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Specialization Not the Only Pathway
April 21, 2015
By Eric Martin
MSU Institute for the Study of Youth Sports
Specialization is not a new topic facing athletes and parents.
In a 1989 study by Hill and Simons, athletic directors indicated that the three-sport athletes of the past were being replaced by athletes who only participated in a single sport. Multiple athletic directors indicated that the decrease of multi-sport participation was a concern for all involved in the sport environment as increased emphasis on sport specialization was not in the true vision of high school sports.
Even though the distress concerning sport specialization is not a new topic, the rise of club sports and year-round travel teams have increased the number of youth athletes who are forced to make a choice between playing multiple sports or focusing their time and training efforts solely on one sport. The decision to focus solely on one sport sometimes is done by athletes (or their parents) who believe that quitting other sports is the sole way to earn a coveted college scholarship.
However, even though counter intuitive, sport specialization may be hampering their pursuit to play at the next level.
Elite level achievement in sport is rare, with statistics showing that only 0.12 percent of high school athletes in basketball and football eventually reach the professional level. To combat these odds, many in popular media including Malcolm Gladwell have forwarded Anders Ericcson’s proposal that to become an expert in a field, an individual must accumulate 10,000 hours of practice.
To achieve this aim, many parents and athletes disregard other sports believing that extra exposure to a single sport may result in accumulating these hours quicker and increase an athlete's chances of elite skill achievement. Reducing the achievement of sport excellence to solely practice hours overlooks the importance that developmental, psychosocial, and motivational factors play in the achievement of high level success in youth. Further, several research studies have found that elite athletes typically fall short of this 10,000 hour milestone.
Simply accumulating a magic number of hours does not guarantee sport success, and in fact, trying to accumulate these hours too early can lead to many different negative outcomes for youth.
Sport specialization has been shown to have a variety of negative physiological and psychological outcomes for youth athletes. Typically, athletes who specialize in one sport play that sport year-round with little or no offseason. In these cases, athletes who continually perform repetitive motions such as throwing or jumping can experience overuse injuries that can range from tendinitis to torn ligaments.
In addition to the increased risk of injury, youth who specialize and play a single sport year-round are at risk for psychological issues as well. Youth who play a single sport are less likely to allow for proper recovery and face the increased chance of burnout or decreases in motivation that may result in leaving sport entirely. Additionally, as practice time demands and multiple league involvement increases, youth may feel added pressure to succeed due to the increased time and financial costs incurred by parents.
Finally, youth who specialize early in only one sport do not develop the fundamental motor skills that help them stay active as adults, instead only developing a very narrow skill set of a single sport.
If the dangers of sport specialization do not encourage multisport participation, a majority of studies have shown that sport specialization does not increase long-term sport achievement. In fact, most studies indicate that athletes who reach the highest level of sport achievement typically played a variety of sports until after they were well into high school.
For example, a study with British athletes found that youth who played three or more sports at the ages of 11, 13, and 15 had a significantly higher likelihood of playing on a national team at ages 16 and 18. These athletes had a more rounded set of skills, were more refreshed for their chosen sport, and were more psychologically and emotionally ready to perform due to their experiences in a number of sports.
A study recently conducted by the Institute for the Study of Youth Sports with collegiate athletes showed similar results as the British athlete study. In the ISYS study, 1,036 athletes from three Division I universities were asked to report their past youth sport participation. On average, youth participated in three or more sports in elementary and middle school. The number of sports youth participated in decreased with each year of high school, but even with the decrease of participation, a larger number of individuals played more than one sport during every year of high school including senior year than those who played a single sport.
Even though a majority of athletes did play at least two sports throughout high school, several athletes did indicate that they specialized in one sport indicating that there are multiple pathways to elite sport achievement.
Athletes were also asked for their perception of how important it was to specialize in one sport in order to earn a college scholarship. On a scale of 1-9, athletes felt that specializing in one sport prior to high school was neither important nor unimportant (4.97).
Sport specialization is not a new issue, but that does not minimize the damage that can occur if athletes are overtaxed early in their development. Each athlete is unique, and each situation requires care. If an athlete does decide to play in only one sport, the decision should be made in regards to the athlete’s interest and development, not just in the pursuit of a college scholarship. Additionally, if athletes specialize in one sport, it is critical to understand that youth are developing and proper recovery is critical both physically and psychologically.
Early specialization in sport is an issue that is not going to go away, but for coaches, parents, and athletes this decision should be made with a long-term perspective and with the athletes’ long-term well-being central to the choice.
