CHICAGO (AP) - Cheerleading isn't just
jumping and waving pompoms - it has become as athletic and potentially
as dangerous as a sport and should be designated one to improve safety,
the nation's leading group of pediatricians says.
The number of cheerleaders
injured each year has climbed dramatically in the last two decades.
Common stunts that pose risks include tossing and flipping cheerleaders
in the air and creating human pyramids that reach 15 feet high or more.
In a new policy statement
released online Monday in the journal Pediatrics, the American Academy
of Pediatrics says school sports associations should designate
cheerleading as a sport, and make it subject to safety rules and better
supervision. That would include on-site athletic trainers, limits on
practice time and better qualified coaches, the academy says.
Just like other athletes,
cheerleaders should be required to do conditioning exercises and undergo
physical exams before joining the squad, the new policy says.
"Not everyone is fully
aware of how cheerleading has evolved over the last couple of decades.
It used to be just standing on the sidelines and doing cheers and maybe a
few jumps," said Dr. Cynthia LaBella, a sports medicine specialist at
Chicago's Lurie Children's Hospital and an author of the new policy.
But she said cheerleading
often results in injuries that include severe sprains, broken arms and
legs, neck injuries and concussions.
Last year, there were
almost 37,000 emergency room visits for cheerleading injuries among
girls aged 6 to 22, according to data from the Consumer Product Safety
Commission. That's more than four times higher than in 1980, when
cheerleading was tamer.
While there are still
traditional cheerleading squads that support schools' athletic teams,
some schools and private clubs have separate cheerleading teams that
compete against other teams.
Kali Wald of Elburn, Ill.,
suffered a serious concussion last year during an acrobatic routine with
her high school's competitive team; teammates tossed her in the air but
she landed wrong twice, first on her upper back and neck, then on her
head. She blacked out for several minutes.
Her father, Dave Wald, said
her coaches didn't realize she was seriously injured and never called
an ambulance. She still has short-term memory loss and can't attend
school full-time because of dizziness, headaches and other concussion
symptoms.
Kali, 18, said she believes that cheerleading should be considered a sport and made safer.
Her father agreed and said there needs to be better awareness about the rigors of cheerleading and the potential risks.
Injuries have increased as
cheerleading has become more popular. Data suggest there are more than 3
million cheerleaders nationwide aged 6 and older, mostly girls. That
includes about 400,000 in high school, according to data cited in the
new policy.
While the overall injury
rate in high school cheerleading is lower than in other girls sports,
including gymnastics, soccer and field hockey, the rate of catastrophic
injuries like skull fractures and paralyzing spine injuries is higher,
the academy noted.
Kasey Bronstein, 14, and
her sister Kori, 17, of Mahwah, N.J., both tore a knee tendon while
cheerleading for a private competitive team run by their parents. They
twisted their knees doing acrobatic moves while standing on the
raised-up hands of their teammates. They had knee surgery last November,
followed by extensive physical therapy, and have returned to
cheerleading.
Both said it should be considered a sport but they also think it's already pretty safe.
"They're kind of making it
too safe, taking out skills that are very exciting to do," Kori said.
That includes a double flip stunt no longer allowed on her team.
Some schools and state high
school sports associations already consider cheerleading a sport and
require the kind of safety oversight that the academy is recommending.
But many do not, said Jim Lord, executive director of the American
Association of Cheerleading Coaches & Administrators. Some don't
consider it a sport because not all cheerleading squads are involved in
their own competitions, he said.
Lord said the academy's policy mirrors many of his group's safety recommendations for high schools and colleges.
That includes limiting the
height of human pyramids in high school cheerleading to just two people.
The academy also says routines that include pyramids, tumbling or
tosses should not be performed on hard surfaces.
Lisa Kluchorosky, a sports
medicine specialist who works with the academy and the National Athletic
Trainers Association, said the new policy will help erase
misconceptions that cheerleading is not very athletic.
"The statistics are compelling and you can't turn your head from that," she said.