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Category Archives: Sport

Ice Hockey

Ice hockey is one of the fastest sports and requires good physical conditioning and skating skills. It is a team sport played from the ages of 5 to 6 years through adulthood.

The severity of injuries is related to speed and physical contact (body checking). In the United States, body checking is allowed in league hockey at the age of 11 to 12 years, although the age can be younger in some leagues.

As player size and the speed of the game increase, injury rates and the severity of injury also rise. However, the risk of injuries can be reduced.

The following is information from the American Academy of Pediatrics (AAP) about how to prevent ice hockey injuries. Also included is an overview of common ice hockey injuries.

Injury prevention and safety tips

  • Equipment. Safety gear should fit properly and be well maintained.
    • Skates should fit well with socks on. Skates that are too tight can lead to blisters and frostbite.
    • Pads. Elbow, knee, and shoulder pads that fit properly and allow for full movement. Kidney- and thigh-padded shorts that overlap protective socks and shin guards so no skin is showing. Padded hockey gloves to protect the fingers and wrists from stick slashing and sharp skates.
    • Protective guards (neck guards, protective cups, and mouth guards)
    • Helmets with face guards approved by the Hockey Equipment Certification Council (HECC). Cracked helmets or helmets with outdated HECC certificates should not be used.
    • Goalie equipment is even more specialized, with a different helmet and mask, thicker padding, and skates with longer, thicker blades for stability and reinforcement along the inner foot for protection from pucks and sticks.
  • Equipment care. Dirty hockey equipment can lead to skin infections, especially where the hockey gear touches the skin directly. The “infamous” hockey bag smell is due to the growth of bacteria and other germs. Almost all equipment can be washed in a commercial washing machine. Helmets and face masks can be disinfected with antibacterial wipes, and the inside of leather gloves and gear bags can be cleaned with spray cleaners. Mouth guards should be washed after each use.
  • Many rinks have special “dry” cleaning machines that disinfect an entire bag of gear. To decrease the growth of germs, gear should be taken out of the bag after every practice or game, and the bag and gear dried out completely before repacking.
  • Environment. Only walk or skate on a pond or natural body of water that has received safe ice approval from local officials. Also, goal net posts should be easily removed so they are not dangerous obstacles during fast play.
  • Emergency plan. Hockey programs can organize and train a team to respond to injuries during games, as it is rare to stop play while players are treated off the ice. The plan would include first aid and emergency contact information. All members of the team should receive a written copy each season. Parents also should be familiar with the plan and review it with their children.

Special concerns

Dehydration

There is a common misconception that athletes who play in cold weather do not need to drink as much as those playing in warm weather. In fact, hockey players training in cold environments wear more clothing and may be unaware they are losing body moisture. Dehydrated athletes often perform poorly in multiple game situations like tournaments and during the last period of a game.

Hydration should take place before, during, and after games and practices. In general, athletes should drink 5 to 8 ounces of water or an appropriate sports drink every 20 minutes, even if they do not feel thirsty. Players not responding well, unable to drink, or with difficulty breathing may need emergency medical attention.

Exercise-induced asthma

  • Exercise-induced asthma is prevalent in hockey players who are prone to asthma because hockey is played in cold weather under dry conditions. Skaters should have a personal asthma action plan. Asthmatic skaters can prevent episodes by taking their medicines and using an inhaler before practices or games. Inhalers and spacers should always be on hand during activity. Skaters should stop skating and see a doctor if they have difficulty breathing while skating.

Frostbite

Cold weather, wet clothing, and tight-fitting skates can lead to poor circulation andfrostbite. Early signs of frostbite are pale or white skin with numbness and tingling of the exposed body part. It is important to dress in layers and wear wicking, fast-drying wool or polypropylene underwear and socks. Cotton clothing is not warm when wet and can contribute to frostbite and hypothermia by lowering the body temperature. Treat frostbite by increasing circulation and warming cold body parts in a heated room or under the clothes. Change wet clothing often.

Common injuries

Head injuries

Concussions in hockey most often occur from a blow to the head, from falls, or from being checked into the boards. A concussion is any injury to the brain that disrupts normal brain function on a temporary or permanent basis.

The signs and symptoms of a concussion range from subtle to obvious and usually happen right after the injury but may take hours to days to show up. Athletes who have had concussions may report feeling normal before their brain has fully recovered. With most concussions, the player is not knocked out or unconscious.

Prematurely returning to play after a concussion can lead to another concussion or even death. An athlete with a history of concussion may be more susceptible to another injury than an athlete with no history of concussion.

All concussions are serious, and all athletes with suspected concussions should not return to play until they see a doctor.

Youth hockey programs in the United States and Canada have active head injury prevention programs for athletes and coaches. Safe play and properly fitting helmets can prevent concussions, as does striking the boards at an angle with the head up when a collision can’t be avoided.

Arm and leg injuries

Injuries of the extremities should be treated with rest, ice, compression, and elevation (RICE). Nonsteroidal anti-inflammatory drugs (NSAIDs) may help reduce pain and swelling, but should be taken with food. Injured athletes should see their doctor if they have pain while playing.

