Monday, July 4th, 2011 at 11:00 am  |  14 responses

The Real Price of Women’s Basketball

There’s a painful sacrifice so many make for the sport.

by Clay Kallam

Every once in a while, I get the freshman boys’ team to scrimmage against my high school varsity—or I bring a few older boys to simulate players we might face, or to apply a serious fullcourt press.

I always get the first-timers off to the side and say something like this: “Guys, the first thing you have to realize is that women have babies, and that’s a much, much harder thing than any of us will ever do. So there’s no need to treat the girls like they’re not tough enough to deal with you; they’re going to go through 24 hours of labor, and you won’t, so just go out there and play hard.”

This year, we scrimmaged the undefeated boys’ frosh team, and they didn’t believe me—we knocked them down, hit threes and thumped them pretty good. Of course, when we scrimmaged again, the boys showed us no mercy and hammered us, but that was the idea, after all.

So I don’t subscribe to the theory that the woman is the weaker vessel, and we need to take special care with these delicate flowers lest they wilt in the heat of competition. At the same time, though, anyone involved in women’s basketball must come to grips with the harsh truth that females are more vulnerable to serious injury than males, and that every coach, player or fan will have to find a way to justify the pain that is the heavy price of women’s basketball.

Of course, we all know about Lauren Jackson’s hip injury and Candace Parker’s knee injury—and somehow I think if two former MVPs were lost to season-ending injuries in the NBA (or the NHL or wherever), there would be a serious look at the sport. Maybe nothing would change, but the focus would definitely sharpen on the dangers of the game.

In addition, though, both Jackson and Parker have battled injuries throughout their careers. Parker tore her ACL in high school, missed a season at Tennessee and had her shoulder operated as well. Jackson’s litany of leg and back injuries hasn’t been as serious, but this hip labrum tear could be the beginning of the end of her marvelous career.

The injuries, however, aren’t just to stars. Shanna Crossley tore her ACL a couple years ago, and when I talked to her about it, she said, “I was in shock because I had done everything right.” That is, she had lifted weights, sweated through plyometric exercises and done all that a modern athlete could do to protect herself.

And then, playing two-on-two with no one around her, she tore her ACL in 2007. A serious professional athlete, she went through the grueling rehab and got back on the court in 2009. This January, she tore her left ACL again.

These kinds of stories are far too common in women’s basketball. The rate of ACL tears, arguably the most devastating knee injury and arguably the one with the greatest chance to have long-term impacts on knee health, is four times greater for women than men. Anyone involved in the sport for any length of time has seen far too many players go down in pain, from WNBA all-stars to freshman girls trying the game for the first time.

And at some point, we all have to come to terms with this painful sacrifice that so many women and girls make for the sport. Yes, women are tough and strong, but it’s also true that a variety of factors make them much more vulnerable to crushing, debilitating injuries.

I have to say I still struggle with it, and I still cringe any time a girl goes down. I can’t watch their pain, and if I’m the one who has to go on the court to comfort them as they sob in agony, I have nothing to say beyond meaningless platitudes.

Yesterday, one of the top young players on the West Coast hurt her knee in a warmup tournament for the summer recruiting circuit. She came back from the hospital later in the day, her leg wrapped, and the word was she heard something pop in the back of her knee.

When she walked by, I struggled for words, and finally settled for a sympathetic pat on the back.

Sure, she’s tough enough to have babies, and tough enough to deal with any guy who challenges her on the court—but if she did tear her ACL (and here’s hoping she didn’t), that will be cold comfort in her year of rehab and the very real possibility that she will never be the player she was before she crumpled to the floor.

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  • http://www.slamonline.com UNFROZEN CAVEMAN LAWYER

    FREE. BECAUSE THEY GIVE AWAY THE TICKETS

  • http://thetroyblog.com Teddy-the-Bear

    Great piece, Clay, one of the best I’ve read here in a while, and that’s no knock on SLAM. Thanks for the read.

  • http://Philosophervision@blogspot.com The Philosopher

    The wide structure of the hips and pelvis leaves women athletes more vulnerable.

  • arthur

    Excellent piece, very informative. Do WNBA players have the same access to top level treatment as their male counterparts?

  • Fever Fan

    I think the major problem is the shoes. Women’s hips are wider and they have a tendency to use the outside part of their foot more than men. Has anyone looked into a shoe design for women, not mirroring what a man’s shoe. I wish it would be profitable to actually do a scientific study on how a women’s b-ball shoe should be developed…

  • sigmaman

    The wider hips and pelvis increases the Q angle in the legs which makes females more vunerable to ACL injuries. Also there is a more complicated theory about muscles not firing at the right time.

  • MarkAnthonyj

    What sigaman is saying is true. Also, their is not enough emphasis on quad/glute/hamstring strength development when it comes to the female athlete. Many studies have been published that show the high incidence of ACL tears in women’s soccer, basketball, and volleyball, yet it doesn’t seem like the training of young women athletes has done much to address that fact.

