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Youth Sports: Are Single-Sport Child Athletes Really More Likely to Succeed Later?

Youth Sports: Are Single-Sport Child Athletes Really More Likely to Succeed Later?

boys-with-sports-equipmen
boys-with-sports-equipmen

Especially if they’re athletes or sports fans themselves, it’s not unusual for mothers and fathers to have secret (or not-so-secret) hopes that their kids can become good enough in a sport to earn a college scholarship or go on to a professional career. Some parents believe that the best way to work toward this goal is to encourage their children—sometimes as young as 6 or 7 years old—to focus on a single sport as early as possible. The reasoning behind this early specialization is pretty simple: Kids who are not splitting their time among multiple sports will get better, faster (and be more competitive) than their “distracted” peers. In other words, the children who commit early get a developmental head start that will make them high-performers later.

While this idea may make intuitive sense, a new study from the University of California, Los Angeles (which has a reputation as a major power in collegiate athletics) suggests that the logic simply doesn’t hold true. In a study presented at the annual meeting of the American Medical Society for Sports Medicine (AMSSM) in San Diego, Dr. John DiFiori, chief of sports medicine at UCLA’s School of Medicine, says that researchers can find no evidence that athletes who focused early on a single sport rose to elite levels in that sport.

To the contrary, most of the collegiate athletes surveyed were more like their peers, kids who enjoyed a wide range of recreational sports growing up, waiting until well into their teens before specializing on one sport. As DiFiori says, “Most successful athletes participate in a number of sports when they’re 6, 8 or 10 years old. That way, kids learn different skills and have the chance to discover which sport they truly enjoy.”

The study surveyed 296 male and female NCAA Division I athletes and found that 88% of them had participated in an average of two or three sports as children. In addition, 70% of them did not specialize in any one sport until after the age of 12. In a similar study on Olympic athletes, researchers found that most had participated in two or more sports before specializing.

While there are famous athletes like Tiger Woods or Andre Agassi who focused on one sport early in their lives, the research suggests that they are the exception and not the rule. The vast majority of successful collegiate or pro athletes dabbled in a number of other sports before settling on the one that brought them success. The data seems to indicate that early specialization may not help and may, in fact, be detrimental. Previous research has indicated, for example, that kids who train extensively in one sport are more prone to overuse injuries than kids who had more varied athletic experience, and played other sports as well. There’s also a greater risk of premature disengagement or “burn-out” that can come with focusing exclusively on one activity.

Based on this research, Dr. DiFiori feels that parents of kids who seem talented in one sport at an early age should allow and encourage them to play other sports. They may, after all, discover another sport that they enjoy more and are even better at. And—even if they do not—they will be exposed to sports that train them in a wider variety of motor skills. “Physical activity contributes to a happy and healthy childhood,” says Dr. DiFiori, “however, parents, coaches and children should monitor and measure their involvement level in a singular sport against the overall well-being and future success of the participant.”

 

Overuse Injuries in Young Athletes: An Introduction for Parents

Overuse Injuries in Young Athletes: An Introduction for Parents

youth-soccer
youth-soccer

There’s a curious dynamic at work in youth sports these days. Maybe you’ve noticed?

On the one hand, public health officials are worried about a broad decline in team sport participation among children. According to a recent survey, the number of kids between the ages of 6 and 17 who play organized baseball, basketball, football, and soccer fell about 4% between 2008 and 2012.

And on the other hand, healthcare professionals are also worried about many of the estimated 60 million children in the U.S. who do play organized team sports. They see signs that young athletes may be taking their sports too seriously—training too hard, playing too much and specializing too early in life. The popular media offers many statistics and anecdotes that seem to point in this direction:

  • “While injuries from recreational activities such as biking have fallen over the last decade, team sports including football and soccer saw injuries rise by 22.8% and 10.8% respectively…” (Wall Street Journal)
  • “While concussions account for about 15% of youth sports injuries, experts say many sports carry risks for musculoskeletal injuries, in large part due to increased emphasis on year-round competition, single-sport concentration and intense training regimens, even for pre-teen athletes.” (Wall Street Journal)
  • “Overuse and overtraining are also major concerns… As children become good at competitive sports, there is sometimes an impulse to keep them in the same sport year round, which may not be the healthiest thing for a young athlete.” (HealthDay News)

What’s more alarming to physicians than the number of youth sports injuries is the nature of those injuries. A troubling new pattern seems to be emerging. According to Dr. Amy Valasek, a sports medicine expert at Johns Hopkins Children’s Center, only about half the sports injuries she sees are the sorts of sprains, strains, fractures and concussions that have traditionally been common among young athletes. 50% to 60% of them are related to overuse. Because the musculoskeletal system of children and teenagers is still growing, they may be especially susceptible to these kinds of injuries.

Unsurprisingly, each sport has its own risk profile when it comes to overuse injuries. For instance, overuse injuries of the shin and knees are most common to runners. Baseball, softball and football players often have elbow and shoulder injuries. Cheerleaders, skaters and dancers are prone to ankle injuries. And gymnasts frequently encounter wrist injuries as a result of the extreme demands their sport places on this particular part of the body.

In addition, doctors say they tend to these types of overuse injuries more often in children who play one sport year-round or play over multiple consecutive seasons without taking a break rather than in those who participate in a variety of athletic activities. Recent research found serious overuse injuries are 2.3 times more common in young, single-sport athletes than they are in more well-rounded athletes, even after accounting for the number of hours committed.

