How to
Prevent Common Sports
Injuries in Children
Rick DeToma ©2005
Kids sports injuries are very common. As more kids get
involved in organized
sports it's likely at
some point that they
will develop one or more
sports injuries. It's
important to remember
that kids are not "small
adults." According to a
recent Medscape report,
"Pediatric injury types
and patterns differ from
those of adults and vary
according to the child's
skill level, level of
conditioning, and
actively growing
musculoskeletal system."
"Children often believe
they are invincible when
participating in
familiar sports or
recreational activities,
but they are actually
more susceptible to
sustaining sports
injuries than adults,"
said James H. Beaty, MD,
pediatric orthopaedic
surgeon and second
vice-president of the
American Academy of
Orthopaedic Surgeons (AAOS).
"While physical activity
aids in developing
muscles, it is important
to remember that
children's bones,
muscles, tendons and
ligaments are still
growing, impacting their
coordination and
increasing their
reaction time."
What
Are The Most Common
Injuries? According
to kidshealth.org and
the National Institutes
of Health, the three
most common types of
sports injuries in
children are acute
injuries, overuse
injuries, and reinjuries.
Acute
injuries occur
suddenly and typically
include minor bruises,
sprains, and strains.
More severe acute
injuries that can occur,
regardless of age,
include: eye injuries,
broken bones or ligament
injuries; brain
injuries, including
concussions, skull
fractures, brain
hemorrhages; and spinal
cord injuries.
In some
cases the growth plate
may be injured. The
growth plate is the area
of developing cartilage
at the end of the long
bones in growing
children. When growth is
complete, sometime
during adolescence, the
growth plate is replaced
by solid bone. The long
bones in the body are
the long bones of the
fingers, the outer bone
of the forearm, the
collarbone, the hip, the
bone of the upper leg,
the lower leg bones, the
ankle and the foot. If
your child experiences
pain in any of these
areas, particularly at
the ends, seek
professional help from a
doctor who specializes
in bone injuries in
children and adolescents
(pediatric orthopaedist).
Growth plate injuries
are often confused with
a contusion or sprain
because the symptoms
aren't as obvious as a
regular bony fracture.
Overuse injuries
occur from repetitive
actions that put too
much stress on the bones
and muscles. These are
more problematic in a
child athlete because of
the effect they may have
on the child's bone
growth. Any child who
plays sports can develop
overuse injuries,
although the more time
your child spends on the
sport, the more likely
your child is to
experience an overuse
injury.
Some
of the most common types
of overuse injuries are:
anterior knee pain:
Anterior knee pain is
pain in the front of the
knee under the kneecap.
The knee will be sore
and swollen due to
tendon or cartilage
inflammation.
little league elbow:
Repetitive throwing
sometimes results in
pain and tenderness in
the elbow. The ability
to flex and extend the
arm may be affected, but
the pain typically
occurs after the
follow-through of the
throw.
swimmer's shoulder:
Swimmer's shoulder is an
inflammation (swelling)
of the shoulder caused
by the repeated stress
of the overhead motion
associated with swimming
or throwing a ball.
shin
splints: Shin
splints are
characterized by pain
and discomfort on the
front of the lower parts
of the legs. They are
often caused by repeated
running on a hard
surface or overtraining
at the beginning of a
season.
spondylolysis:
Spondylolysis often
results from trauma or
from repetitive flexing,
then overextension,
twisting, or compression
of the back muscles.
This can cause
persistent lower back
pain. Spondylolysis is
commonly seen in kids
who participate in
soccer, football, weight
lifting, gymnastics,
wrestling, and diving.
Reinjuries Another
common sports injury is
reinjury. Reinjury
occurs when an athlete
returns to the sport
before a previous injury
has sufficiently healed.
How
to Prevent Sports
Injuries
The National Institutes
of Health offers these
tips that parents can
use to help keep their
kids safe:
-
Enroll your child in
organized sports
through schools,
community clubs, and
recreation areas
where there may be
adults who are
certified athletic
trainers (ATC). An
ATC is also trained
in the prevention,
recognition and
immediate care of
sports injuries.1
-
Wear appropriate
protective gear (for
example, shin guards
for soccer, a
hard-shell helmet
when facing a
baseball or softball
pitcher, a helmet
and body padding for
ice hockey).
-
Warmup exercises,
such as stretching
and light jogging,
can help minimize
the chance of muscle
strain or other soft
tissue injury during
sports. Warm up
exercises make the
body's tissues
warmer and more
flexible. Cooling
down exercises
loosen the body's
muscles that have
tightened during
exercise.
-
Be in proper
physical condition
to play the sport.
-
Know and abide by
the rules of the
sport..
-
Know how to use the
athletic equipment
used in your sport.
-
Avoid playing when
very tired or in
pain.
-
Get a preseason
physical
examination.
-
Drink plenty of
water or other
liquids to maintain
proper hydration.
1
National Athletic
Trainers Association (NATA):
www.nata.org
Rick
DeToma is a fitness
coach, and trainer who
specializes in home
workouts. Contact Rick
for a no obligation
telephone fitness
assessment at: http://www.tailored-fitness-home-workouts.com/contact.html
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