Tuesday, 21 October 2014

CheerMed Fact #136: ALL of CheerMeds Physiotherapists are also Certified Sport First Responders.

As with everything else, sport can pose a dangerous risk to competitive athletes. Therefore, preventative measures have been put in place to decrease the chance of emergency injuries, such as the penalty/carding system, and the ban of violent maneuvers. Within cheerleading, conditions for basket tossing and the varying restrictions of the different levels attempt to proactively decrease the prevalence of injury occurring. Unfortunately, accidents can still happen. The Consumer Product Safety Commission (CPSC) estimates that cheerleading yields >17,000 emergency room visits in the US alone, and while the injury rate remains low for the sport overall, it still accounts for >65% of all catastrophic injuries experienced by female high school athletes over the past 25 years. So even though emergencies in the sport are rare, it is no less important that staff and coaches are appropriately prepared and equipped with the skills necessary to intervene in the case of a crisis situation.

"[Cheerleading] accounts for >65% of all catastrophic injuries experienced by female high school athletes over the past 25 years."


Cheerleading has seen an enormous increase in popularity over the past forty years; however, Dr. Cynthia LaBella cautions that the increase in participation brings more demanding stunts and therefore more injuries. The most common injuries seen in cheerleading include fractures, dislocations, cuts and head injuries, some of which may require hospital attention. Fortunately, the physiotherapy staff at CheerMed are located on-site, and have undergone advanced training through Sport Physiotherapy Canada’s “First Responder for Sport” course, to be able to immediately and effectively help should an emergency arise.

In addition to a review of Standard First Aid/CPR training, the course provides participants with an advanced ability to respond to common emergency situations seen in sport, whether it be on-site or on the sidelines. These include effectively screening for and managing head injuries (like a concussion or skull fracture), bleeds, and fractures, administering oxygen and an automated external defibrillator (AED), and maintaining safety precautions when transferring athletes onto spinal boards in case of a possible spine or neck injury. 

When it comes to injury, prevention is key. Studies suggest that enhancing the number and training of spotters, mandating floor mats for complex stunts, restricting complex stunts when surfaces are wet, and encouraging safety certification for coaches are all strategies that can reduce catastrophic injuries in cheerleaders. Furthermore, all stunts, pyramids, basket tosses and tumbling should be taught in a progressive, level-appropriate manner, and should be performed with spotters and mats. Fortunately, all of the cheer gyms we work with are very safety conscious and ensure that all of their coaches are properly trained! The safety and well-being of athletes is one of CheerMed’s top priorities, and while it is convenient that the physiotherapy staff have acquired this advanced training, we hope that we won’t need to use it.




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References:
Burt, Catharine W., and Mary D. Overpeck. "Emergency visits for sports-related injuries." Annals of emergency medicine 37.3 (2001): 301-308.
 Labella, Cynthia R., et al. "Cheerleading injuries: Epidemiology and recommendations for prevention." Pediatrics 130.5 (2012): 966-971.

Watters, D. A., et al. "Sports injuries in an accident and emergency department." Archives of emergency medicine 1.2 (1984): 105-111.