Rates of depression and anxiety disorders among young Americans have seen a fivefold to eightfold increase over the past five decades, mainly due to a dramatic decline in free play among kids over the same period, says an article on Psychology Today.

Now, most parents don’t allow their kids to participate in any form of free or risky play for fear of injury and abduction. While parents should supervise their children’s safety in both public and private playground settings, they should also understand that a scraped knee or elbow is part of the rite of growing up and learning to be resilient.

Participating in risky play helps develop important life skills, such as self-control, resilience, problem solving, and team coordination. So, here are some useful tips on how to introduce your kids to risky play.

Types of Risky Play for Kids As the term suggests, risky play often involves risk taking, but it allows kids to test their limits and gives them a sense of achievement upon successful completion of the play. According to a study published in the European Early Childhood Education Research Journal, risky play can be categorized into six main types:

1. Play with great heights, for instance, climbing a tree or any other tall structure
2. Play near dangerous elements, such as fire and deep bodies of water
3. Play with potentially harmful tools, such as knives, hammers, saws and bows and arrows
4. Disappearing, for instance, playing hide and seek
5. Rough‐and‐tumble play, for instance, games like wrestling or chasing one another
6. Play with high speed, such as skiing, bike riding, and playing with swings and slides

Tips to Introduce Your Kids to Risky Play

• Encourage kids to play outside: Inspire your kids to leave the safe indoor zone and let them play outdoor games. Even a quick walk across the nearby part or a visit to the neighborhood playground would be a great first step. Eventually, you want to let your kids get outside alone. You can watch them from a distance, but let them feel independent outside.

• Avoid negative words: Instead of telling your kids, “Don’t climb that tree,” or “Don’t run so fast,” consider using positive words and phrases, such as, “You should know the right technique for tree-climbing before you can attempt it,” or “Make sure you’re in full control of your body when running fast.” Negative phrases evoke negative emotions, such as fear and can scare away your kids from risky play altogether.

• Consider safety: It may sound counterintuitive, but you must ensure the safety of your children. To that end, assess the risk involved in a risky play before letting your kids participate in it. If, for instance, your kids want to participate in a game where they could get minor injuries, you should still allow them to play. But when the risks are major or life-threatening, then that’s a red signal.

• Resist the urge to help: Even when you wanted to, resist the urge to help them for at least 17 seconds, suggests Professor Mariana Brussoni of the University of British Columbia as quoted in a CBC article. Instead of offering them immediate help, let them deal with a problem for some time. That way, you’ll allow them to figure things out on their own.

• Give them enough time: One common mistake parents make is telling their kids to hurry up and finish a risky play within a certain amount of time. It doesn’t work that way for kids. Let your kids play at their pace. Give them the freedom to play the way they want to. Constantly giving instructions could do more harm than good. Simply get out of their way and provide guidance only when they ask for it.

Finally, let your kids decide what type of risky play they want to participate in. Experts suggest that different kids have a natural inclination to different types of risky play, and parents should listen to their children.

Rebecca Wallace is a mother of a 3 year old girl. Rebecca likes to share her experience and write on topics that would help other parents.

Women’s History Month means it’s time to take a closer look at the women who helped shape Atlanta. From voting activists to savvy businesswomen and generous philanthropists, Atlanta’s women have forged a path for others to follow. Keep reading to learn about 10 women who changed Atlanta forever.

Stacey Abrams

Stacey Abrams is a political leader, voting rights activist and author who is best known for losing the gubernatorial race for Georgia only to launch Fair Fight and Fair Count, two organizations dedicated to funding and training voter protection teams in 20 battleground states. Her organizations are credited with having a hefty role in the reversal from Red to Blue of Georgia voters.

Get a Sense for It
Make plans to visit the Atlanta History Center’s exhibit, “Any Great Change: The Centennial of the 19th Amendment.” Marking the 100th year anniversary of the right for women to vote (which was ratified Aug. 18, 1920), the exhibit celebrates the suffrage movement with a collection of photos, documents, memorabilia and interactive voting stations. Furthermore, the exhibit, which is displayed in the Swan House, also highlights Georgia’s hometown connections to the movement; the original Swan House owners, Emily C. MacDougald and her daughter, Emily Inman, were active suffragettes in the local efforts.

130 West Paces Ferry Rd. NW
Buckhead
404-814-4000
Online: atlantahistorycenter.com.

 
 

Sara Blakely

Sara Blakely is founder and owner of shapewear brand Spanx, which sells undergarments, leggings, swimwear and maternity wear in over 50 countries. And we're willing to bet we didn't have to tell anyone that. Blakely went from selling fax machines door-to-door to inventing, branding, and marketing a product that's ballooned to worldwide recognition—and turned her into a self-made billionaire.

