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INJURY PREVENTION: November 2007 Archives

By  John P. DiFiori, MD
Published in The Physician and Sports medicine
VOL 27 - NO. 1 January 1999

The benefits of regular exercise are not limited to adults. Youth athletic programs provide opportunities to improve self-esteem, acquire leadership skills and self-discipline, and develop general fitness and motor skills. Peer socialization is another important, though sometimes overlooked, benefit. Participation, however, is not without injury risk. While acute trauma and rare catastrophic injuries draw much attention, overuse injuries are increasingly common.

Diagnostic and treatment efforts should focus on how the injury developed and consider issues that are unique to growing athletes. An understanding of these concepts provides the basis for making specific injury-prevention recommendations.



overuse.jpgPublished by  About.Com
Written by Elizabeth Quinn
June, 2006

The numbers of kids showing up in the doctor’s office with overuse injuries, such as tendonitis, is climbing dramatically, according to Boston Children's Hospital. Nationally renowned orthopedic surgeon, Dr. James Andrews, said that he is seeing four times as many overuse injuries in youth sports than five years ago and more kids are having surgery for chronic sports injuries.







By Regan McMahon
Published Sunday, April 15, 2007 in the San Francisco Chronicle
overuse_baseball.jpg

One of the big consequences of the rise of elite travel teams and the trend toward specialization is that many young athletes are now playing virtually year-round, putting more stress on their growing bodies than anyone ever imagined. Once they're playing only one sport, they're using the same muscle groups exclusively, which causes repetitive stress or overuse injuries.

Dr. Ronald Kamm, director of Sport Psychiatry Associates, in Oakhurst, N.J., told me, "We enacted child labor laws 80 years ago to protect children from all this work. And now basically we're making play into work. And they're working as hard as they used to in the sweat shops, some of them. I'm concerned about it, it's out of hand and kids do need downtime and seasons off and multiple sports. There is the occasional prodigy who just loves the sport and is focused on it, maybe a Tara Lipinski or a Tiger Woods. But most kids do better with many sports. It protects them and they don't get overuse injuries as much and it keeps them from burning out."




A new study by Joel Brenner and the Council on Sports Medicine and Fitness examines the effects of overuse injuries and burnout on adolescent athletes.  Full text article can be found at:

http://pediatrics.aappublications.org/cgi/content/full/119/6/1242

Joel S. Brenner, MD, MPH
and the Council on Sports Medicine and Fitness


Overuse is one of the most common etiologic factors that lead to injuries in the pediatric and adolescent athlete. As more children are becoming involved in organized and recreational athletics, the incidence of overuse injuries is increasing. Many children are participating in sports year-round and sometimes on multiple teams simultaneously. This overtraining can lead to burnout, which may have a detrimental effect on the child participating in sports as a lifelong healthy activity. One contributing factor to overtraining may be parental pressure to compete and succeed. The purpose of this clinical report is to assist pediatricians in identifying and counseling at-risk children and their families. This report supports the American Academy of Pediatrics policy statement on intensive training and sport specialization.

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