Problemi correnti
Lo sport fa sempre bene?
IS PARTICIPATION TO COMPETITIVE SPORTS ALWAYS BENEFICIAL FOR CHILDREN AND ADOLESCENTS?
ALBERTO MARCHI
UO di Pronto Soccorso e Primo Accoglimento, IRCCS “Burlo Garofolo”, Trieste
Marzo 2000 - pagg. 167 -172
Abstract
Sports-related injuries are particularly frequent and severe in pediatric age and specially in
adolescents. In one year period, in Trieste, 4% of the population aged 6-15 years suffered
from sports-related injuries. In 25% of cases injuries were classified as medium to severe.
Long term sequelae were observed in 30% of 220 subjects with severe limb lesions and
61% of these subjects still showed sequelae after 12 years. Sex and type of competitive
sports were not associated to the severity of sequelae, the letter being associated with the
severity of the original injury. The developmental peculiarities and particular susceptibility
of teenagers must be taken into account in order to provide preventive advice.
Parole chiave
Classificazione MeSH
Bibliografia
1. Marchi AG, Renier S, Messi G, Gazzola G.
Lo sport, il bambino e gli incidenti. I. Epidemiologia
generale. Minerva Pediatr 1988;40:
151-6.
2. Messi G, Marchi AG, Gazzola G, Renier S. Lo sport, il bambino e gli incidenti. II. I fattori di rischio. Minerva Pediatr 1988;40:157-62.
3. Messi G, Gazzola G, Renier S, Glavina A, Marchi AG. Lo sport il bambino e gli incidenti. III. Gli esiti a distanza. Minerva Pediatr 1990;42:173-8.
4. Marchi AG, Di Bello D, Messi G, Gazzola G. Permanent seuquele in sports injury: a population based study. Arch Dis Child 1999; 81:324-8.
5. Marchi AG, Messi G, Casini P, Renier S. Studio Trieste degli incidenti pediatrici. II. Analisi dei fattori di rischio degli incidenti del bambino. Minerva Pediatr 1986;38:311-8.
6. Abbreviated Injury Scale, 1980 Revision. American Association for Automotive Medicine, USA.
7. Tursz A, Crost M. Sports-related injuries in children. A study of their characteristics, frequency and severity, with comparison to other types of accidental injuries. Am J Sports Med 1986;14:294-9.
8. Nathorst-Westenfelt JAR. Environmental factors in childhood accidents. A prospective study in Göteborg, Sweden. Acta Pediatr Scand 1982;suppl 291:1-75.
9. Gallagher SS, Guyer B, Kotelchuck M, Bass J, Lovejoy FH Jr, McLaughlin E, Mehta K. A strategy for the reduction of childhood injuries in Massachusetts: SCIPP. N Engl J Med 1982;307:1015-19.
10. Sheps SB, Evans GD. Epidemiology of school injuries: a 2-year experience in a municipal health department. Pediatrics 1987; 79:69-75.
11. Sahlin Y. Sport accidents in childhood. Br J Sports Med 1990;24:40-4.
12. Nolan T, Penny M. Epidemiology of nonintentional injuries in an Australian urban region; results from injury. J Pediatr Child Health 1992;28:27-35.
13. Hammaström A, Janlert U. Epidemiology of school injuries in the northern part of Sweden. Scand J Soc Med 1994;22:120-6.
14. Facchin P, Gobber D, Brusadin L, et al. Rapporto sulla epidemiologia e prevenzione degli incidenti. In: Commissione delle Comunità Europee e Movimento Consumatori “La sicurezza domestica dei bambini”. SIPIEL edizioni, Milano, 1991:6-140.
15. Ungerholm S, Engkvist O, Gierup J, Lindsjö U, Balkfors B. Skiing injuries in children and adults: a comparative study from an 8- year period. Int J Sports Med 1983;4:236-40.
16. Goldberg B, Rosenthal PP, Robertson LS, Nicholas JA. Injuries in youth football. Pediatrics 1988;81:255-261.
17. Lee AJ, Garraway WM. Epidemiological comparison of injuries in school and senior club rugby. Br J Sports Med 1996;30:213-7.