Martin is a fourth-year doctoral candidate in the Institute for the Study of Youth Sports at Michigan State University. His research interests include athlete motivation and development of passion in youth, sport specialization, and coaches’ perspectives on working with the millennial athlete. He has led many sessions of the MHSAA Captains Leadership Clinic and consulted with junior high, high school, and collegiate athletes. If you have questions or comments, contact him at [email protected].
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Navigating Twists, Turns Of Ankle Sprains
November 30, 2020
Henry Ford Health System
Oh, how the ankle turns! If you’ve had a misstep or wrong turn result in a sprained ankle, you know how painful this injury can be. Henry Ford podiatric surgeon Paul Di Liddo, DPM, discusses ankle sprains and treatments.
Ankle Injury 101
From risk factors to treatments (and nearly everything in between), here’s what to know — and do — about ankle sprains.
Sprained Ankles Are Painfully Common
In fact, they’re among the most frequent injuries in the United States, with up to 25,000 people per day spraining their ankles. Although often associated with sports, ankle sprains can happen to anyone, anywhere. “I see ankle sprains from tripping over curbs, stepping in holes in a yard or simply walking,” says Dr. Di Liddo. “Ankle sprains — like accidents — happen.”
Ankle Sprains Injure Ligaments
“Ankle sprains occur when the ankle suddenly and forcefully twists or rolls past a point that the ankle ligaments can tolerate,” remarks Dr. Di Liddo. “The ankle ligaments will stretch or tear, either partially or completely.” An ankle can twist, turn or roll during a fall, jump or change of direction, while walking on uneven ground and more.
A Weak Ankle Is A Vulnerable Ankle
Most sprained ankles heal without long-term concern. In some cases, however, ligaments may not fully heal, resulting in a weak or unstable ankle. “A weak or unstable ankle can make an individual more susceptible to repeated ankle sprains,” explains Dr. Di Liddo.
High Arches Can Be Risky Business
People who have high-arched feet are more at risk of rolling — and therefore spraining — their ankles. So are people who have “loose joints,” because the ankle can overstretch with a seemingly minor twist. People who are at-risk for ankle sprains should take extra precautions when playing sports or performing other activities.
Some Sprains Can Be Treated At Home — Emphasis On Some
How you treat a sprained ankle depends on the severity of the injury. Minor sprains can be treated at home with the RICE method. The RICE method include:
- Rest by avoiding use of the injured ankle
- Ice applied to the ankle (without touching the skin) for no more than 20 minutes every three to four hours
- Compression with an elastic bandage
- Elevation above the heart
Ice, compress and elevate your ankle for the first few days. Rest and refrain from sports until ankle pain and swelling have subsided.
At-home treatments aren’t right for everyone — or every ankle injury. “A swollen ankle is typical if you have experienced a sprain,” says Dr. Di Liddo. “However, if you have severe ankle swelling, are in extreme pain or notice an odd ankle appearance, seek medical attention.” This is also true if you can’t walk more than a few steps or have limited ankle mobility. A foot and ankle specialist can diagnose your injury and begin treatment.
Ankle Treatments Abound
Ankle sprain treatments are designed to decrease pain and swelling, while protecting the ligaments from further injury. Treatments include wearing an ankle brace, walking boot or cast. Physical therapy to strengthen the ankle and maintain range of motion may also be incorporated after the ligaments have started to heal.
“Of course, for more severe injuries, a thorough physical exam and X-rays are necessary,” says Dr. Di Liddo. “This helps ensure that there is no other underlying injury, such as a fractured ankle or Achilles tendon rupture.”
Healing Times Vary
The recovery time for a sprained ankle depends on the severity of the injury. Sprains with minimal ligament stretching and no tear require one to three weeks. Partially torn ankle ligaments may take up to six to eight weeks to heal. A fully torn ligament can take several months to fully heal.
What To Do When Ankle Problems Persist
For people who continue to experience ankle instability, there are a host of options. “Physical therapy is the first step — but not the only one,” says Dr. Di Liddo. “If physical therapy has not been beneficial, we can discuss surgical approaches.”
Surgical options include:
- Ligament repair or reinforcement via an outpatient procedure
- Osteotomy, which is surgical cutting of bone, to lower arches when ankle instability is caused by high arches
For those with frequent ankle sprains or instability, a medical assessment is necessary and may include:
- Physical exam
- X-rays to assess bones and joints
- MRI to evaluate ankle ligaments
With this information in mind, you can prevent — or address — the twists and turns of ankle sprains.
Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan.
Visit henryford.com/sports or call (313) 972-4216 for an appointment within 24 business hours.