  • Upper extremity injuries of the shoulder, arm, and wrist occur during falls or from being checked into the boards. Shoulder dislocations are very painful until put back into place. Persistent wrist or arm pain after a fall can signify a broken bone (even if there is no visible swelling or deformity) and should be iced and immobilized until it can be treated by a doctor.
  • Groin strains are pulled or torn muscles or tendons of the inner thigh. Hockey players and goalies doing forced push offs or slides on skates may get this injury. Treatments that may help are ice, NSAIDs, thigh wraps, physical therapy, and modification of activity. Groin strains can be prevented by warming up properly and doing muscle stretching as a part of team practices and games.
  • Knee injuries are more common in hockey than ankle injuries because the ankle and Achilles tendon are protected by a stiff boot. Knee injuries happen when the knee is forced or twisted to the side or back. If a ligament or cartilage is torn, a pop may be felt or heard, followed by visible swelling around the knee.
  • Overuse injuries, such as Osgood-Schlatter disease (irritation of the growth plate causing a painful bony bump below the knee), occur in 10- to 15-year-olds who play active sports with running, jumping, or skating. In hockey, a combination of off-ice training, overtraining, and frequent practices and games may lead to Osgood-Schlatter, thus limiting or changing activity may help.

Eye injuries

In the past, blows from hockey sticks and flying pucks caused many eye injuries. Now helmets with face masks have decreased the number of eye injuries, but they still can occur. Any injury that affects vision or is associated with swelling or blood inside the eye should be evaluated by an ophthalmologist. The AAP recommends that children involved in organized sports wear appropriate protective eyewear.

Making Fitness a Way of Life

Some school-aged children can’t wait to get home from school, stake out a place on the couch, and spend the rest of the afternoon and evening watching TV. Physical activity is just not on their radar screens, at least not by choice.

Stopping the Slippery Slope of Childhood Obesity:

Not surprisingly, children who fit this profile may be on a slippery slope to a life ofobesity. There are a lot of them. Several years ago, when a group of children 6 to 12 years old participated in programs of the President’s Council on Physical Fitness, only 50% of girls and 64% of boys could walk or run a mile in less than 10 minutes. If that same study were conducted today, when the obesity epidemic seems to be gaining momentum, those statistics might be even more troubling.

Making Exercise Into a Lifelong Habit:

During your child’s school-age years, your goal should be not only to get your child moving, but to turn exercise into a lifelong habit. There are plenty of opportunities for your child to keep active.

Getting Involved in Organized Sports:

In most communities, children in this age group can choose to get involved in a number of organized sports, including:

  • Little League
  • Youth soccer
  • A martial arts class
  • Community basketball
  • Hockey
  • Football leagues

Team sports are fun and the perfect fit for many children, and they can help them manage their weight.

But, Sports Aren’t For Everyone…

However, group activities like these aren’t for everyone. Some obese children feel self-conscious about participating in team sports and are much more comfortable getting their exercise in unstructured settings. For them, free play on the playground,ice skating, in-line skating, bowling, or even running through sprinklers is good exercise.

Let your child choose something that he finds enjoyable, and once he discovers it, encourage him to make it a regular part of life. At the same time, limit TV watching or time spent on the computer or playing video games to no more than 1 to 2 hours a day. Studies have shown that the more time children devote to watching TV, the more likely they are to consume foods like pizza, salty snacks, and soda that contribute to weight gain.

If Your Child Insists He Doesn’t Want to Do Any Physical Activity:

Explain that it’s important and might even be fun to find a new activity. Try to find activities that fit the family’s budget and time commitments and have him choose among several alternatives.

How to Involve Friends & Family in Fitness Activities:

Some children might prefer to go with a friend or parent. Be creative and emphasize participation, not competition. To help your school-aged youngster become physically active, recruit the entire family to participate. Let your overweight child know that all of you, parents and siblings alike, are in his corner, and even if he has rarely exercised before, he can start now with the entire family’s support.

  • Go for family bike rides (with everyone wearing a helmet)
  • Swim together at the Y
  • Take brisk walks
  • Learn to cross-country ski
  • Sign up for golf lessons
  • Do activities of daily living together, such as household chores
  • Spend a Saturday afternoon cleaning the house or raking leaves

No matter what you choose, regular activity not only burns calories, but also strengthens your child’s cardiovascular system, builds strong bones and muscles, and increases flexibility. It can also diffuse stress, help him learn teamwork and sportsmanship, boost his self-esteem, and improve his overall sense of well-being.

Football

Football is a fast-paced, aggressive, contact team sport that is very popular among America’s youth. Football programs exist for players as young as 6 years all the way through high school, college, and professional.

Injuries are common because of the large number of athletes participating. However, the risk of injuries can be reduced. The following is information from the American Academy of Pediatrics (AAP) about how to prevent football injuries. Also included is an overview of common football injuries.

Injury prevention and safety tips

  • Supervision. Athletes should be supervised and have easy access to drinking water and have body weights measured before and after practice to gauge water loss.
  • Equipment. Safety gear should fit properly and be well maintained.
    • Shoes. Football shoes should be appropriate for the surface (turf versus cleats). Laces should be tied securely.
    • Pants. Football pants should fit properly so that the knee pads cover the knee cap, hip pads cover the hip bones, the tailbone pad covers the tailbone, and thigh pads cover a good share of the thigh. Pads should not be removed from the pants.
    • Pads. Shoulder pads should be sized by chest measurement. They must be large enough to extend ¾ to 1 inch beyond the acromioclavicular joint. Athletes should have adequate range of motion, and the pads should not ride up into the neck opening when raising the arms.
    • Helmets. The helmet should be fitted so that the eyebrows are 1 to 1½ inches below the helmet’s front rim. The back of the helmet should cover the back of the head, and the athlete’s ear openings should be in the center of the helmet ear openings. Jaw pads should be snug against the athlete’s jaw. The chin strap should be centered over the chin and tightened to prevent movement of the helmet on the head. The helmet padding and chin strap should be tight enough to prevent any rotation of the helmet on the head. Face masks should be attached to the helmets. Additional protection can be provided by a clear Plexiglas shield.
    • Mouth guards can help prevent oral or facial injuries but not concussions.
  • Environment. A safe playing field is level and cleared of debris, equipment, and other obstacles. Field goal posts should be padded.
  • Emergency plan. Teams should develop and practice an emergency plan so that team members know their roles in emergency situations. The plan would include first aid and emergency contact information. All members of the team should receive a written copy each season. Parents also should be familiar with the plan and review it with their children.

