Essential for young athletes

In the United States millions of children and teenagers participate in school-sponsored sports. Provided that qualified coaching is available and appropriate training guidelines are followed, youth sport programs provide kids with an opportunity to enhance their fitness, improve selected skills, make friends and have fun. However, there is the potential for injury or illness to occur if a young athlete’s musculoskeletal system is ill prepared to handle the duration and magnitude of forces that develop during practice and game situations. 

While the concept of preseason conditioning for young athletes may seem unnecessary to some coaches and teachers, in the United States participation in all types of physical activity declines as grade in school increases and daily attendance in high school physical education has decreased from about 42% to 25%. Further, sedentary pursuits such as television viewing and "surfing" the internet continue to occupy a significant amount of time during the school-age years. According to some sports medicine specialists, an estimated 50% of overuse injuries sustained by young athletes while playing organized sports could be prevented if participants were better prepared to play the game (preseason conditioning).

While the total elimination of youth sport injuries is an unrealistic goal, it seems essential for young athletes to participate in at least eight weeks of preparatory conditioning (including flexibility, endurance, co-ordination, speed and systemic strength exercises) prior to sports participation. Since athletes are often forced to train harder and longer in order to excel in sports, providing them with an opportunity to participate in a preseason conditioning program that prepares them for the demands of sports participation seems reasonable and worthwhile. During this time correctable risk factors such as muscle imbalances, poor flexibility and poor physical condition could be identified and corrected by physicians, therapists and strength and conditioning specialists. Further, sensible conditioning guidelines and information on proper nutrition could be provided. If the pre-participation physical examination was conducted at least eight weeks before the season starts, young athletes at risk for injury or illness could be identified early and treated appropriately.

Several studies suggest that participation in a conditioning program that includes systemic strength training may increase a young athlete’s resistance to injury. In one report involving 13 to 19 year old male and female athletes, it was noted that the athletes who were involved in preseason conditioning had a lower injury rate and required less time for rehabilitation when compared to their teammates who did not prepare. Others noted that preseason functional training decreased the number and severity of knee injuries in high school football players and the incidence of shoulder pain in teenage swimmers. While the likelihood that preseason conditioning could prevent more serious injuries has not yet been explored, it is attractive to assume that athletes who are better prepared for sports participation may be more likely to experience the enjoyment of sports competition and less likely to drop out due to frustration, embarrassment, failure and injury.

A youngster’s participation in sport need not start with competition, but rather evolve out of preparatory conditioning. While each sport has its own conditioning requirements, all conditioning programs have the common goal of improving athletic performance and preventing injury. In some cases, aspiring young athletes may need decrease the time they spend practicing sport-specific skills in order to allow time for conditioning exercises. Although some high school athletes may attempt to play themselves into shape, it may be difficult for them to gain the specific benefits from an activity such as strength training without actually participating in a strength training program.

Ideally, all male and female athletes should participate in a periodized functional conditioning program that varies in volume and intensity and focuses on biomotor improvements (speed, strength, flexibility, endurance and co-ordination) throughout the year. At Greenwich High School in Connecticut it was noted that high school athletes who participated in a preseason conditioning program were better prepared for sports participation because they developed qualities of general athleticism and enhanced their self confidence in their abilities to perform "natural functional movements". These findings may be particularly important for female athletes who appear to be at greater risk for knee injuries. Although many factors may contribute to the growing incidence of knee injuries in female athletes, increasing the level of physical activity prior to sports participation, maintaining physical fitness during the season, and enhancing physical condition during the off-season merits consideration.