1. A Presentation forTHE 3RD ANNUAL YOUTH-NEX CONFERENCE PHYSICAL HEALTH & WELL-BEING FOR YOUTHYOUTH SPORTS: ENCOURAGING PARTICIPATION AND LIFE-LONG PHYSICAL ACTIVITYOctober 11, 2013 Michael F. Bergeron, Ph.D., FACSM Executive Director, National Youth Sports Health & Safety Institute Professor, Department of Pediatrics Sanford School of Medicine of The University of South Dakota Senior Scientist, Sanford Children's Health Research Center

2. 91% of Americans feel sports participation is important for children and adolescents as part of an active, healthy lifestyle 94% feel more needs to be done to ensure the health and safety of youth athletes 3. The National Youth Sports Health & Safety Institute will be the recognized leader and advocate for advancing and disseminating the latest research and evidence-based education, recommendations and policy to enhance the experience, development, health and safety of our youth in sports. There is no question our young people need to be active, and participating in youth sports is an important component to that activity. However, too many of these young athletes are doing too much, too fast some even suffering serious and life-threatening and life-altering injuries. This new institute will support youth athletics while also creating guidelines to protect their health and safety, said Michael F.Bergeron, Ph.D., FACSM, Executive Director - National Youth Sports Health & Safety Institute. 4. Urgent Areas of Focus Sports TraumaEnvironmental ChallengesTraining & Competition OverloadASSESSMENT and RESEARCH EDUCATION and OUTREACH GUIDELINES and POLICYPlaying with Chronic Disease & Disability 5. Partnerships Datalys Center for Sport Injury Research NCAA NFHS Sport Governing Bodies Medical and Sports Medicine Academies, Societies and Associations And Other Youth Sports Stakeholders 6. National Leadership Board Michael F. Bergeron, Ph.D., FACSM - ChairDavid A. Pearce, Ph.D.Executive Director, National Youth Sports Health & Safety Director, Sanford Childrens Health Research Center, Sanford Research USD Institute Professor, Department of Pediatrics Professor, Department of Pediatrics Sanford School of Medicine of The University of South Dakota Sanford School of Medicine of The University of South Dakota Senior Scientist, Sanford Children's Health Research CenterKarin A. Pfeiffer, Ph.D., FACSMThomas M. Best, MD, PhD, FACSM Professor and Pomerene Endowed Chair Professor of Biomedical Engineering and Biostatistics Director, Division of Sports Medicine Co-Medical Director, The OSU Sports Medicine Center Team Physician, OSU Athletic Department Ohio State University Past-President, American College of Sports MedicineNailah Coleman, MD, FAAP, FACSM Attending, Division of Orthopaedics and Sports Medicine Childrens National Medical Center Assistant Professor of Pediatrics and Orthopaedics The George Washington University Medical CenterJohn P. DiFiori, MDAssociate Professor, Michigan State University Department of Kinesiology Center for Physical Activity and HealthChristopher M. Powers, PT, PhD, FACSM, FAPTA Associate Professor Director, Program in Biokinesiology Co-Director, Musculoskeletal Biomechanics Research Lab USC Division of Biokinesiology & Physical TherapyWilliam O. Roberts, MD, MS, FACSM Professor - Department of Family Medicine and Community Health University of Minnesota Medical School Program Director University of Minnesota St Johns Health East Family Medicine Residency Past-President, American College of Sports MedicineProfessor and Chief, Representative Mike McIntyre: North Carolina Division of Sports Medicine, 9th term as North Carolinas 7th Congressional District Representative Department of Family Medicine, Ex-Officio Board Member: National Youth Sports Health & Safety Institute David Geffen School of Medicine at UCLA, Committee Assignments: House Agricultural and Armed Services Committee Team Physician, UCLA Department of Intercollegiate Athletics Congressional Caucus on Youth Sports: Co-Chairman and Co-Founder Congressional Waterways Caucus: Co-Chairman and Co-Founder Gary Hall, Jr. Congressional Prayer Caucus: Co-Chairman 3-time Olympic Swimmer; 10-time Olympic Medalist Friends of Scotland Caucus: Co-Chairman and Co-Founder Sanford Childrens International Board member Special Operations Forces Caucus: Co-Chairman and Co-FounderMindy Millard-Stafford, Ph.D., FACSM Professor, Georgia Institute of Technology School of Applied Physiology Past-President, American College of Sports Medicine 7. Congressional Comments 8. Congressional Briefing Physical Activity, Fitness, Health & Disease Prevention Highlight the value of and the role youth sports can play in fitness, health, and academic achievement Recognize the challenges facing youth sports and young athletes Work with Congress and Federal agencies to craft and promote creative solutions to promote youth fitness and health through healthy sportsJuly 26, 2012 (Rep. Bilbray CA; Rep. Kind WI) 9. The Culture of Youth Sports Exclusion vs. Inclusion Early Specialization Year-round Training & Competition Travel Away from Home Professional Development Model Unsustainable Demands & Conflicts Escalating Injuries and Ongoing Dropout 10. Overuse A Preventable Problem Key Contributing Factors Excessive repeated submaximal loading, without sufficient rest & recovery to allow positive adaptations Growing and immature bodies are less capable of handling the stress Early specialization Encourages overload and overuse Limits exposure to other sports and activities Limits athletic capacity, resilience and often performance 11. Overuse A Preventable Problem The Solution Development takes time Diversified, balanced and progressive athletic exposure and development across childhood and adolescence Functional movement, balance, strength, endurance and neuromuscular control Musculoskeletal injury risk is reduced Athletic capacity and sustained performance are enhanced 12. Overuse A Preventable Problem The Solution (cont.) Prior injury history is one of the best determinants of injury risk No child should train or play hurt If an injury occurs, Essential that recovery and rehabilitation is complete prior to returning to play Contributing factors need to be addressed and corrected Biomechanics, excessive training load and expectations, fitness, maturity 13. Overuse A Preventable Problem The Solution (cont.) Provide enough time and sufficient rest between training sessions, matches or games, and tournaments Enhances recovery Minimizes carry-over effects Reduces injury risk Enhances performance Coaches, Tournament Directors, Youth Sports Governing Bodiesand Parents! 14. The Message 50 million Kids in Community Sports 8 million high school student athletes 440,000 NCAA student-athletes High school to being a professional athlete: < 0.1% Think long-term, diversified and progressive athletic development Minimize preventable injury risk and stay well-rested, well-nourished and healthy Keep it fun! 15. Foundation for a Healthy LifeMaking Youth Sports a Public Health SolutionSM