Common injuries

Ankle injuries

Ankle sprains are some of the most common injuries in football. They can prevent athletes from being able to play. Ankle sprains often happen when an athlete gets blocked or tackled with the foot firmly in place, causing the ankle to roll in (invert). An ankle sprain is more likely to happen if an athlete had a previous sprain, especially a recent one.

Treatment begins with rest, ice, compression, and elevation (RICE). Athletes should see a doctor as soon as possible if they cannot walk on the injured ankle or have severe pain. X-rays may be needed.

Regular icing (20 minutes) helps with pain and swelling. Weight bearing and exercises to regain range of motion, strength, and balance are key factors to getting back to sports. Tape and ankle braces can prevent or reduce the frequency of ankle sprains and enable an athlete to return to activity more quickly.

Finger injuries

Finger injuries occur when the finger is struck by the ball or an opponent’s hand or body. The “jammed finger” is often overlooked because of the myth that nothing needs to be done, even if it is broken. If fractures that involve a joint or tendon are not properly treated, permanent damage can occur.

Any injury that is associated with a dislocation, deformity, inability to straighten or bend the finger, or significant pain should be examined by a doctor. X-rays may be needed. Buddy tape may be all that is needed to return to sports; however, this cannot be assumed without an exam and x-ray. Swelling often persists for weeks to months after a finger joint sprain. Ice, nonsteroidal anti-inflammatory drugs, and range of motion exercises are important for treatment.

Knee injuries

Knee injuries commonly occur from cutting, pivoting, landing from a jump, or contact with another athlete. If the athlete feels a pop or shift in the knee, then it’s most likely a ligament injury.

Treatment begins with RICE. Athletes should see a doctor as soon as possible if they cannot walk on the injured knee. Athletes should also see a doctor if the knee is swollen, a pop is felt at the time of injury, or the knee feels loose or like it will give way.

Medial collateral ligament sprains can be treated in a hinged brace and allowed to return to play. Athletes who return to play with a torn anterior cruciate ligament (ACL) risk further joint damage. Athletes with an ACL tear should not return to their sport until the ligament has been reconstructed and they have been cleared by the surgeon.

Shoulder injuries

Shoulder injuries can occur from diving for a ball or from blocking or tackling.

Athletes usually feel their shoulder pop out of place when it is dislocated. Most of the time the shoulder goes back into the joint on its own; this is called a subluxation (partial dislocation). If the athlete requires help to get it back in, it is called adislocation. Risk of dislocation recurrence is high for youth participating in football. Shoulder strengthening exercises, stabilization braces and, in many cases, surgery may be recommended to prevent recurrence.

Pain from repetitive use is common in football, usually due to weak muscles of the back and trunk. Often rehabilitation exercises and rest from excessive blocking or tackling drills are all that is necessary to treat this type of pain.

Eye injuries

Eye injuries commonly occur in football usually due to a finger poking through the face mask. Any injury that affects vision or is associated with swelling or blood inside the eye should be evaluated by an ophthalmologist. The AAP recommends that children involved in organized sports wear appropriate protective eyewear.

Low back pain

Spondylolysis, stress fractures of the bones in the lower spine, is due to overuse from high-impact and repetitive arching of the back. Symptoms include low back pain that feels worse with back extension activities. Treatment of spondylolysis includes rest and physical therapy to improve flexibility and low back and core (trunk) strength, and possibly a back brace. Athletes are advised to limit repetitive arching of the spine (blocking and weight lifting) and high-impact activities (running and jumping). Athletes with low back pain for longer than 2 weeks should see a doctor. X-rays are usually normal so other tests are often needed to diagnose spondylolysis. Successful treatment requires early recognition of the problem and timely treatment.

Head injuries

Concussions occur if the head or neck hits the ground, equipment, or another athlete. A concussion is any injury to the brain that disrupts normal brain function on a temporary or permanent basis.

The signs and symptoms of a concussion range from subtle to obvious and usually happen right after the injury but may take hours to days to show up. Athletes who have had concussions may report feeling normal before their brain has fully recovered. With most concussions, the player is not knocked out or unconscious.

Prematurely returning to play after a concussion can lead to another concussion or even death. An athlete with a history of concussion is more susceptible to another injury than an athlete with no history of concussion. If a concussion has occurred, it is again important to make sure the helmet was fitted properly. If the concussion occurred due to the player leading with the head to make a tackle, he should be strongly discouraged from continuing that practice.

hysical Activity and Your Child’s Safety

Do you live in a neighborhood where you aren’t comfortable having your child play outdoors unsupervised? These days, millions of parents feel this way. They’re convinced that it simply isn’t safe for their youngsters to be active outdoors, particularly on their own. And if parents are working during the day, it’s not surprising that they don’t want their youngsters spending time outside when they’re not home.

