Children's Health

Is Your Child Sports-Safe?


Medically Reviewed On: September 24, 2004

What is an overuse injury?
Overuse injuries, instead of being triggered by one episode, develop over time with increased activity because of the repetitive stress on the muscles, tendons or bones, especially the growth plates. In school-age children, the most common sites where growth plates become stressed from overuse are the front of the knee, the heel, the shoulder and the elbow.

Probably the most classic examples of overuse injury are Little League elbow and Little League shoulder. These occur primarily in young pitchers from throwing a large number of pitches. This puts a lot of stress on the growth centers in the elbow and the shoulder. Initially, it only aches after practice and then it starts to hurt while they're throwing and then, if they keep throwing, a week later, it might hurt even when they're resting and doing daily activities.

How can you reduce risk of overuse injury?
The risk for overuse injury can be lessened by paying close attention to the frequency and intensity of the activity, making sure it's appropriate for the child's age and, very importantly, allowing for adequate time for rest between workouts. A young athlete should have at least one to two days off per week from their sports activities. If the child starts to complain of some soreness, it's time to take a break.

When shouldn't children participate in sports?
Children should never play through pain. Pain is the body's way of saying there's a stress or an injury. Children should not participate if they are sick, especially if there's a fever, vomiting or diarrhea. Occasionally, it's OK for a child with a mild cold to participate, as long as there's no fever or breathing difficulty, but the parents should keep in mind that they may fatigue sooner than usual, so the workout period should be shortened. A child should never be forced to play when tired because fatigue itself can be a risk factor for injury.

When is a child ready to participate in an organized sport?
Many children are developmentally ready for organized sports by about age six, but participation in organized sports also requires appropriate cognitive and social development. In other words, a child who is ready for organized sports is also able to interact with teammates and coaches, likes structure, has an appropriate attention span, is able to understand and follow instructions, has good memory skills and is not excessively shy or clumsy.

<< Previous Page 2 of 4 Next Page >>