Check It Out
Head to the Savannah College of Art and Design's fashion museum (SCAD FASH) to marvel at the role of garments as important conduits of identity. And, because of Blakely, we all have a leg up on getting ourselves into any identity we care to claim.

1600 Peachtree St. NW
Atlanta, GA 30309
404-253-3132
Online: scadfash.org

Anne Cox Chambers

Anne Cox Chambers was a businesswoman, philanthropist, and power broker in Atlanta during the 1960s until her recent death, at 100 years old in 2020. She co-owned the family business, Cox Enterprises, with her sister for 33 years. She engineered the partnership between The High and The Louvre, and a wing of the museum is named for her. She served as the Ambassador to Belgium, and she served on the board of nearly every philanthropic organization in Atlanta, not to mention The Coca-Cola Company.

Walk in Her Shoes
Check out just a tiny bit of Chambers' legacy by heading to The High Museum of Art, where you can get messy with your Toddler on Toddler Thursdays, or enjoy a Second Sunday family day.

1280 Peachtree St. NE
Midtown
404-733-4400
Online: high.org

Shirley Franklin

Shirley Franklin served as the 58th mayor of Atlanta, and was the first woman to hold the post. She was the first black woman to be elected mayor of a major Southern city, and the was Atlanta's 4th black mayor. Franklin announced an initiative called "Clean Water Atlanta" to address the problem and begin improving the city's sewer system, and was lauded for efforts to make the City of Atlanta "green." Under Franklin's leadership Atlanta went from having one of the lowest percentages of LEED certified buildings to one of the highest. She currently serves as a member on the board of directors for both Delta Air Lines and Mueller Water Products.

Understand Her Legacy
Explore the Chattahoochee, and marvel at why Atlanta's known as "The City in the Trees." Most Atlantans live within striking distance to one of the Chattahoochee’s neighboring city parks or National Recreation Areas. And while the rest of Atlanta continues to sizzle well into autumn, the Chattahoochee stays a frigid temperature year-round.

West Palisades Trail
3444 Cobb Pkwy.
Vinings
Online: tinybeans.go-vip.net

Coretta Scott King

Notable as the widow of Dr. Martin Luther King, Jr., Coretta Scott King has created an enormous legacy of her own. She was a leader for the civil rights movement, taking on the leadership of the struggle for racial equality herself after her husband's assassination. She was an activist in the Women's Movement, LGBT progress, and was an outspoken opponent of apartheid. She also founded the King Center and succeeded in making her late husband's birthday a national holiday.

Explore Her Legacy
From the King Center to Ebenezer Baptist Church, Atlanta is full of places to learn about Black history. Find out how many of Atlanta's most well-known centers for Black culture and history were impacted by King as you explore Atlanta through a new lens. Start at the MLK National Historic Park.

450 Auburn Ave., NE
Atlanta, Ga
404-331-5190
Online: nps.gov

Anne Rivers Siddons

Born in Atlanta in 1936, Siddons returned home after earning her bachelor’s degree at Auburn University. Rejecting her parents’ expectation that she would teach school, Siddons instead wrote about the political and social changes she witnessed in the “City Too Busy to Hate,” including one of her most famed pieces for Atlanta magazine: “Maid in Atlanta.” She went on to write over a dozen bestselling books, and her work challenged the stereotypes of the ‘Old South’ and gave readers strong, female characters who weren’t afraid to challenge social norms.

Get to Know Her
If you're going to start anywhere, start with her "Maid in Atlanta" article for Atlanta magazine. Then, graduate to her first bestselling book, "Heartbreak Hotel." After that, you can pretty much throw a dart at her publication list and land on a good one. Pack a picnic and a blanket and spend an afternoon getting to know her through her writing at one of these perfect picnic spots around town.

Alana Shepherd

Alana Shepherd and her family co-founded Shepherd Center in Atlanta in 1975 to treat spinal cord injury after her son, James, sustained a paralyzing spinal injury in 1973. Frustrated by the lack of state-of-the-art rehabilitation care in the southeastern United States, the family galvanized support among the Atlanta community to open a specialty facility. Alana also recognized early on that she had to help change the community to which patients would return so these individuals would be accepted and could, once again, assume their place in society. Through the years, Shepherd Center has grown from a six-bed unit to a world-renowned, 152-bed rehabilitation hospital specializing in medical treatment, research and rehabilitation for people with spinal cord injury, brain injury and other neurological conditions.