One of the best options for you to explore is whether there’s a formal after-school program in your neighborhood in which your child can participate that involves physical activity. For example, call the YMCA in your community, or the Boys & Girls Club. Enroll your child in a dance class to learn jazz or tap. Support your child in joining a youth bowling league. Be on the lookout for activities that are available in your community that include boys and girls.

Remember that participation is the key. Your child will be supervised while staying active, and you can pick him up on the way home from work. Keeping him busy after school is the key to making sure he stays away from the television set.

If your youngster is old enough to stay home by himself in the afternoons until you return from work, help him plan that time in advance. He doesn’t have to watch TV, play video games, or eat. In fact, there are many ways in which your child can stay active indoors.

Sit down with him and let him choose some after-school activities such as

  • Dancing to his favorite music on the CD player or tape deck
  • Jumping rope
  • Spending a few minutes with an exercise bike or treadmill (if you have either)
  • Doing some chores that you assign him—from cleaning up his room to emptying the dishwasher
  • Turning on a children’s exercise video and working out for 30 minutes

Many children are more likely to put an exercise video into the VCR or DVD player if siblings or parents can work out with them. They may simply find it more fun to participate in physical activity with someone else. So if your child has brothers or sisters, get them involved as much as possible.

What Does Your Child’s School Offer?

When you were in school, was physical education (PE)—or recess—your favorite “class”?

In many US schools, things have changed. Primarily because of budget cuts, PE programs have been sacrificed. Most states no longer mandate that their public schools offer PE. In some schools, PE classes are limited to once or twice a week, or they’ve been eliminated completely. Children are paying the price.

Physical activity is crucial to your child’s health and the management of his weight. If your youngster’s school district has reduced or eliminated PE programs, you need to let the district know that you want these classes back. Tell your child’s school principal. Write a letter to the members of the local school board. If you and other parents raise your voices, it might make a difference.

Aerobic Capacity and Training Ability

Aerobic capacity refers to a child’s ability to sustain a certain level of aerobic activity for a certain length of time. An aerobic activity is one that requires oxygen exchange in the blood to a greater degree than other activities, such as running versus strength training. Being able to sustain aerobic activity for longer periods of time depends on the body’s ability to transport oxygen to the tissues and muscles of the body and then use it efficiently once it gets there. In the scientific world, our aerobic capacity can be measured and is called VO2 max.

In a broken nutshell, VO2 max is the maximum level of the body’s ability to effectively take up oxygen, transport it, and use it for sustained exercise energy.

Normally, in adults, this ability to use oxygen can be improved with training and exercise. Improvements can be made with as little as 15 to 20 minutes of exercise 3 times a week. If you exercise more, your aerobic capacity can continue to improve to a certain point before it levels off. The interesting point about children is that even when recommendations for adult exercise are used, only small improvements (approximately 5%–10%) in aerobic capacity are seen until your child reaches puberty. Additional improvements can result simply from their ability to do the movements more easily, more efficiently, and with more motivation.

On the other hand, some youngsters do not show any improvement with the amount of training that often leads to predictable gains in adults. Don’t despair! Once your active youngster goes through puberty, aerobic capacity can blossom. So let me reemphasize—training kids as adults does not necessarily lead to adult results and can often lead to adult injuries. Training kids as kids within their bodies’ boundaries can lead to their best potential results. Another important concept is that your child may genetically have a better ability for aerobic activity, but she still has to have the motor development and motivation to use it for a positive effect on ability and the sports experience.

Acceptable levels of training will accomplish many good results and allow your child to progress nicely when the appropriate levels of development have been reached. I feel you tapping me on my shoulder.

Yes, there are kids whose development is so progressed that they can train as adults even when they are young, and I have seen many of them. Think about teenagers in the Olympics, for example. It was very exciting for me to be one of the Olympic doctors and see some teenagers produce stellar performances. I realized that they had been able to train at significant levels even at younger ages because their bodies had matured earlier and were ready to handle such training, and also because of genetic influences. The timing of puberty obviously has a profound effect on gaining aerobic improvement, among other things. Sports readiness such as this will be significantly different among youngsters of the same age. Some will be ready a lot earlier than others because they develop and reach puberty more quickly. In some cases, their motor development is already capable of responding to the early maturation of aerobic development, as was the case with those young Olympians. In other cases, youngsters go through puberty early, but still need their motor skills to catch up with their new and improved aerobic abilities. Each athlete is different.

Some improve at an early age; some improve much later. Some improve a lot; some barely improve at all. How far and in what direction these improvements occur still depend on the genetic makeup of your child and where along the genetic spectrum she lies—anywhere from pure strength and power sports, to medium strength and aerobic sports, to very aerobic sports and anywhere in between.

The general concepts still apply—until puberty, there is a limited ability to improve aerobic capacity just by training alone. Once puberty is reached, improvements in your child’s ability to use oxygen occur rapidly and progressive gains can be made. Although it appears that there is a certain unseen upper limit to improve aerobic capacity before puberty, this does not reduce or lessen the need to train aerobically.

This is a very important distinction. There is strong evidence that young athletes with a good foundational base of aerobic exercise can have even better improvements in aerobic ability once they reach puberty than those who start aerobic training at a later age. For example, a swimmer or runner who has already had some years of moderate training before her growth spurt has a better aerobic base from which to improve once puberty arrives. Kids who train in aerobic sports also better their performance because of improved technique and efficiency of movement, advancing skill level, maturing coordination, and growing motivation.