18. Avery JG, Harper P, Ackroyd S. Do we pay too dearly for our sport and leisure activities? An investigation into fatalities as a result of sporting and leisure activities in England and Wales, 1982-88. Public Health 1990;104: 417-23.
19. Marchi AG, Messi G, Tenier S, et al. Studio Trieste degli Incidenti Pediatrici. I. Frequenza, gravità e costi degli incidenti nel bambino. Minerva Pediatr 1986;38:301.
20. Casini P, Messi G, Marchi AG. Studio Trieste degli incidenti pediatrici. III. Sulla predittività degli esiti a distanza. Minerva Pediatr 1987;39:471-4.
21. Marchi AG, Messi G, Costantinides F, et al. Lesioni da traffico nel bambino a Trieste, 1984-6 Minerva Pediatr 1990;42:465-72.
22. Ungerholm S, Gierup J, Lindsjö U, Magnusson A. Skiing injuries in children: lower leg fractures. Int J Sports Med 1985;6:292-7.
23. Olkkonen S, Lahdenranta U, Slätis P, Honkanen R. Bicycle accidents often cause disability. An analysis of medical and social consequences of nonfatal bicycle accidents. Scand J Soc Med 1993;21:98-106.
24. Yacoubovitch J, Lelong N, Cosquer M, Tursz A. Étude épidémiologique des séquelles d’accidents à l’adolescence. Arch Pédiatr 1995;2:532-8.
25. Shorter NA, Jensen PE, Harmon BJ, Mooney DP. Skiing injuries in children and adolescents. J Trauma 1996;40:997-1001.
26. Barker M, Power C, Roberts J. Injuries and the risk disability in teenagers and young adults. Arch Dis Child 1996;75:156-8.
27. Weinberger JL, Kantor M. Possible sequelae of trauma and somatic disorder in early life. Int J Psychiatry Med 1976;7:337-50.
28. Tiret L, Nicaud V, Maguin P, Hatton F. In capacity of accidental origin in young people. In: Manciaux M, Romer CJ (Eds), Accidents in childhood and adolescence. WHO, Geneva, 1991:57-66.
29. Hutchinson T. The classification of disability. Arch Dis Child 1995;73:91-3.
30. Rowland TW. Preparticipation sports examination of the child and adolescent athlete: changing views of an old ritual. Pediatrician 1986;13:3-9.
31. American Academy of Pediatrics. Committee on sports Medicine. Recommendations for participation in competitive sports. Pediatrics 1988;81:737-9.
32. Ekstrand J, Gillequist J, Lilijedarl SO. Prevention of soccer injuries: supervision by doctor and physiotherapist. Am J Sports Med 1983;11:116-20.
33. Stanitski CL. Common injuries in preadolescent and adolescent athletes. Recommendations for prevention. Sports Med 1989;7:32- 41.
2. Messi G, Marchi AG, Gazzola G, Renier S. Lo sport, il bambino e gli incidenti. II. I fattori di rischio. Minerva Pediatr 1988;40:157-62.
3. Messi G, Gazzola G, Renier S, Glavina A, Marchi AG. Lo sport il bambino e gli incidenti. III. Gli esiti a distanza. Minerva Pediatr 1990;42:173-8.
4. Marchi AG, Di Bello D, Messi G, Gazzola G. Permanent seuquele in sports injury: a population based study. Arch Dis Child 1999; 81:324-8.
5. Marchi AG, Messi G, Casini P, Renier S. Studio Trieste degli incidenti pediatrici. II. Analisi dei fattori di rischio degli incidenti del bambino. Minerva Pediatr 1986;38:311-8.
6. Abbreviated Injury Scale, 1980 Revision. American Association for Automotive Medicine, USA.
7. Tursz A, Crost M. Sports-related injuries in children. A study of their characteristics, frequency and severity, with comparison to other types of accidental injuries. Am J Sports Med 1986;14:294-9.
8. Nathorst-Westenfelt JAR. Environmental factors in childhood accidents. A prospective study in Göteborg, Sweden. Acta Pediatr Scand 1982;suppl 291:1-75.
9. Gallagher SS, Guyer B, Kotelchuck M, Bass J, Lovejoy FH Jr, McLaughlin E, Mehta K. A strategy for the reduction of childhood injuries in Massachusetts: SCIPP. N Engl J Med 1982;307:1015-19.