Walk in Her Shoes
Shepherd's advocacy for accessibility resulted in the addition of lifts to Atlanta’s MARTA bus system and in making Hartsfield-Jackson Atlanta International Airport one of the country’s most accessible airports. The next time you're on MARTA or chasing your toddler through Atlanta's airport, remember her!

Dorothy Lee Bolden

In 1968 Dorothy Bolden transformed domestic workers’ rights by founding the National Domestic Worker’s Union of America (NDWUA). Her efforts to organize domestic workers so that they might gain better wages, better conditions, and respect for their profession came from 40 years of domestic work herself. Bolden also understood the power of the ballot and made registration and voting a requirement for the members of the NDWUA. She organized a boycott of Atlanta schools to protest the school board’s reluctance to improve the quality of education for Black students, and worked with Dr. Martin Luther King and other civil rights leader to confront police brutality, especially in her Atlanta neighborhood, Vine City.

Follow in Her Footsteps
Even as a child, Bolden told of waking at 4 a.m. to get on a bus at 6 a.m., to arrive at work by 8 a.m. and manage the household of a family that relied on her entirely for all aspects of household management—only to return home at 6 p.m. to do it all again, for her family. In her honor, imagine doing all the things that need to be done in a day to keep your family on track... only twice.

Ella Josephine Baker

Ella Josephine Baker was a civil rights and human rights activist, who often worked behind-the-scenes alongside some of the most noted civil rights leaders of the 20th century, including W. E. B. Du Bois, Thurgood Marshall, A. Philip Randolph, and Martin Luther King Jr. She had a huge impact on the leadership of the movement by mentoring many emerging activists, such as Diane Nash, Stokely Carmichael, Rosa Parks, and Bob Moses—whom she first mentored as leaders in the Student Nonviolent Coordinating Committee (SNCC). Baker has been called "one of the most important American leaders of the twentieth century and perhaps the most influential woman in the civil rights movement."

Take a Closer Look
Find the Student Movement Marker at the former site of Yates & Milton Drug Store, which is now the Student Center on the campus of Clark Atlanta University. You can find a Georgia Historical Society marker that tells the story of the Atlanta Student Movement, which began when three Morehouse College students—Lonnie King, Joseph Pierce and Julian Bond—formed the Committee on the Appeal for Human Rights and involved all the historically black institutions of the Atlanta University.

Corner of James P. Brawley Dr. SW & Atlanta Student Movement Blvd.
Atlanta GA 30314

Featured photo via iStock.

—Shelley Massey

 

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Between finding the right car seat, installing it correctly and making sure it fits, keeping your little one safe on the road is a big task. We teamed up with Nuna, the creators of parent-approved car seats like the Nuna PIPA lite rx, and car seat expert Bob Wall, a leader in the Child Passenger Safety field for over 30 years, to answer your questions.

First up, “How do I pick a car seat?” Here’s what Wall had to say:

The short answer to this question is, read the specifics of the seat you’re looking at and match it to your child’s weight and height and their developmental level. There is a car seat out there to fit all sizes of children, you just need to match the seat to your child.

This sounds easy, but there are several other considerations.

  • How easy is the car seat to use?
  • Does it fit in your vehicle?
  • Does it fit your personal lifestyle and family’s needs?
  • Does it accommodate your child’s needs?

 

Nuna PIPA lite rx has a no-rethread harness that adjusts seamlessly with the headrest so you don’t have to reinstall the harness when your child grows—a win for safety and for comfort. Learn more about PIPA lite rx.

"How Do I Know If My Car Seat Is the Right Size for My Child?"

The different types of car seats are designed to target specific weights, sizes, and ages of children. The primary categories are infant-only, convertible, harness to booster (combination) and booster. Some of these categories have child-size and direction overlaps, and choosing the correct seat could be confusing.

Infant-only seats start at 4 or 5 lbs and are rear-facing only. Convertible seats also start at approximately 4 or 5 lbs and can be forward-facing after the child uses it in the rear-facing mode until its maximum weight and height, and the child is at least two years of age. Harness to booster (combination) seats are forward-facing only seats that can be used right after the rear-facing seat has been maxed out by the child's height or weight. The child would use this seat forward-facing with the harness until the child outgrows the seat and can be placed in a booster. Booster seats vary in size but most start at 40 lbs and an age minimum—typically age four or five). The booster would be used with the vehicle’s seat belt to ensure the child fits the belt correctly.

"At What Age/Weight Should I Change My Child’s Car Seat from Rear-Facing to Front-Facing?"

