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Article #13: To Play or Not To Play

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Those of us with kids involved in youth frequency of injury equal among boys and
sports know how consuming it can be for girls." Because they're still not fully
our families. Weekends are dominated by developed, kids are more susceptible to
games and weekdays by practices. The ties repetitive use problems like stress
that bond us together are often tightened fractures, caused by use without enough
during these activities, but do our kids recovery time, growth plate injuries, due
do too much too soon? When many of us to excess strain, and soft tissue damage
were kids, there were not nearly as many to muscles, tendons or ligaments.
organized activities; now that we have This would lead to the question of "how
martial arts, religious studies, team and much is too much? The research on this
individual sports, family time and, of isn't clear at all. With increased
course, homework. Is there a right time specialization where kids participate in
to start to play or not to play? Like only one sport year round, start playing
many parenting decisions, including those at a younger age and participate in
for youth sports, there are no black and multiple leagues at once, what is clear
white answers. Of the many variables to is that many are crossing that unknown
consider, this month we'll focus on the line.
potential injury risks. While there is a tremendous amount of
What is the likelihood of Injury? flexibility in these recommendations, the
A common concern is that younger kids main issue is that care should be taken
may be more susceptible to severe to watch for signs of trouble. There is
injuries before they have fully no evidence to suggest a higher injury
developed. Is there a greater risk of arm rate for Pony League Baseball, which
damage for kids who start pitching at age often starts kids pitching at age 7, when
of 7 instead of waiting until they are 9? compared to Little League Baseball, which
Should kids avoid tackle football until often starts kids pitching at age 9.
the reach a certain age? Does Studies done with Pop Warner Football
specialization in an individual sport players also show that there is a risk of
increase the risk of injury for that injury, but surprisingly, younger players
child due to overuse and make them more are less likely to be injured than older
susceptible to continuous motion players. Supported by studies done by the
injuries? Institute of Sports Medicine and Athletic
Injuries are certainly a concern for all Trauma in New York which completed a
of us and the risk of injury is study in 71 towns covering 5,000 players,
considered a growing problem by many the Pop Warner Website ( states that
experts. According to the "Kids' Health" because of the weight restrictions
supplement in the October 18-20, 2002 "injuries in youth football are normally
weekend edition of USA Today, there are mild and older players have a higher
over 3.5 million sports related injuries injury rate than younger players."
that require treatment reported each year Conclusion
for kids under 15 years old. Many of As people involved in youth sports we
these injuries are from playground need to be aware of safety and injury
equipment, bike riding and other risks associated with the children we
activities, but organized youth sports watch. Kids specializing in single sports
certainly contribute to the total. or playing in multiple leagues have
Fortunately, there are very few deaths, exacerbated the risk of repetitive motion
but the information suggests that 40% of "overuse" injuries. We need to be
all sports related injuries occur in especially aware for these young athletes
children under 14 years old and more than and be cognizant of the warning signs.
half of those injuries take place in Some things to watch for include pain,
practices instead of games. In 2002, from changes in gait or other observable
information accumulated from the behavior, changes in performance and
"Connecticut Safe Kids Sports/Recreation psychological effects. Kids should not be
Activity Injury Fact Sheet". encouraged to play through any real
While this data is certainly misleading injury because they don't want to let
and flawed because it doesn't break down down their parents or teammates even
the number of participants in each sport, though they may feel like they can do it.
the frequency of the activity or the We want to help prevent injuries through
severity of the injury, it does proper training and conditioning. An
demonstrate that injuries are something effort can be made to have children
we should pay attention to. compete at levels commensurate with their
Types of Injuries skill so that they don't overdo it.
In the newsletter published by the Furthermore, efforts must be made to
Yale-New Haven Children's Hospital, teach proper fundamentals for all aspects
pediatrician Deiter Lindskog, MD exclaims of the game since mechanical errors are
that the largest increase in youth sports more likely to lead to flaws that can
injuries are due to repetitive use. He cause injury. Because practice makes
states "Recent studies estimate that 30 permanent, it is crucial to work on these
to 50 percent of pediatric sports fundamentals even at an early age.
injuries are caused by overuse, with the






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