Holding parents accountable: soccer kids need protection, say doctors of chiropractic

September 26, 2000

ARLINGTON, VA -- Ever since 1984, the year soccer passed baseball as the most popular team sport in the United States, participation in this sport has skyrocketed. With increasing numbers of children running and kicking their way down soccer fields across America, doctors of chiropractic are urging parents to take a step back and learn how to protect their children from the potential injuries this popular sport can cause.

Although soccer can be a great overall sport for children, some youngsters are enduring mild to severe head traumas, neck injuries, damage to the cervical spine, headache, neck pain, dizziness, irritability, and insomnia as a result of their participation, according to the September 2000 issue of the Journal of the American Chiropractic Association (JACA). Each year, in fact, youths under age 15 suffer more than 227,100 soccer-related injuries, according to recent reports.

"People have this misconception that soccer has no risk," says Scott Bautch, DC, president of the American Chiropractic Association's (ACA) Council on Occupational Health, who has five children currently playing soccer. "I think soccer is too aggressive too early, which is leading to potential problems. It's not as though we can fix brain damage later on in these kids' lives." Soccer requires three basic skills-kicking (striking the ball with the feet), trapping (similar to catching the ball, only using different parts of the body), and heading the ball, (the deliberate use of the head to redirect the ball). It's that last one -- heading -- that stirs concern and controversy over possible permanent damage.

"When I first watched my kids playing soccer and heading the ball, I was very concerned about the ratio of the head and neck size to the ball size," Dr. Bautch continues. "I was concerned about the cervical spine and what this repeated trauma might mean later on in their lives."

Philip Santiago, DC, who was an All-American soccer player in college and a professional player for five years, says that heading is safe only when children are given "proper coaching in proper technique." Dr. Santiago has also served for five years as head soccer coach at both New York Institute of Technology and Montclair State University, and was the chiropractor for the United States Olympic Team in 1992. Dr. Santiago's opinion on proper technique backed up in a study of elite soccer players at the 1993 Olympic Festival. "While properly executed heading was not found to result in any concussive episodes, 18 percent (18 of 102) of the concussions were a result of heading," the study found.

Dr. Santiago would like to see youngsters hold off heading until age 10 or 11. Dr. Bautch prefers age 14 to 16, based on maturation and development within the spine.

As for helmets, the debate goes back and forth more frequently than the soccer ball at the World Cup.

Even Dr. Bautch, who says helmets are "a positive," worries that helmets don't protect the spine and don't make up for too-aggressive play. "They are just a small piece that may give some protection," he explains. "I'd hate to see kids wear helmets and have people think that the kids are safe and that they don't have to teach safety and prevention. I would rather see no heading without helmets in young kids, and let helmets be introduced later."

Soccer Safety: Awareness Is the First Step

So, how can parents help protect their children from soccer injuries. Many of the participants at a recent Consumer Product Safety Commission roundtable insisted that parents and coaches already have the tools at their disposal. Among them are:Parents should also encourage a broad spectrum of sports -- like soccer, skating and skiing, for example -- to develop the whole body. Over-playing and over training are problems exacerbated by ambitious parents, peer pressure and adult role models. Children need their rest time.

If an injury has occurred, think RICE -- rest, ice, compression, and elevation of the injury -- which is the recommended procedure. Keep it iced until the swelling is down, applying ice no longer than a 20-minute session. After 20 minutes, ice fatigues the blood vessels and causes a heat reaction that actually increases swelling. Leave the ice off for about an hour and reapply. Then, try to get the child to move the injured area as soon as possible.
-end-
For a complete copy of the special soccer section in the September 2000 JACA, please call the ACA at 1-800-986-4636.

American Chiropractic Association

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