10. Sheps SB, Evans GD. Epidemiology of school injuries: a 2-year experience in a municipal health department. Pediatrics 1987; 79:69-75.
11. Sahlin Y. Sport accidents in childhood. Br J Sports Med 1990;24:40-4.
12. Nolan T, Penny M. Epidemiology of nonintentional injuries in an Australian urban region; results from injury. J Pediatr Child Health 1992;28:27-35.
13. Hammaström A, Janlert U. Epidemiology of school injuries in the northern part of Sweden. Scand J Soc Med 1994;22:120-6.
14. Facchin P, Gobber D, Brusadin L, et al. Rapporto sulla epidemiologia e prevenzione degli incidenti. In: Commissione delle Comunità Europee e Movimento Consumatori “La sicurezza domestica dei bambini”. SIPIEL edizioni, Milano, 1991:6-140.
15. Ungerholm S, Engkvist O, Gierup J, Lindsjö U, Balkfors B. Skiing injuries in children and adults: a comparative study from an 8- year period. Int J Sports Med 1983;4:236-40.
16. Goldberg B, Rosenthal PP, Robertson LS, Nicholas JA. Injuries in youth football. Pediatrics 1988;81:255-261.
17. Lee AJ, Garraway WM. Epidemiological comparison of injuries in school and senior club rugby. Br J Sports Med 1996;30:213-7.
18. Avery JG, Harper P, Ackroyd S. Do we pay too dearly for our sport and leisure activities? An investigation into fatalities as a result of sporting and leisure activities in England and Wales, 1982-88. Public Health 1990;104: 417-23.
19. Marchi AG, Messi G, Tenier S, et al. Studio Trieste degli Incidenti Pediatrici. I. Frequenza, gravità e costi degli incidenti nel bambino. Minerva Pediatr 1986;38:301.
20. Casini P, Messi G, Marchi AG. Studio Trieste degli incidenti pediatrici. III. Sulla predittività degli esiti a distanza. Minerva Pediatr 1987;39:471-4.
21. Marchi AG, Messi G, Costantinides F, et al. Lesioni da traffico nel bambino a Trieste, 1984-6 Minerva Pediatr 1990;42:465-72.
22. Ungerholm S, Gierup J, Lindsjö U, Magnusson A. Skiing injuries in children: lower leg fractures. Int J Sports Med 1985;6:292-7.
23. Olkkonen S, Lahdenranta U, Slätis P, Honkanen R. Bicycle accidents often cause disability. An analysis of medical and social consequences of nonfatal bicycle accidents. Scand J Soc Med 1993;21:98-106.
24. Yacoubovitch J, Lelong N, Cosquer M, Tursz A. Étude épidémiologique des séquelles d’accidents à l’adolescence. Arch Pédiatr 1995;2:532-8.
25. Shorter NA, Jensen PE, Harmon BJ, Mooney DP. Skiing injuries in children and adolescents. J Trauma 1996;40:997-1001.
26. Barker M, Power C, Roberts J. Injuries and the risk disability in teenagers and young adults. Arch Dis Child 1996;75:156-8.
27. Weinberger JL, Kantor M. Possible sequelae of trauma and somatic disorder in early life. Int J Psychiatry Med 1976;7:337-50.
28. Tiret L, Nicaud V, Maguin P, Hatton F. In capacity of accidental origin in young people. In: Manciaux M, Romer CJ (Eds), Accidents in childhood and adolescence. WHO, Geneva, 1991:57-66.
29. Hutchinson T. The classification of disability. Arch Dis Child 1995;73:91-3.
30. Rowland TW. Preparticipation sports examination of the child and adolescent athlete: changing views of an old ritual. Pediatrician 1986;13:3-9.
31. American Academy of Pediatrics. Committee on sports Medicine. Recommendations for participation in competitive sports. Pediatrics 1988;81:737-9.
32. Ekstrand J, Gillequist J, Lilijedarl SO. Prevention of soccer injuries: supervision by doctor and physiotherapist. Am J Sports Med 1983;11:116-20.
33. Stanitski CL. Common injuries in preadolescent and adolescent athletes. Recommendations for prevention. Sports Med 1989;7:32- 41.