children from injury, whether it is buckling seat belts in a car or wearing a helmet while riding a bike. And when their kids become teenagers and want to participate in sports or other activities, parents do everything they can to keep their sons and daughters from getting hurt.

But not all injuries are caused by a twist, fall, collision or accident. Many are caused when young athletes repeat the same athletic activity so often that muscles, ligaments, tendons and bones don’t have time to recover—especially among middle school and high school students. These injuries can end promising careers, cost families tens of thousands of dollars, squash dreams and literally change lives.

Examples include elbow and arm injuries to teenagers who play baseball or softball all year long, shoulder injuries to year-round swimmers, wrist and elbow injuries to gymnasts, and stress fractures to soccer players.

The culprit, most often, is what’s commonly known as “sport specialization,” the process of playing the same sport all year long with the goal of either gaining a competitive edge or earning a college scholarship. It involves intense, year-round training in a single sport.     

Research shows that sports specialization is putting teenage athletes at risk. According to a study commissioned by the National Federation of State High School Associations (NFHS) and conducted by researchers from the University of Wisconsin, high school athletes who specialize in a single sport are 70 percent more likely to suffer an injury during their playing season than those who play multiple sports.

The American Academy of Orthopedic Surgeons says much the same. It reports that “overuse injuries” (injuries caused when an athletic activity is repeated so often that parts of the body do not have enough time to heal) are responsible for nearly half of all sports injuries to middle school and high school students.

There is a solution. Young athletes should be encouraged to play multiple sports. 

When student-athletes cross-train, they work different muscle groups and joints which, in fact, results in better overall conditioning. They also develop a new set of athletic skills like hand-eye coordination, balance, endurance, explosion and agility that are transferable to their primary sport. It’s no coincidence that 30 of the 32 first-round picks in the 2017 National Football League draft played multiple sports in high school.  

Parents can play a key role in preventing these overuse injuries by encouraging their kids to play multiple sports rather than pushing them to specialize in one sport. They will have more fun, will be less likely to suffer burnout and will actually become better athletes.

NFHS Voice: Reading the Crystal Ball

May 15, 2020

By Karissa Niehoff
NFHS Executive Director

Re-opening is the key word in sports at all levels right now. Every day, there are new projections for when the National Basketball Association and Major League Baseball will resume – and if the National Football League will start on time this fall.

Along with leaders of youth-level sports and the NCAA, the NFHS and its member state associations are exploring all options for conducting sports this fall. And while we all want answers, the truth is that there are more questions than answers at this point.

Dr. Anthony Fauci, the leading national medical authority throughout the COVID-19 pandemic, told ESPN earlier this week that “the virus will make the decision for us” on whether sports will return this fall. His comments underscore the need for leaders of all levels of sport in the United States to exercise great caution as we re-engage in activities.  

Without a doubt, education will play a larger role in the decision-making process for high school programs than for non-scholastic programs. Despite the significant loss of revenue that could occur at some levels if programs remained closed, health and safety concerns must take priority when it comes to re-opening the sport or activity.

At the high school level, sports and other activity programs will most likely not return until schools re-open. High school sports and performing arts are education-based programs and complete the learning process on a day-to-day basis. As such, academics during the school day and sports and other activities after school are inseparable. 

Could any of those sports and activities return without fans? That option is certainly not one schools favor, but it is a very real possibility. While a few state associations opted for that arrangement to complete state basketball tournaments, that is not a desired ongoing plan for school sports. Besides, this troubling question would have to be addressed: If it is unsafe for fans in the stands, is it safe for the students to be participating?

Students, parents and other fans in the stands cheering for and supporting student-athletes, and applauding from the theatre audience, are among the most wonderful aspects of education-based activities. Before accepting that arrangement, efforts will continue to make attending events a safe experience for everyone.

While we remain uncertain as to the timetable for the return of high school sports and other activities, we believe that when these programs return – and they will return – that everyone will bring renewed zeal to provide the 12 million participants in these programs the best experience possible.

One of the challenges to solving the crystal ball of high school sports and activities this fall is the uncertainty of the spread of the virus as states begin to re-open this month. The NFHS will continue to work with its Sports Medicine Advisory Committee on an ongoing basis to provide the most updated information.

With the non-negotiable tenet of safety for student activity participants, expect every avenue to be pursued so that students can be involved in football, soccer, volleyball, field hockey, speech, debate, music and many other school activities this fall.   

Dr. Karissa L. Niehoff is in her second year as executive director of the National Federation of State High School Associations (NFHS) in Indianapolis, Indiana. She is the first female to head the national leadership organization for high school athletics and performing arts activities and the sixth full-time executive director of the NFHS, which celebrated its 100th year of service during the 2018-19 school year. She previously was executive director of the Connecticut Association of Schools-Connecticut Interscholastic Athletic Conference for seven years.