Sports-Specialized Intensive Training and the Risk of Injury in Young Athletes

Jayanthi, Neeru; LaBella, Cynthia R.; Fischer, Daniel A.; Pasulka, Jacqueline; Dugas, Lara R.

doi:10.1177/0363546514567298

Cited by 451 publications

(722 citation statements)

References 20 publications

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“…4,5,13,19,20,29,49 Only 0.3% of German athletes in Olympic sports selected at the youngest level were ranked internationally, and most elite athletes specialized in their primary sport later in life. 4,46 Specialization can be divided into early versus late, with the inclusion of early diversification of multiple sports for those who specialize later.…”

Section: When Is It Appropriate and Safe To Specialize?mentioning

confidence: 99%

Sports Specialization and Intensive Training in Young Athletes

Brenner¹

2016

Pediatrics

305

277

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Sports specialization is becoming the norm in youth sports for a variety of reasons. When sports specialization occurs too early, detrimental effects may occur, both physically and psychologically. If the timing is correct and sports specialization is performed under the correct conditions, the athlete may be successful in reaching specific goals. Young athletes who train intensively, whether specialized or not, can also be at risk of adverse effects on the mind and body. The purpose of this clinical report is to assist pediatricians in counseling their young athlete patients and their parents regarding sports specialization and intensive training. This report supports the American Academy of Pediatrics clinical report “Overuse Injuries, Overtraining, and Burnout in Child and Adolescent Athletes.”

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Section: When Is It Appropriate and Safe To Specialize?mentioning

confidence: 99%

Sports Specialization and Intensive Training in Young Athletes

Brenner¹

2016

Pediatrics

305

277

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“…2 Increasing youth participation in sports, as well as the trend toward specialization in only one sport, have increased the prevalence of this injury. 3 The highest incidence occurs in the sports of cross country running and gymnastics, with girls having nearly twice the risk as boys. 4 Girls with a delayed age of menarche, family history of osteoporosis, or high-impact activity (eg, running, basketball, cheerleading, and gymnastics) have the highest risk.…”

Section: Epidemiologymentioning

confidence: 99%

Adolescent Shin Pain

Korsh¹,

Matijakovich²,

Gatt³

2017

Pediatr Ann

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Shin pain is a common complaint in adolescent athletes. The term "shin splints" has historically been applied to these patients. Shin splints, more often than not, refers to a stress reaction of the tibia from overuse. Overuse injuries occur when repetitive microtrauma to the bone exceeds the biologic healing potential. Diagnosis is based on typical history and physical examination findings. Plain radiographs and advanced imaging are rarely necessary but can provide valuable prognostic information. Treatment consists of adequate rest and exercise modification. Time to return to sport depends on injury location and severity. Stress fractures have long-term implications on bone health, so modifiable risk factors should be addressed. It is important for primary care physicians to understand the significance of these injuries. [Pediatr Ann. 2017;46(1):e29-e32.]

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“…Some investigators [8][9][10][11][12] performed research to identify factors that predict injury without prospectively identifying injury incidence. Identifying group differences in retrospective case-control studies [10][11][12] is a current model that has been used to attempt to identify injury risk factors without prospectively identifying injury incidence.…”

Section: Predicting Injury Without Prospective Injury-incidence Datamentioning

confidence: 99%

“…Identifying group differences in retrospective case-control studies [10][11][12] is a current model that has been used to attempt to identify injury risk factors without prospectively identifying injury incidence. Injury-prediction studies using retrospective case-control study designs identify differences between injured and uninjured individuals after injury has occurred 10 ; researchers then use the identified group differences to make inferences about injury risk. The often simple and relatively less demanding nature of these studies may be advantageous, but retrospective inferences about which characteristics increase injury risk are difficult to make and potentially inaccurate.…”

Section: Predicting Injury Without Prospective Injury-incidence Datamentioning

confidence: 99%

Predicting Injury: Challenges in Prospective Injury Risk Factor Identification

Clifton

Grooms

Hertel

et al. 2016

Journal of Athletic Training

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Context: Musculoskeletal injury-prediction methods vary and may have limitations that affect the accuracy of results and clinical meaningfulness.Background: Research examining injury risk factors is meaningful, but attempting to extrapolate injury risk from studies that do not prospectively assess injury occurrence may limit clinical applications. Injury incidence is a vital outcome measure, which allows for the appropriate interpretation of injury-prediction analyses; a lack of injury-incidence data may decrease the accuracy and increase the uncertainty of injury-risk estimates.Extrapolating results that predict an injury risk factor to predicting actual injuries may lead to inappropriate clinical decision-making models.Conclusions: Improved understanding of the limitations of injury-prediction methods, specifically those that do not prospectively assess injuries, will allow clinicians to better assess the clinical meaningfulness of the results.

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Sports-Specialized Intensive Training and the Risk of Injury in Young Athletes

Cited by 451 publications

References 20 publications

Sports Specialization and Intensive Training in Young Athletes

Sports Specialization and Intensive Training in Young Athletes

Adolescent Shin Pain

Predicting Injury: Challenges in Prospective Injury Risk Factor Identification

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