The story of youth sports in America has entered a new chapter. For most youngsters, it’s no longer home to neighborhood games and energetic self-governed play. With family management, safety, and skill development as its driving force, youth sport has become a form of adult-driven organized play. With roughly 35 million children playing organized youth sports and untrained adult involved at every turn, this model has significantly increased the incidence of injury as well as changed the type of injuries children are receiving.
With 3.5 million children under 14 receiving medical treatment annually and high school athletes adding 2 million visits to hospital emergency rooms, sport is the leading cause of adolescent injury. (1) Combined healthcare costs for treatment youth sports injuries is approximately $2.5 billion with an additional $3 billion for an injury that becomes chronic.(2) Leading pediatricians are alarmed over the acceleration in the rate, type and severity of youth sports injuries.“Pro-athlete type” injuries, once seen only in adults, have become common in skeletally immature children. (3)
Yet the games children play and their physical engagement in those games, are important components of a healthy life. Magnified by the health-challenges of childhood obesity and diabetes closer to home, the ‘organized youth sports model’ that replaced player-organized games is under increasing scrutiny by health, athletic, educational and community leadership.