Understanding the place of aerobic development in the bigger picture is important in the younger years to take the focus away from competition, time or speed qualifications, and excessive training schedules. This understanding allows your child to focus instead on having fun, improving technique, learning different sports skills, and developing a strong base level of aerobic conditioning.

Hopefully this is clear. Read my lips—there is no need for elaborate, excessive, and exhaustive training programs for children and pre-pubertal athletes. This does not suit their needs or interests.

Parents, coaches, and kids who are not informed about this process may be the victims of discouragement when children do not get significantly faster as their level of training increases. Unfortunately, in those circumstances, increased training continues to be enforced with the thought that more is better and necessary to get the desired effect. When these training loads increase beyond a certain point, young bodies and minds start to break down. On the other hand, when training is kept at the right level and combined with positive reinforcement, support, emphasis on technique, opportunities for participation, new skill trials, and a focus on having fun, young bodies and minds can develop and accomplish their maximum potential ability more successfully.

What’s the “right” level of aerobic training, you ask? Every child will be different because of stage of development and chemical makeup. The important thing is to pay attention to your child’s development. If puberty has not started to show signs of its debut, maintaining moderate aerobic training loads is adequate. Your athlete can still improve by perfecting technique, consistent training, and maintaining good nutrition. When the chemical bonanza of puberty arrives, then ta-da! At that point, increased aerobic training will have much more potential to add to motor skills and enhance ability if there has been enough patience in you, your child, and the coach to avoid the temptation to over-increase training.

Finding Time to Be Active

See if this scenario sounds familiar—your child has come home from school with 2 hours of homework, including studying for a math test the following day. He also needs to start working on a science fair project. And don’t forget the clarinet lesson that’s on his calendar as well. There seems to be barely enough time to fit in dinner and a bath.

No wonder some kids feel that they just don’t have time for physical activity. Their schedules are filled to overflowing, and when they’re overbooked, it’s easy for physical activity to fall by the wayside.

As a parent, you need to intervene to make sure your child has time for all the things that are important. Whether he’s overweight, physical activity needs to be a priority.

Sit down with your child and structure his time after school so he can fit in everything that’s most essential. For example, in planning the following day, you might say something like, “You have a block of after-school time tomorrow.

Maybe the time immediately after school isn’t the best time for homework, because it will take up the daylight hours you could be outside playing.Why don’t you think about choosing to play outdoors for 30 minutes or an hour after you get home? Then we’ll go to your clarinet lesson, and once you’ve eaten dinner and it’s dark outside, you can do your homework.

The evening is the time when you used to watch TV anyway, so it’s a good time to get your homework done. And let’s think about rescheduling your clarinet lessons for the weekends.”

Basketball and Volleyball

Acute and overuse injuries are common in jumping sports likebasketball and volleyball. Acute injuries include bruises(contusions); cuts and scrapes (lacerations); ankle, knee, or finger sprains or fractures; shoulder dislocations; eye injuries; and concussions. Overuse injuries include patellar tendonitis (also called jumper’s knee) or Osgood-Schlatter disease, spondylolysis (stress fracture of the spine), rotator cuff tendinopathy, stress fractures, and shin splints.

The following is information from the American Academy of Pediatrics (AAP) about how to prevent basketball and volleyball injuries. Also included is an overview of common basketball and volleyball injuries.

Injury prevention and safety tips

  • Sports physical exam. Athletes should have a preparticipation physical evaluation (PPE) to make sure they are ready to safely begin the sport. The best time for a PPE is about 4 to 6 weeks before the beginning of the season. Athletes also should see their doctors for regular health well-child checkups.
  • Fitness. Athletes should maintain a good fitness level during the season and off-season. Preseason training should allow time for general conditioning and sport-specific conditioning. Also important are proper warm-up and cool-down exercises.
  • Technique. Athletes should learn and practice safe techniques for performing the skills that are integral to their sport. Athletes should work with coaches and athletic trainers on achieving proper technique.
  • Equipment. Safety gear should fit properly and be well maintained.
    • Shoes should be in good condition, appropriate for the surface and laces tied.
    • Ankle braces or tape applied by a certified athletic trainer can prevent or reduce the frequency of ankle sprains.
    • Knee pads have been shown to reduce knee abrasions and contusions (bruises).
    • Buddy tape (tape around the injured finger and the one beside it) can prevent reinjury to an injured finger. X-rays should be obtained in all “jammed” fingers.
    • Mouth guards prevent dental injuries.
    • Protective eyewear. Glasses or goggles should be made with polycarbonate or a similar material. The material should conform to the standards of the American Society for Testing and Materials.
  • Environment. A safe playing area is clean and clear. Goalposts should be padded.
  • Emergency plan. Teams should develop and practice an emergency plan so that team members know their roles in emergency situations. The plan would include first aid and emergency contact information. All members of the team should receive a written copy each season. Parents also should be familiar with the plan and review it with their children.

Common injuries

Ankle sprains

Ankle sprains, one of the most common injuries in jumping sports, can prevent athletes from being able to play. They often happen when a player lands from a jump onto another player’s foot, causing the ankle to roll in (invert). They are more likely to happen if a player had a previous sprain, especially a recent one.

Treatment begins with rest, ice, compression, and elevation (RICE). Athletes should see a doctor as soon as possible if they cannot walk on the injured ankle or have severe pain. X-rays are often needed to look for a fracture.

