MONDAY, Sept 13 (HealthDay News) -- Children's basketball may be
getting rougher or the kids may be bigger, but either way the
number of head injuries is soaring, researchers report.
"Although the total number of injuries decreased during the study period, the number of traumatic brain injuries increased by 70 percent," said study author Lara McKenzie, of the Center for Injury Research and Policy at Nationwide Children's Hospital in Columbus, Ohio.
"These injuries are exceedingly high in this popular sport," she added. "This is cause for alarm."
McKenzie thinks the increased size of players is one factor in
the increase in concussions. Another is that the game has become
more competitive, she said.
Why total injuries have gone down by 20 percent over the 11
years covered by the study is not clear, McKenzie added.
"We don't want to discourage kids from physical activity. We don't want to discourage kids from playing basketball, either," she said. "But we need to recognize that there are some inherent risks in any activity."
McKenzie added that the problem of traumatic brain injury needs
to be addressed. "Maybe we need to do more education of coaches,
athletes and parents to recognize the signs of concussion and help
to prevent them," she said
The findings are published in the Sept. 13 online edition of the
For the study, McKenzie's team used data from 1997 to 2007 from
the U.S. Consumer Product Safety Commission's National Electronic
Injury Surveillance System to estimate the number of children
injured while playing basketball. Over the study period, the
researchers found an estimated 4,128,852 children were treated in
emergency rooms for injuries sustained while playing the sport.
That's 375,350 every year.
While the total number of injuries went down over the study
period, traumatic brain injuries increased 70 percent, the
The most common other injuries were sprains in the legs -- 30.3
percent, particularly of the ankle (23.8 percent).
Boys were more likely to suffer cuts, fractures and
dislocations, while girls were more likely to suffer concussions
and knee injuries. Children 15 to 19 years of age were three times
more likely to injure their knees and ankles, while younger
children, aged 5 to 10, were more likely to suffer concussions,
fractures and dislocations, the study found.
McKenzie noted that concussions in children can have significant
and lasting effects. "It can affect their health, memory, their
learning -- ultimately their survival," she said.
The problem of concussions is one that is plaguing all
children's team sports, McKenzie said. But, she added, the increase
may not be an actual increase, but rather better recognition of the
problem and more awareness of the signs and symptoms of
Dr. Lyle Micheli, head of the sports medicine division at
Children's Hospital Boston and an associate professor of
orthopedics at Harvard Medical School, said the study findings were
Micheli agreed that children's sports are being played more
aggressively, which is one factor in the rise in the number of
injuries, particularly concussions. "If you did the same study for
soccer I think you would see even more of a trend," he said.
Children are also playing more sports in school and after school
in sports leagues, which boosts the chances for injury, Micheli
said. "Parents have to be thoughtful about their objectives for
their kids in sports. Are they looking for healthful exercise? Are
they looking for an activity that can give them friendships? But
how much is enough and how much is too much? That's the real
challenge for every family," he said.
When sports starts to rule kids' lives, that can strain a
child's physical well-being, Micheli said. "We are certainly seeing
a lot more overuse injuries in kids," he said.
For more on concussions, visit the
for Disease Control and Prevention.
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