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Objectives: To critically examine and summarize the literature identifying riskfactors and prevention strategies for injury in child and adolescent sport. Data Sources:Seven electronic databases were searched including: Medline, Cumulative Index toNursing and Allied Health Literature (CINAHL), Psychinfo, Cochrane Database forSystematic and Complete Reviews, Cochrane Controlled Trials Registry, HealthSTAR andSPORTDiscus. Medical subject headings and text words included: athletic injury, sportinjury, risk factors, adolescent and child. Additional articles were reviewed based onsport-specific contributions in the previous chapters of this book. Main Results: Despitethe diversity of injuries occurring in various pediatric sporting populations, the uniformitywith respect to many of the risk factors identified in the literature is noteworthy (i.e.previous injury, age, sport specificity, psychosocial factors, decreased strength andendurance). The literature is significantly limited with respect to the prospective evaluationof risk factors and prevention strategies for injury in pediatric sport. The consistencies,however, between the adult and pediatric literature are encouraging with respect to preventionstrategies involving neuromuscular training programs (i.e. balance training programs)to reduce lower extremity injuries in some sports and the use of sport-specific protectiveequipment (i.e. helmets). Conclusions: Notwithstanding the limitations in the literature,the successful evaluation of some sport-specific prevention strategies to reduce injury inpediatric sport is encouraging. There is significant opportunity to methodologically improveupon the current pediatric sport injury literature in descriptive surveillance research, riskfactor evaluation research, and prevention research. There is a need for prospective studies,ideally randomized controlled trials, in the evaluation of prevention strategies in pediatricsport. The integration of basic science, laboratory and epidemiological research is critical inevaluating the mechanisms associated with injury and injury prevention in pediatric sport.Finally, long-term studies are needed to identify the public health impact of pediatric sportinjury.

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Subject: Epidemiology of Pediatric Sports InjuriesTeam Sports > 170 - 191: Injury Prevention and Future Research

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