Regular icing (20 minutes) helps with pain and swelling. Weight bearing and exercises to regain range of motion, strength, and balance are key factors to getting back to sports. Tape and ankle braces can prevent or reduce the frequency of ankle sprains. Tape and an ankle brace can also support the ankle, enabling an athlete to return to activity more quickly.

Finger injuries

Finger injuries occur when the finger is struck by the ball or an opponent’s hand or body. The “jammed finger” is often overlooked because of the myth that nothing needs to be done, even if it is broken. If fractures that involve a joint or tendon are not properly treated, permanent damage can occur.

Any injury that is associated with a dislocation, deformity, inability to straighten or bend the finger, or significant pain should be examined by a doctor. X-rays are often needed to look for a fracture. Buddy tape may be all that is needed to return to sports; however, this cannot be assumed without an exam and x-ray. Swelling often persists for weeks to months after a finger joint sprain. Ice, nonsteroidal anti-inflammatory drugs (NSAIDs), and range of motion exercises are important for treatment.

Knee injuries

Knee injuries commonly occur from cutting, pivoting, landing from a jump, or contact with another athlete. If the athlete feels a pop or shift in the knee, then it’s most likely a ligament injury or knee cap dislocation. Anterior cruciate ligament (ACL) tears are more common in females than males.

Treatment begins with RICE. Athletes should see a doctor as soon as possible if they cannot walk on the injured knee. Athletes should also see a doctor if the knee is swollen, a pop is felt at the time of injury, or the knee feels loose or like it will give way.

Athletes who return to play with a torn ACL risk further joint damage. Athletes with an ACL tear are usually unable to return to their sport until after reconstruction and rehabilitation.

Patellar tendonitis (jumper’s knee) is a common overuse injury seen from repetitive jumping and landing from jumps. It causes pain in the front of the knee with jumping, sometimes associated with a bump, and can be severe. It is treated with ice, stretching, NSAIDs, and relative rest.

Shoulder injuries

Shoulder injuries in volleyball can occur from repetitive hitting (spiking) or serving. Shoulder injuries in basketball can occur from diving or rebounding.

Athletes usually feel the shoulder pop out of joint when their shoulders are dislocated. Most of the time the shoulder goes back into the joint on its own; this is called a subluxation (partial dislocation). If the athlete requires help to get it back in, it is called a dislocation. Risk of dislocation recurrence is high for youth participating in these sports. Shoulder strengthening exercises, braces and, in some cases, surgery may be recommended to prevent recurrence.

Pain from repetitive use is common in volleyball, usually due to weak muscles of the shoulder blade and trunk. Often rehabilitation exercises and rest from excessive hitting or serving are all that is needed.

Eye injuries

Eye injuries commonly occur in sports that involve balls but can also result from a finger or another object in the eye. Any injury that affects vision or is associated with swelling or blood inside the eye should be evaluated by an ophthalmologist. The AAP recommends that children involved in organized sports wear appropriate protective eyewear.

Head injuries

Concussions can occur after an injury to the head or neck contacting the ground, equipment, or another athlete. A concussion is any injury to the brain that disrupts normal brain function on a temporary or permanent basis.

The signs and symptoms of a concussion range from subtle to obvious and usually happen right after the injury but may take hours to days to show up. Athletes who have had concussions may report feeling normal before their brain has fully recovered. With most concussions, the player is not knocked out or unconscious.

Prematurely returning to play after a concussion can lead to another concussion or even death. An athlete with a history of concussion may be more susceptible to another injury than an athlete with no history of concussion.

About Diving

 Competitive springboard and platform divers start training and competing at an early age. Many Olympic and world champions are 18 years of age and younger.

Diving is considered a collision sport because of the impact with the water on entry. A diver entering the water from the 10-meter platform is traveling almost 40 miles per hour. These forces are enough to break bones and dislocate joints. Divers are also at risk of injuries from hitting the board or platform as well as overuse injuries similar to gymnasts from frequent jumping, back arching, trunk flexion, and back twisting. Injuries can also occur from training on “dry land.” This type of training usually includes weight lifting and the use of spotting belts, trampolines, and springboards.

While injuries do occur in competitive diving, unsupervised or recreational diving is associated with a far greater risk of serious injury or even death. The following is information from the American Academy of Pediatrics (AAP) about how to prevent diving injuries. Also included is an overview of common diving injuries.

Injury prevention and safety tips

  • Rules. Swimmers should follow pool rules at all times, including
    • Never swim alone. The pool should be supervised.
    • Don’t run on pool decks and wet areas. Abrasions and contusions (bruises) commonly occur from careless falls.
    • Don’t dive in shallow water or any water where the depth is not known.Swimmers should know how deep the pool is and avoid diving into shallow pools less than 3 feet deep. This will help prevent serious head and neck injuries.
  • Equipment. Safety gear includes
    • Swim caps
    • Sun protection (sunscreen, lip balm with sunblock) when outdoors
  • Emergency plan. Teams should develop and practice an emergency plan so that team members know their roles in emergency situations in or out of the water. The plan would include first aid and emergency contact information. All members of the team should receive a written copy each season. Parents also should be familiar with the plan and review it with their children.

Common injuries

Shoulder injuries

Shoulder injuries typically occur during water entry when arms extended overhead get forced back. Athletes usually feel the shoulder pop out of joint when their shoulders are dislocated. Most of the time the shoulder goes back into the joint on its own; this is called a subluxation (partial dislocation). If the athlete requires help to get it back in, it is called a dislocation. Risk of dislocation recurrence is high for youth participating in these sports. Shoulder strengthening exercises, braces and, in some cases, surgery may be recommended to prevent recurrence.

