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: Campaign Touts Benefits of High School Football

By Karissa Niehoff
NFHS Executive Director

May 21, 2021

A full return to high school sports and performing arts programs – that’s the hope for this fall in schools across the country.

After a year of unprecedented challenges in keeping these programs going due to the pandemic, which included 11 states that conducted their primary football season this spring, there is great optimism as we look to a new school year.

Even in those states that were able to conduct activities last fall, attendance restrictions kept many fans out of stadiums and watching games online. However, with vaccine eligibility now at 12 years of age and older and with vaccinations continuing during the next three months, the likelihood of routines and traditions returning this fall grows stronger each day.

And there is no tradition more anticipated than the full-scale return of high school football. While there were 34 states there were fortunate enough to conduct football at some level last fall, the routines were anything but normal.

This fall, however, we anticipate a return to the energy and excitement of the 2019 season when 1,003,524 boys participated in 11-player football. That total marked a decline of only 2,489 from the previous year and was a good sign of a renewed confidence on the part of parents and student-athletes that concerns about the risk of injury were being addressed.

While boys participation in 11-player football has exceeded one million participants every year since 1999 and is overwhelmingly the most popular boys sport, there have been concerns about declines in past years.

Last fall, the NFHS and the National Football League announced a partnership to promote the growth, understanding and support for football at the high school level. The NFHS and NFL have been studying participation trends, developing educational tools and striving to restore confidence in students and parents that the sport is, in fact, more focused on risk minimization than ever before.  

As a result, the springboard to the return of high school football next fall begins this week with the launch of the #ThisIsHSFootball campaign. Through this effort over the next few months, the NFHS will be reaching out to coaches, students, parents, officials, athletic directors and others with research information, participation trends and data on various risk mitigation efforts that, we believe, continues to make high school football safer than it has ever been.

As a part of this effort, the NFHS produced a video entitled “This is High School Football” designed to detail the benefits of participation in high school football.

As the video states, more so than at any other level of play, parents should feel good about their kids playing high school football.

>Here are some of the many educational and medical safeguards put in place the past 12 years to offer parents a comfort level about the safety standards that are a part of high school football.

► Concussion research and education. All NFHS high school playing rules require a student who is exhibiting signs of a concussion to be removed from the game and not allowed to return until the student has been cleared by a medical professional. Thanks to education and training on the part of students, coaches, trainers, parents and others, research data has shown positive trends in concussion rates. In a recent five-year period, concussion rates during practices dropped from 5.47 to 4.44 concussions per 10,000 athletic exposures.  

► Concussion in Sport Course. This free online education course has been available through the NFHS Learning Center since 2010, and millions of individuals have taken the course for a deeper understanding about concussions.  

► Concussion Laws. By 2014, every state had adopted state concussion laws that established mandatory protocols, and every state high school association has adopted policies that limit contact during preseason drills and in practices during the season.  

► Football equipment. Manufacturers continue to produce higher quality equipment every year, and high school coaches are doing a much better job at teaching and coaching the rules of the game and making attempts to minimize risk of injury for players.

► Emergency Action Plans. Thanks to the NFHS Foundation, a copy of the “Anyone Can Save a Life” emergency action plan originally developed by the Minnesota State High School League was sent to all state high school associations and their high schools, and all schools have access to an AED to help save lives.

► Playing Rules. Risk minimization is a major focus of every NFHS sports rules committee. In football, helmet-to-helmet hits are not allowed.

High school football has been a significant part of schools, towns and communities across America for almost 100 years. The NFHS is committed to making the sport as safe as possible for the millions of kids who will play the sport in the years to come.

Dr. Karissa L. Niehoff is in her third 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.