運(yùn)動(dòng)損傷預(yù)防課件

1、Sports Injury Prevention: Its Not Whether You Win or LoseMichael A. Gittelman, MDAssistant Professor, Division of Emergency MedicineCincinnati Childrens Hospital Medical CenterCincinnati, OhioBackgroundMillions of children participate daily in sports activitiesChildren learn to improve: Physical fit

2、nessCoordinationTeam playThere is a risk of injury just by participatingProblems with SurveillanceDifficult to track injuriesAll injuries dont get reportedBest data from team physicians and trainersNo standard method of reportingMay report byBody part injuredAmount of time a player missed practice o

3、r a gameType of injury sustainedMagnitude of the Problem3.5 million sports injuries for children 15 years of age treated in medical settings of all Emergency Department visitsFor children involved in organized sports770,000 physician visits 90,000 hospitalizations / year70-80% injuries are minor ( 1

4、 wk of practice missed)60% occur during practiceInjury Mechanisms 10 years of ageOften injured during individual recreational activitiesUsually within the first week of the activityExamples = bike riding, roller skating, sleddingPubertal childGreater weights, greater force = more severe collisionUsu

5、ally occur during organized sporting eventsExamples = Football, Wrestling, BasketballTypes of Injuries Acute vs. ChronicBoth types usually involve muscle & boneAcuteResult from a collision or sudden twistExamples = Sprains/Strains, Contusions, FracturesChronic / Overuse Repetitive, small injuries du

6、e to repeat motionsIncreased today as children strive for excellence at younger agesExamples = Pitching a baseball, Running cross countryBody Parts Injured May Vary BySport PlayedSome sports emphasize different body partsLower extremity = soccer, basketballUpper extremity = tennis, baseballEquipment

7、 UsedProjectiles may cause ocular injury Examples = baseball, tennisCatastrophic InjuriesInjuries that result in permanent, severe neurologic disabilityDirect Catastrophic InjuryTrauma from active participation in sportExample = Football, Ice HockeyIndirectResult from overexertion while playing a sp

8、ortCauses Dehydration or sudden cardiac deathPreventing Sports InjuriesField / Equipment ChangesRule Changes / CoachingIndividual PreparationField/Equipment ChangesAdd equipment as injuries become evidentExamplesHelmets & Face Masks in youth hockeyChin protector in Little League BaseballField modifi

9、cations to prevent injuriesAvoid potholes, grates, rocks near fieldChange field as injuries seenExample = Anchoring soccer goalsIndividual Preparation Prior to ParticipationLearn about the game prior to signing upIs this sport appropriate for your child?Does your child wish to participate?Who will b

10、e supervising practices/games?Purchase the recommended equipmentPre-participation physical examPreseason conditioningIndividual Preparation At Participation Practice within your limitsStay well-hydratedKnow and follow the rules of the gameIf injuredSeek medical attention prior to returning to playAdequate rehabilitation is essentialResources/LinksWidome MD, ed. American Academy of Pediatrics Committee on Injury and Poison Prevention. Sports safety. In: Injury Prevention and Control for Children and Youth, 3rded. 1997. American Academy of PediatricsRice SG. Risks of inj