As Youth Baseball Season Nears, Experts Urge Injury Prevention

MONDAY, Feb. 27 (HealthDay News) — With winter turning to
spring, youth baseball will soon be starting.

Experts are warning, however, that young ball players are at risk for
injuries, many of which are preventable.

“Baseball is America’s pastime. In order to minimize the risk of injury
and maximize enjoyment of the game, coaches, parents and youth baseball
and softball players should be familiar with ‘an ounce of prevention’
guidelines,” statement co-author Dr. Joseph Congeni said in a news release
from the American Academy of Pediatrics (AAP).

The AAP has issued a revised policy statement on youth baseball and
softball, published online Feb. 27 in Pediatrics.

According to Congeni, “being aware of a few issues regarding overuse,
appropriate equipment, environmental factors and those rare but
catastrophic injuries can help accomplish these goals and ensure kids are
having fun and staying healthy playing ball.”

Throwing injuries are a major issue for young baseball players but can
be prevented by teaching about proper throwing mechanics, training and
conditioning, and encouraging players to stop playing and seek treatment
whenever they experience signs of overuse injuries, the statement
advises.

“Not everyone may know exactly when an athlete begins to show signs of
overuse, but it is important to know to never pitch when one’s arm is
tired or sore. Athletes must respect the limits imposed on throwing,
including pitch counts and rest periods,” statement co-author Dr. Stephen
Rice said in the AAP news release.

Among the other recommendations:

  • All players should wear appropriate protective gear, including
    polycarbonate eye protection or metal cages on helmets when batting.
  • Coaches and officials need to monitor extreme weather conditions (such
    as heat or lightning) and postpone or cancel games if players are at
    risk.
  • Coaches should have quick access to an automated external
    defibrillator in case a player suffers cardiac arrest, and should be
    prepared to call 911.
  • Since children develop at different rates, repeated instruction and
    practice are essential for young baseball and softball players to acquire
    the basic skills of the game.

Another expert stressed that kids who engage in sports have unique
vulnerabilities.

“In order to better appreciate overuse injuries in children, one must
understand that kids are not just ‘small’ adults,” explained Dr. Victor
Khabie, chief of sports medicine at Northern Westchester Hospital in Mount
Kisco, N.Y. “There is a significant physiological difference between a
growing child and a developmentally mature person,” he added.

According to Khabie, who is also co-director of the hospital’s
Orthopedic and Spine Institute, “children grow via growth plates which are
‘growth centers’ at the end of bones. When a child complains of elbow or
shoulder pain because of excessive pitching or batting, the [cause] is
often due to an injury to the growth plate.”

The consequences could be serious, he added. “Left untreated, an
injured growth plate could lead to permanent damage,” Khabie said. “This
is why it is important for parents, coaches and trainers working with
young ball players to understand the signs and symptoms of overuse
baseball and softball injuries and to have the child athlete be evaluated
by a sports medicine specialist.”

More information

The Nemours Foundation has more about youth baseball safety.

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