Chronic shoulder pain is usually due to a pinching of the rotator cuff (the tendons around the top of the shoulder). This is more common in athletes with weak shoulder blade muscles. Symptoms include a dull pain or achiness over the front or side of the shoulder that worsens when the arm is overhead. Treatment involves exercises to strengthen the shoulder blade muscles and the rotator cuff.

Neck injuries

Repetitive extension of the neck on water entry can cause an irritation of the neck joints. This results in muscle spasms and stiffness when rotating the neck or looking up. Athletes with tingling or burning down the arm may have a cervical disc herniation or “stinger” and should see a doctor. Stingers are stretch injuries to the nerves in the neck and spine. Because the force of impact is greater with 10-meter platform diving, there are more complaints of neck problems with tower divers.

Elbow injuries

Elbow pain can occur when an athlete’s elbow hyperextends on entry into the water. The ulnar nerve (“funny bone”) can be stretched and cause pain, numbness, or burning down the arm into the fingers. If the ligament of the elbow is stretched, it can cause pain, weakness, and instability of the elbow. Athletes with pain on the outside of the elbow may have a condition called osteochondritis dissecans. This condition can cause an inability to straighten the elbow and locking, catching, or swelling of the elbow. X-rays may beneeded to confirm diagnosis.

Wrist/hand injuries

When divers enter the water, they grasp their hands one on top of the other with the palm facing toward the water. As they try to “punch” a hole in the water, thewrist gets bent backward. Doing this repetitively causes pain, swelling, stiffness, and irritation of the wrist joint. This can be treated with rest, ice, and nonsteroidal antiinflammatory drugs. Taping or bracing the wrist can also prevent further injury.

When divers reach for the water and attempt to grasp their hands for entry, they occasionally hyperextend the thumb. This causes a sprain to the base of the thumb. Symptoms include pain, swelling, instability, and weakness of the thumb. This can be treated, and may be prevented, by taping the thumb while diving. Occasionally, a custom thumb splint or even surgery is necessary to stabilize the thumb.

Low back pain

Spondylolysis, stress fractures of the bones in the lower spine, is due to overuse from arching or extending of the back. Symptoms include low back pain that feels worse with back extension activities. Back or reverse dives are often more painful. Treatment of spondylolysis includes rest from diving, physical therapy to improve flexibility and low back and core (trunk) strength, and possibly a back brace. Athletes with low back pain for longer than 2 weeks should see a doctor. X-rays are usually normal so other tests are often needed to diagnose spondylolysis. Successful treatment requires early recognition of the problem and timely treatment.

Disc injury may cause low back pain that occurs with flexion—including pike and tuck dives. The pain is usually worse on one side, extends into the buttock, and occasionally down the leg. Disc-related pain can also occur with sitting, lifting, jumping, and twisting. Successful treatment requires early recognition of the problem and timely treatment.

Knee injuries

There are thousands of jumps in practice for each dive seen in competition. Jumping causes pressure on the kneecap and can result in pain in the front of the knee. Patellar tendonitis (also called jumper’s knee) causes pain
just below the kneecap. Treatment requires identifying and addressing the causes of the pain.

The number of dives performed; dry land training; poor flexibility; strength imbalances; and malalignment of the hips, knees, and feet can also contribute to knee pain. Because corrective shoes, orthotics, and knee braces aren’t practical while diving, physical therapy, patellar taping, and training modifications are the mainstays of therapy.

Other medical issues

Divers are at risk for a variety of medical concerns as well, including

  • Swimmer’s ear and sinusitis from too much water in the ear
  • Ruptured eardrums from impact in the water and acute pressure changes
  • Cuts, scrapes, bruises, fractures, and head or facial injuries from hitting the board, platform, or pool deck
  • Sunburn or rashes from the sun

Aerobic Training for Beginer

 Aerobic training strengthens the heart and lungs and improves muscle function. One goal of aerobic training is to enhance sports performance and to improve training response. The following is information from the American Academy of Pediatrics (AAP) about aerobic training exercises.

What are aerobic training exercises?

Aerobic training exercises are any activities that raise heart rate and make breathing somewhat harder. The activity you are doing must be constant and continuous. Examples of aerobic activities are

  • Walking or hiking
  • Jogging or running
  • Biking
  • Swimming
  • Rowing
  • In-line skating
  • Cross-country skiing
  • Exercising on a stair-climber or elliptical machine

Other activities, when done in a constant and continuous way, can be aerobic, such as tennis, racquetball, squash, and the martial arts. Weight training, however, is not aerobic because it is done in short bursts of a few minutes at a time.

How does aerobic training improve endurance?

Aerobic training increases the rate at which oxygen inhaled is passed on from the lungs and heart to the bloodstream to be used by the muscles. Aerobically fit athletes can exercise longer and harder before feeling tired. During exercise they have a slower heart rate, slower breathing rate, less muscle fatigue, and more energy. After exercise, recovery happens more quickly. Aerobic fitness can be measured in a laboratory setting while exercising on a treadmill or bicycle. This is called maximal oxygen uptake or VO2 max.

How often and how long should athletes train?

To achieve a training response, athletes should exercise 3 to 5 times per week for at least 20 to 60 minutes. Fitness level can be improved with as little as 10 minutes of exercise if done 2 to 3 times per day. If the goal is also to lose body fat, athletes should exercise for at least 30 to 60 minutes. Athletes who are not fit will need to start with lesser amounts of exercise. They can slowly add more time as their endurance improves. Increasing the level of exercise at about 10% per week is a good goal to prevent overuse injury.

