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2B.2. Recreational and sporting injuries in children
Lectures
91
There are five categories of adverse effects: hepatic, cardiovascular, reproductive/endocrine, dermatological and psychiatric. Children are the most susceptible to adverse effects with potential elevated lipid profiles, hypertension, cholestasis, hepatic adenomas, severe acne, premature baldness, severe mood changes, early development of secondary sex characteristics and even early closure of growth plates in long bones.7 Health professionals who have an understanding of the risks of taking these drugs are in a prime position to educate parents and youngsters in order to decrease the first-time use of these drugs and thus prevent lifelong consequences.
References 1. Patel DR, Greydanus DE, Baker RJ. Pediatric practice sports medicine. China: McGraw-Hill; 2009. 2. Weber-Hellestenius S. Recurrent neck pain and headaches in preadolescents associated with mechanical dysfunction of the cervical spine: a cross-sectional observational study with 131 students. J Manipulative Physiol Ther 2009;32(8):625—34. 3. Gabel KA. Special nutritional concerns for the female athlete. Curr Sports Med Rep 2006;5:187—91. 4. Laos C, Metzl JD. Performance enhancing drug use in young athletes. Adolesc Med 2006;17:719—31. 5. Sjoqvist F, Garle M, Rane A. Use of doping agents, particularly anabolic steroids in sport and society. Lancet 2008;371(9627):1872—82. 6. Cheatham SA, Hosey RG, Johnson DL. Performance-enhancing drugs and today’s athlete: a growing concern. Othopedics/ORTHOSuperSitecom 2008;31(10):1014—7. 7. Casavant MJ, BlakeK. Griffith J, Yates A, Copley LM. Consequences of use of anabolic androgenic steroids. Pediatr Clin North Am 2007;54(4):677—90.
doi: 10.1016/j.clch.2010.02.053
2B.2. Recreational and sporting injuries in children Edward Rothman DC, FACO, FCC Anglo-European College of Chiropractic, Parkwood Road, Bournemouth, England, United Kingdom The medical aphorism that ‘‘Children are not little adults’’ is an important consideration whenever a healthcare professional is involved in sports medicine. There are distinct differences in physiology and development that must be considered. The benefits of physical activity and sports far outweigh any risks; the establishment of early physical fitness for mind and body is essential for health and well being. Motor development, cognitive development, social benefits and the enjoyment of sports participation will improve a child’s well being and establish habits which are important for one’s life. For the population under 10 years old, most injuries are secondary to recreational activities rather than organised sports, with the ankle and knee most likely injured. Catastrophic injuries in sports are found primarily in contact sports like American football and rugby, with most deaths secondary to head and neck injuries. The presentation reviews some basic physiology with references to injury prevention and treatment. doi: 10.1016/j.clch.2010.02.054
2B.3. Performance or participation for children–—Where to draw the line? Angelo Battiston DC Anglo-European College of Chiropractic, Parkwood Road, Bournemouth, England, United Kingdom
Introduction: review of the related literature Defining adolescence: this includes a brief background of sport as it relates to the growth, maturation and development of a young athlete from childhood, into and through puberty, adolescence and eventually (very) young adulthood. Sport specialization and group sports are analysed and compared and contrast grid is used to demonstrate the effect that this has created upon adolescent sport.
91
There are five categories of adverse effects: hepatic, cardiovascular, reproductive/endocrine, dermatological and psychiatric. Children are the most susceptible to adverse effects with potential elevated lipid profiles, hypertension, cholestasis, hepatic adenomas, severe acne, premature baldness, severe mood changes, early development of secondary sex characteristics and even early closure of growth plates in long bones.7 Health professionals who have an understanding of the risks of taking these drugs are in a prime position to educate parents and youngsters in order to decrease the first-time use of these drugs and thus prevent lifelong consequences.
References 1. Patel DR, Greydanus DE, Baker RJ. Pediatric practice sports medicine. China: McGraw-Hill; 2009. 2. Weber-Hellestenius S. Recurrent neck pain and headaches in preadolescents associated with mechanical dysfunction of the cervical spine: a cross-sectional observational study with 131 students. J Manipulative Physiol Ther 2009;32(8):625—34. 3. Gabel KA. Special nutritional concerns for the female athlete. Curr Sports Med Rep 2006;5:187—91. 4. Laos C, Metzl JD. Performance enhancing drug use in young athletes. Adolesc Med 2006;17:719—31. 5. Sjoqvist F, Garle M, Rane A. Use of doping agents, particularly anabolic steroids in sport and society. Lancet 2008;371(9627):1872—82. 6. Cheatham SA, Hosey RG, Johnson DL. Performance-enhancing drugs and today’s athlete: a growing concern. Othopedics/ORTHOSuperSitecom 2008;31(10):1014—7. 7. Casavant MJ, BlakeK. Griffith J, Yates A, Copley LM. Consequences of use of anabolic androgenic steroids. Pediatr Clin North Am 2007;54(4):677—90.
doi: 10.1016/j.clch.2010.02.053
2B.2. Recreational and sporting injuries in children Edward Rothman DC, FACO, FCC Anglo-European College of Chiropractic, Parkwood Road, Bournemouth, England, United Kingdom The medical aphorism that ‘‘Children are not little adults’’ is an important consideration whenever a healthcare professional is involved in sports medicine. There are distinct differences in physiology and development that must be considered. The benefits of physical activity and sports far outweigh any risks; the establishment of early physical fitness for mind and body is essential for health and well being. Motor development, cognitive development, social benefits and the enjoyment of sports participation will improve a child’s well being and establish habits which are important for one’s life. For the population under 10 years old, most injuries are secondary to recreational activities rather than organised sports, with the ankle and knee most likely injured. Catastrophic injuries in sports are found primarily in contact sports like American football and rugby, with most deaths secondary to head and neck injuries. The presentation reviews some basic physiology with references to injury prevention and treatment. doi: 10.1016/j.clch.2010.02.054
2B.3. Performance or participation for children–—Where to draw the line? Angelo Battiston DC Anglo-European College of Chiropractic, Parkwood Road, Bournemouth, England, United Kingdom
Introduction: review of the related literature Defining adolescence: this includes a brief background of sport as it relates to the growth, maturation and development of a young athlete from childhood, into and through puberty, adolescence and eventually (very) young adulthood. Sport specialization and group sports are analysed and compared and contrast grid is used to demonstrate the effect that this has created upon adolescent sport.