Post on 30-Jul-2020
2014 AMSSM Position Statement Overuse Injuries
and Burnout in Youth Sports
Craig Young MD
Epidemiology • 27 million US youth between 6 to 18 yo par<cipate in team sports.
• 60 million children 6 to 18 yo par<cipate in organized athle<cs – 44 million par<cipate > 1 sport
• Overall es<mates of overuse injuries range from 45.9% to 54%
Risk factors for overuse injuries
• Prior injury • Adolescent growth spurt • Amenorrhea • Higher training volume
Readiness for sport • Match between growth & development and spor<ng demands – Chronological age not good indicator – Unrealis<c parental/coaching expecta<ons
Sports specializa<on • Increased rates of burnout & overuse injury
• Diversified sports training may be more effec<ve in developing elite-‐level skills
• Possible excep<ons (early entry sports): – Gymnas<cs, figure ska<ng & swimming/diving
Preven<on • Limited par<cipa<on <me & scheduled rest periods
• Monitoring & individualized modifica<on • Preseason condi<oning • Preprac<ce neuromuscular training • Proper sized equipment • Emphasis on skill development instead of compe<<on & winning
Level of evidence • All B & C • Only A’s
– Risk from previous injury
– All overuse injuries are not benign
Downloadable fact sheet
Downloadable fact sheet • hdps://magic.piktochart.com/output/1045223-‐final-‐pos-‐statement-‐infographic
Kids just want to have fun • “Fun” defined by kids as
– Being part of a team – Experiencing success – Having an encouraging coach – Developing new skills
Final words • “What is the first thing you ask your children when they come through the door aker a game?” – “Did you win?” or was it “Did you have fun?”
• Dr. John Lombardo at the 2001 American Medical Society for Sports Medicine’s Annual Mee<ng in San Antonio.
References • DiFiori JP. Benjamin HJ. Brenner J. Gregory A.
Jayanthi N. Landry GL. Luke A. Overuse injuries and burnout in youth sports: a position statement from the American Medical Society for Sports Medicine. Clin J Sport Med. 24(1):3-20, 2014 Jan.UI: 24366013
• Gill DL, Gross JB, Heddleston S. (1983) Participation motivation in youth sports. Int J Sport Psych. Vol.14(1): 1-14.
References • Hedstrom R., Gould D. (2004). Research in
Youth Sports: Critical Issues Status: White Paper Summaries of the Existing Literature. East Lansing, MI: Institute for the Study of Youth Sports, Michigan State University.
• Klint KA. Weiss MR. (1986) Dropping in and dropping out: participation motives of current and former youth gymnasts. Can J Appl Sport Sci. 11(2):106-14.
References • Seefeldt, V., Ewing, M., & Walk, S. (1992). Overview of
youth sports programs in the United States. Washington, DC: Carnegie Council on Adolescent Development.
• Tuffey S. (1996) Why do kids quit? Coaches Quat; 3:7-8. • Tuffey S, Medbery T, Gould D. (2006). Kids tell us what is
fun. Colorado Springs, CO: USA Swimming • Young CC. The importance of putting the fun back in to
youth sports. ACSM’s Health & Fitness Journal. 2012. 16(6): 39-40.