Cross-training can help reduce the risk of overuse injuries. This is done by alternating different kinds of activities. To avoid putting too much stress on the body and help prevent injuries, it is wise to alternate high-impact activities, like running, with low-impact exercises, like walking, cycling, and swimming.

How hard should athletes train?

Training at low to moderate intensity levels is enough to improve endurance. In general, this level of intensity is more enjoyable and less likely to lead to injuries than high-intensity training.

However, aerobic training programs should be designed to match each athlete’s fitness level. There are 3 ways to measure aerobic training intensity.

1. The “talk test.” During a workout, athletes should be able to say a few words comfortably, catch their breath, and resume talking. If it is difficult to say a few words, then athletes should probably slow down. If athletes can talk easily without getting out of breath, then they are probably not training hard enough.

2. Heart rate. Aerobic training occurs when heart rate during exercise is between 60% to 90% of maximal heart rate. Athletes can figure out their maximal heart rate by subtracting their age from 220.

3. Level of difficulty. Athletes can determine how hard the exercise feels on a scale of 1 to 10 using the Borg Scale of perceived exertion. The ideal range for aerobic training is between 2 to 7.

Other factors affecting aerobic training response

  • Baseline fitness level. The more unfit athletes are, the greater the training response. However, as athletes become more fit, it will take higher levels of training to improve further.
  • Genetics. Genetics play a large role in an athlete’s natural fitness level as well as how much he will improve as a result of training.
  • Growth. As children grow, they are able to respond more to aerobic training. However, before puberty, the aerobic training response is much less than during and after puberty. This is why aerobic training is of limited value for improving endurance in young children. Activities should focus more on other goals, such as skill development and fun.

Soccer Safety Tips

 Soccer (known as football outside the United States) is one of the most popular team sports in the world. Soccer also can be a way to encourage children to be physically active while they learn about teamwork and sportsmanship.

With the growing popularity of soccer comes a greater number of injuries. However, the risk of injury can be reduced.

Tips to Help Prevent Soccer Injuries

  • Equipment. Players should use the right equipment.
    • Protective Mouthguards
    • Protective Eyewear. Glasses or goggles should be made with polycarbonate or a similar material. The material should conform to the standards of the American Society for Testing and Materials (ASTM).
    • Shoes. Cleats should provide sufficient heel/arch support and grip.
    • Balls. Soccer balls should be water-resistant, the right size based on age, and properly inflated.
    • Preseason Training. There is growing evidence that preseason conditioning and balance training may reduce the risk of anterior cruciate ligament (ACL) injury.
  • Fair Play. Violent behavior and aggressive play increase the risk of injury and should be strongly discouraged. Parents and coaches should encourage good sportsmanship and fair play.
  • Field Conditions. Uneven playing surfaces can increase risk of injury, especially in outdoor soccer. The field should be checked for holes or irregularities. Goal posts should be secured to the ground at all times even when not in use. Follow installation guidelines from the manufacturers and Consumer Product Safety Commission.
  • Heading Technique. The risk of a head injury is comparable to other contact/collision sports, though evidence does not support repeated heading as a risk for short- or long-term cognitive issues. However, to reduce the risk of injury from heading the soccer ball, players should be taught proper heading technique at the appropriate age and with an appropriate-sized ball.
    Excessive heading drills should be discouraged until more is known about the effects on the brain. Also, no recommendations regarding the use of helmets or cushioned pads to reduce head injury in soccer can be made at this time. More research and established safety standards and regulations are needed.

Common Soccer Injuries

Soccer injuries in general occur when players collide with each other or when players collide with the ground, ball, or goalpost. They also may result from nonbody contact, such as from running, twisting/turning, shooting, and landing. The most common types of injuries in youth soccer are sprains and strains, followed by contusions (bruises). Most injuries are minor, requiring basic first aid or a maximum of 1 week’s rest from playing soccer.

  • Ankle & Knee Injuries. Most ankle and knee injuries do not result from contact with another player. Ankle injuries are more common in male players and knee injuries are more common in female players. ACL injuries are relatively common knee injuries. Most of these injuries happen not from coming in contact with another player, but from sudden stops and pivots. ACL injury risk-reduction programs are recommended for female adolescents.
  • Heel Pain. Irritation of the growth plate of the heel bone (Sever’s Disease) is common in youth soccer. This can be treated with calf stretching, activity modification (avoid extra running), heel cups or arch supports, ice, and antiinflammatory medicine.
  • Head Injuries. Concussions are common in soccer. They usually occur when a player’s head collides with another player’s head, shoulder, or arm, or the ground. Females tend to have a slightly higher concussion risk than males. Concussions temporarily affect brain function, although loss of consciousness or blackout may or may not happen. All concussions are serious and need to be evaluated by a doctor before players can return to play. The signs and symptoms of a concussion range from mild to severe and usually happen right after the injury, but may take hours to days to show up. With most concussions, the player is not knocked out or unconscious.
  • Mouth, Face & Teeth Injuries. Soccer is one of the leading causes of mouth, facial, anddental injuries in sports (second only to basketball). Use of protective mouthguards may help reduce the number of injuries.
  • Eye Injuries. Eye injuries are rare, but when they occur they are often severe, resulting in damage to the eye globe or blowout fractures of the eye socket. Protective eyewear is recommended for all soccer players.