Logo of Kapi'olani Medical Center for Women & Children; An affiliate of Hawaii Pacific Health
Volume 6 Issue 1 May 2008

Kapi'olani Kids; The Latest in Children's Health From Kapi'olani Children's Hospital

Focus on One Sport Risks Injury

A mix of sports gives the body time to bounce back

Photo of a child playing baseballSevere injuries are on the rise in young athletes, studies show, and a year-round focus on a single sport bears part of the blame.

Intense, full-time efforts in one sport "can really lead to a lot of overuse injuries in these children," says Jennifer King, D.O., Kapi'olani pediatric sports medicine specialist. "This is damage we never used to see until they were in high school or even college."

Young athletes are still growing. That means they face a higher risk of harm than adults.

Research shared at the 2007 meeting of the American Academy of Orthopaedic Surgeons found sports injuries lead to two out of five emergency room visits by children ages 5 to 14. Other findings:

  • Some students, not yet in high school, now hurt their shoulders so badly they need surgery once reserved for older athletes.
  • Injuries to the anterior cruciate ligament (ACL) are now seen in 9- and 10-year-olds. The ACL links the upper and lower leg bones at the front of the knee.
  • Arm injuries are way up in young pitchers. Experts blame a poor throwing motion.
Why is year-round play at fault? "We're not seeing the selective stress distributed about their body like we used to see in childhood athletes, where they played baseball for fun this month and next month was basketball and next season was football," Dr. King says.

Experts say players, parents, and coaches must heed the needs of growing bodies. Training should match the child's stage of growth.

"Stress would be placed in different areas of the child's body, allowing time for recovery," she adds. "There is widespread overtraining of children."

Experts say players, parents, and coaches must heed the needs of growing bodies. Training should match the child's stage of growth.

Jennifer King, D.O.
Photo of Jennifer King, D.O.
"Having a 12-year-old only do strength training is working against the child's natural development. That is an age for working on coordination and speed, which are best improved by a variety of activities rather than one specialized activity," Dr. King says.

A strict routine of training while young thwarts creativity, she adds. "For the 5- to 12-year-old, free play is essential for stimulating creativity.

What Is a Pediatric Sports Medicine Specialist?

If your child ever suffers an injury that affects his or her sports performance, or ability to exercise or participate in activities such as dancing, a pediatric sports medicine specialist has the expertise to safely assist your child in returning performance to an optimal level.

In addition to a residency, pediatric sports medicine specialists complete a one- to two-year fellowship training in pediatric sports medicine. They are well-equipped to manage the sports injuries that occur in children, which are often very different from injuries seen in older adults.



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