There may be several reasons for the apparent trend in overuse injuries. Experts believe that there’s growing pressure among athletes to specialize in one sport—and sometimes even in one position—at a younger and younger age. They also believe that youth training programs and competition schedules are simply becoming more demanding. At the same time, though, it’s likely that many managers and coaches at this level (not to mention parents) don’t fully understand the risks and don’t work with their young athletes to build healthy training and injury prevention habits. And when they are injured, it’s not uncommon for children to return to practice before their injuries are completely healed.

So what’s the best advice for the parents of a talented (or even just enthusiastic) young athlete?

  • Encourage a wide variety of athletic activities and well-rounded development. Evidence suggests that playing more sports leads to fewer overuse injuries, lower burnout rates and better overall performance in the long run. While there’s no hard-and-fast “rule,” many experts suggest that children and parents avoid specializing in a single sport before the age of 14.
  • Take time off. The American Academy of Pediatrics Council on Sports Medicine and Fitness advises that children practice no more than five days per week and take at least one day off from any organized training. Some experts offer an alternative rule-of-thumb: young athletes shouldn’t participate in a sports more hours a week than their age. The Council also suggests a 2- to 3-month break to recover between seasons.
  • Teach—and practice—injury prevention from an early age. Warm-ups and whole-body stretches should become lifelong habits.
  • Be sure your athlete understands what overuse injuries are, how to recognize them and how they should be treated.

Additional Resources

Intense, Specialized Training in Young Athletes Linked to Serious Overuse Injuries. http://www.newswise.com/articles/intense-specialized-training-in-young-athletes-linked-to-serious-overuse-injuries

Sports Should Be Child’s Play. http://www.nytimes.com/2014/06/11/opinion/sports-should-be-childs-play.html

Guidelines for Young Athletes to Reduce Injuries. http://online.wsj.com/articles/guidelines-for-young-athletes-to-reduce-injuries-1416869652

Kids and Sports: The New Youth Athletics Landscape

Kids and Sports: The New Youth Athletics Landscape

?????????????Over the last twenty years, the landscape of youth sports has changed dramatically. It used to be that children would gather after school and choose (or invent) an activity or game to play until dinnertime. In this world of “free play,” the kids set the rules and managed themselves more or less independently. These days, though, it’s much more common for kids’ sports to be highly organized and stratified, with adults more heavily involved than they were even a generation ago.

The downsides of adult-led, year-round structure

Kids can sometimes be rough-and-tumble, and they can also be cruel. This means that free play can have its share of problems when seen through the eyes of adults who are most concerned about limiting safety and social risks. From their point of view, there are clear advantages to having a neutral adult coach providing instruction and “managing” play. Parents who view free play as an unstructured waste of time may also be drawn to what they see as the more targeted developmental benefits of organized sports, though for slightly different reasons.

It’s important to understand that this shift has come with a cost. Many child development experts now believe that adult-led, year-round structure has deprived children of important opportunities to practice innovation, independence and self-management—including social skills like cooperation and dispute resolution. They also believe it has deprived them of opportunities to learn where the boundary is between good-natured (even competitive) physical play and play that is rough enough to cause real harm. Learning where this boundary is requires live experimentation that entails some risk. This is how children learn how to read and respond to others and to different kinds of situations appropriately.

The up-or-out world of youth athletics

The shift to adult-led, year-round structure has also changed the nature of youth athletics, creating a two-tier system of “recreational” and “competitive” sports where recreation often gets short shrift. This can produce a high-pressure environment for many children, who automatically begin associating athletics with expectations of performance. This sort of environment has the potential to change the relationship between kids and sports in a few different ways. In some cases, it may encourage youngsters of 8 or 9 years (or their parents) to choose a single sport early in their “careers” and to commit to it for the entire year. Children who do not make this early all-or-nothing commitment (even very athletic ones) may find that their playing opportunities dwindle and that they’re stuck in the middle—somewhere between a competitive tier that may demand too much and a recreational one that may offer too little. In other cases, it may discourage children with less obvious talent or less drive to abandon sports altogether.

The impact on health and wellness

This isn’t about nostalgia. It’s about long-term musculoskeletal health and fitness. For earlier generations, sports were more seasonal and it was common for kids to play several different sports throughout the year. Since they didn’t specialize until later (if at all), they tended to become more well-rounded athletes and their physical development tended to be more balanced. And to the extent that different sports require different types of movement and emphasize different muscle groups, it was less likely for a young athlete to suffer overuse injuries. Today, physicians say they are seeing more juvenile athletes come in with repetitive stress injuries. For example, a recent study from the journal Radiology revealed that young baseball pitchers are at risk of an overuse injury of the shoulder known as acromial apophysiolysis, which can lead to long-term and even irreversible consequences as kids grow.

And what about children who opt-out of sports early because of performance pressure or burnout, or because they can’t “keep up” with peers who are developing before them? It may take these children years to rediscover sports. And they may miss out on exactly the types of physical activity that keep them fit and healthy unless they find some other alternatives.

A healthier, more balanced approach to athletics

Most medical doctors and chiropractic physicians would probably agree about the importance of variety when it comes to children’s musculoskeletal health and development. Even more broadly, variety is the key to achieving balanced physical, social and psychological growth. Plus, varying your activities is a great way to prevent boredom and increase enjoyment. There’s nothing intrinsically wrong with competition or with working hard to excel at something, especially when it comes to sports and if it’s done for the love of the game. However, we adults should remember to let kids be kids, which means trying out different athletic activities, succeeding at some and failing at others, and learning to enjoy the process every step of the way.