The New York Times has a preview up today of a long article coming out on Sunday in their magazine: The Uneven Playing Field. It’s by Michael Sokolove, and based on his forthcoming book Warrior Girls: Protecting our Daughters Against the Injury Epidemic in Women’s Sports. (I’ve pre-ordered the book, and will review it this summer when it comes out.)
In this lengthy adaptation on the Times website, Sokolove writes about what he sees as the extraordinary number of knee (ACL) injuries that are being sustained by female athletes, soccer players in particular. His thesis:
(the epidemic is) part of a national trend in the wake of Title IX and the explosion of sports participation among girls and young women. From travel teams up through some of the signature programs in women’s college sports, women are suffering injuries that take them off the field for weeks or seasons at a time, or sometimes forever.
Girls and boys diverge in their physical abilities as they enter puberty and move through adolescence. Higher levels of testosterone allow boys to add muscle and, even without much effort on their part, get stronger. In turn, they become less flexible. Girls, as their estrogen levels increase, tend to add fat rather than muscle. They must train rigorously to get significantly stronger. The influence of estrogen makes girls’ ligaments lax, and they outperform boys in tests of overall body flexibility — a performance advantage in many sports, but also an injury risk when not accompanied by sufficient muscle to keep joints in stable, safe positions. Girls tend to run differently than boys — in a less-flexed, more-upright posture — which may put them at greater risk when changing directions and landing from jumps. Because of their wider hips, they are more likely to be knock-kneed — yet another suspected risk factor.
The rate (of ACL injury) for women’s soccer is 0.25 per 1,000, or 1 in 4,000, compared with 0.10 for male soccer players. The rate for women’s basketball is 0.24, more than three times the rate of 0.07 for the men. The A.C.L. injury rate for girls may be higher — perhaps much higher — than it is for college-age women because of a spike that seems to occur as girls hit puberty.
At this point, my heart was sinking. Was this going to be anti-feminist ideology dressed up as professed concern for the health of young women? Was Sokolove trying to scare parents into pulling their daughters out of competitive sports? I even wondered if Sokolove was some sort of shill for the anti-Title IX crowd, trying a new tactic in their never-ending crusade to roll back a policy of equal funding for women’s sports. As a passionate sports fan, married to a former club soccer star, I have a deep and abiding commitment to women’s athletics — particularly the “beautiful game” of what the rest of the world calls football.
Happily, reading the article to the end (it is ten pages long) makes it at least fairly apparent that Sokolove is committed to women’s sports. Rather than imploring parents to pull their daughters off soccer teams, he writes sensibly and knowledgeably about the causes of what is undeniably a common problem: catastrophic ACL injuries among young female soccer players. The chief culprits have nothing to do with inherent feminine weakness. Rather, they are two-fold: poor bio-mechanics and the exhausting “club” system in high school and college that leaves many talented girls playing a demanding sport literally year-round. Continue reading ‘On “Warrior Girls”, knee injuries, and the tangible costs of adolescent perfectionism: some thoughts on Michael Sokolove’s article’
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