    All it takes is a few glances at a female basketball players jumpshot to see why ACL tears occur so often. There is usually little bend at the knee joint upon landing (as well as when jumping), causing less dissipation of force upon impact to the floor. This plays into lateral movement as well in sports such as soccer.

    We know it occurs, but what are trainers/coaches doing to address it?

  • Clay Kallam

    Thanks for the kind words … and you know, I tried doing a lot of plyometrics one year with my team, and I suddenly had six girls with shin splints. I agree, though, that the key is building up the hamstrings and quads to take pressure off the knee, but there’s also the issue of training girls how to land. It’s very complex, and not at all clear how to teach girls how to change they way they use their legs — and certainly not for a basketball coach, most of whom have a limited background in kinesiology.

  • http://cgscoutperspective.blogspot.com/ Clarence Gaines

    Clay – think you might appreciate these links to issues and articles on females ACL injuries/issues/preventive exercises.

    The first link is a recent NY Times article. Got a lot of play in the media:

    http://www.nytimes.com/2011/03/27/sports/ncaabasketball/27acl.html?_r=1&ref=sports

    The next two links are posts that Vern Gambetta posted on his blog in response to the NY Times Article. He blasted
    their thesis. As you know, Vern is one of the foremost authorities on athletic movement:

    http://www.functionalpathtrainingblog.com/2011/03/acl-tears-in-female-athletes-the-problem-some-solutions.html

    http://www.functionalpathtrainingblog.com/2011/03/some-more-on-acl-injury-prevention.html

    Brian McCormick posts on female athletes and ACL injuries:

    http://developyourbballiq.com/tag/acl-injuries/

    Good breakdown on ACL issues from LA84 http://www.la84foundation.org/3ce/acl_frmst.htm

  • cm punk

    girls just take the game and the rules too seriously. they’re more focused on not lifting their pivot foot or not running out of bounds or not giving up defensive position than they are on protecting their own bodies. if you can’t get your shot off after 2 steps, just take 3 steps and lie to the ref. don’t jump for every rebound, make sure you have a place to land first. if you have to lift your pivot foot to not get hurt, turn it over then. and make sure you argue with the ref on the way up the court.

  • cm punk

    girls also hate falling down. sometimes it can’t be helped, just fall and roll around on the floor to reduce the impact. it’s better than tearing your acl trying to stop yourself from falling over.

  • Clay Kallam

    @cm punk: Really?

  • cm punk

    http://www.youtube.com/watch?v=84OUUz3u7Lc

    she catches the ball and tries to stop herself from running out of bounds. she plants her right foot to the side to stop instead of planting in the front and continuing out of bounds.

    http://www.youtube.com/watch?v=1JQKko6C42s&feature=related

    she runs to contest the shot and stops too fast, trying not to foul and trying not to give up defensive position. she should have kept running off to the side of the shooter.

    http://www.youtube.com/watch?v=DAzUp_YLVIM&feature=related

    she grabs the rebound but has no idea where she’s landing. she’s more concerned with holding onto the ball with power than not getting hurt. she plants hard and tears her acl. she should have been stumbling around and gotten called for traveling upon her landing.

    http://www.youtube.com/watch?v=Fr5_uU_vngo&feature=related

    she tries to make a pass too fast. she’s probably trying not to lift her pivot foot or not jumping to pass because everyone says not to jump to pass. she should have jumped to pass and maybe turned it over because the other option was to tear her acl.

    http://www.youtube.com/watch?v=sMmQxAZtlic&feature=related

    she runs in for the lay up and tries to stop herself from getting under the backboard so she can get her shot off. she can’t stop in time and tears her acl. she should have continued under the backboard and then thrown back a terrible pass.

    if your girls are getting shin splits, it’s because they’re trying too hard to do something they don’t know how to properly do. the brain makes the shins take all the impact instead of the knees, so the damage starts to build up and results in shin splits. eventually, the shins will become so damaged that they can’t take it anymore and the impact will go to the knees and the acl will tear. just tell them not to go at it so damn hard, especially when they have the wrong form. if it hurts, you’re doing it wrong. go easy first, until they figure out the right way to do it, then work on doing it hard, instead of just going at it hard right away and getting hurt.

  • jas

    @ cm punk. I agree with you. Girls/women follow the rules more often than their male counterparts. its womens nature. We have something to prove on the court and sometimes don’t have the physical ability to do the things with our bodies that we would like to do. its kind of like a man at the age of 50 trying to exert himself and do things that he did with ease at a younger age.
    cm punk, I aint mad at cha, you keeping it real. And its not a diss against womens basketball, its the reality of trying to emulate NBA players because they are indeed the best basketball players in the world and we want to play like them. It is also known that women aren’t as strong or fast as men and that would explain the higher occurence of injuries. Womens basketball is evolving and with that there should be more emphasis on developing professional basketball players from an earlier age which might help with conditioning their bodies to be able to take the rigors of the game more effectively and with less injury.

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