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FORT MYERS, Fla. – The American Academy of Pediatrics held their annual meeting earlier this month and children and adolescents and sports-related injuries were on the agenda to be discussed. Dr. Annette St. Pierre-MacKoul discuss this and more with us. New rule that limits tackling during football practices knocks down concussions: Limiting ‘full-contact tackling’ during football practices. Results in big reduction in the number of concussions among players. Studies showed sports-related concussions during practices were significant. Two seasons prior to the rule change had 2x as high as previous years. H.S. Coaches agree and think it will apply to sprains, fractures and dislocations. New Rule: Took effect in 2014. Prohibits full contact during the 1st week of practice. Limits full contact to 75 minutes per week during week 2. Full contact limited to 60 minutes thereafter. Full contact = drills or game situations with full tackles Results: 16,000 participants in 103 schools in Wisconsin. AAP recommends following the limitation rules. Safer H.S. Sports Programs. AAP call for improved safety measures for tackling in youth football: 250,000 children and adolescents were treated in the ER in 2009. Diagnoses: concussion, traumatic brain injury or sports-related injuries. 30 million children will participate in sports this year. 28% of children ages 5-14 will play football. 1.1 million H.S. football players in the U.S. Concern: CTE – Chronic Traumatic Encephalopathy AAP’s Recommendations: Zero tolerance to illegal tackling. No ‘head-first’ tackling. No ‘illegal hits.’ No ‘spear tackling.’ Delaying the age at which tackling is introduced. Basketball, soccer, lacrosse lead to most ACL injuries among H.S. female athletes: Females > males Girls: Soccer > basketball > lacrosse Boys: Football > lacrosse > soccer Proper training and coaching needs to occur.