The American Academy of Pediatrics and the National Highway Traffic Safety Administration recommend that infants rear face as long as possible until they reach the highest weight or height allowed by their car seat manufacturer. Most convertible car seats have limits that will permit children to ride rear-facing for two years or more. Having your child rear-face as long as possible is the safest way for them to ride. A rear-facing car seat will support the child’s extremely vulnerable head, neck, and spine. When children ride forward-facing, their heads—which are disproportionately larger and heavier for babies and toddlers—can jolt forward, possibly resulting in spine and head injuries.

Remember: When your child has outgrown their rear-facing seat, secure them in a forward-facing car seat with a harness for as long as possible, up to the highest weight or height limit allowed by the car seat manufacturer.

Nuna PIPA lite rx has both belt path and base installation options to make it easier to use on the go. Learn more about PIPA lite rx.

"If I Was in a Car Accident, How Do I Know If My Child’s Car Seat Is Still Okay to Use?"

If you have been involved in a minor crash then we recommend you follow the NHTSA guidelines: NHTSA recommends that car seats be replaced following a moderate or severe crash in order to ensure a continued high level of crash protection for child passengers.

Car seats do not automatically need to be replaced following a minor crash.

A minor crash is one in which ALL of the following apply:
• The vehicle was able to be driven away from the crash site.
• The vehicle door nearest the car seat was not damaged.
• None of the passengers in the vehicle sustained any injuries in the crash.
• If the vehicle has airbags, the airbags did not deploy during the crash; and
• There is no visible damage to the car seat.

NEVER use a car seat that has been involved in a moderate to severe crash. Always follow the manufacturer's instructions.

"What’s the Safest Place to Put the Car Seat? Behind Driver, Middle, behind Passenger?"

All seats in the rear are safe if the child seat is installed correctly and you can install it correctly on every trip. The discernment of “center is safest” originates from the center location being the farthest point from any intrusion into the passenger seating area during a crash. Generally, the safest location in the vehicle is the center rear of the vehicle. However, this is not always the case, the center seat may not be compatible with the seat you are using or there could be a practicality issue depending on your situation. An example would be: If you want the youngest in the center because it's “the safest”, but to get the baby in the center you have to lift the infant carrier over the other seat or child. Or it could be as simple as you are unable to install it as well in the center as you can on the sides. The center seating location is only the safest if you can use it correctly every time the child is in the vehicle. To say the center rear is the “safest” is not saying the other seating positions in the back are not safe—they are.

"What If My Child Is in the Height Range to Switch to a Booster Seat but Not Out of the Weight Range?"

Boosters main job is to ensure the child can sit securely using the lap and shoulder belts in the vehicle by lifting the child up so the belt fits correctly. These are called belt-positioning booster seats, and to ensure your child is meeting the criteria to move to a seat belt, you should follow the 5-Step Seat Belt Fit Test. 

1. Shoulder belt crosses between the neck and shoulder.

  • If the shoulder belt is too close to the neck, kids can be tempted to put it behind their back for comfort. A shoulder belt that sits off the shoulder can slip off during a crash, reducing its ability to protect.

2. Lower back is against the vehicle seat.

  • If the child is sitting with their bottom forward to allow their legs to go over the edge of the seat to feel comfortable, a gap is created between their back and the seat. This will cause the seat belt to ride up out of position onto their belly. It can also introduce slack in the seat belt, allowing the child to move forward more during a crash. Both of these can cause increased injury in a crash.

3. Lap belt stays on the upper thighs across the hip bones.

  • If the lap portion of the belt is across the soft tissue of the abdomen (like will happen if their back isn’t against the vehicle seat), it can damage internal organs in a crash.

4. The knees bend at the end of the seat.

  • Kids will scoot their bottom forward to let their knees bend comfortably, increasing their risk of injury because the seat belt rides up off of their hips and onto the soft part of their belly. They need to be tall enough to have their knees comfortably bend at the edge of the seat.

5. The child can ride like this for the entire ride.

  • We don’t expect the child to be perfectly still while riding in the car. And their movement or readjustment to stay comfortable cannot lead to the seat belt getting out of position. When children get uncomfortable, they tend to slouch, lean to one side or put the shoulder belt behind them. When the seat belt is out of position, it cannot properly protect the child during a crash.

If you have additional questions about car seat safety or want to know if your car seat is installed properly, Nuna is hosting free Virtual Car Seat Checks. Learn more!

The National Highway Traffic Safety Administration has recalled certain Maxi-Cosi cat seats, in cooperation with Dorel Juvenile Group, Inc. The initial recall notice included the Maxi-Cosi Pria 85 and Pria 85 Max convertible seats, and now includes the Pria 70 as well.

The recalled seats are for children nine to 70 pounds and have found to not adequately protect from head injury if involved in a crash, when installed in the forward-facing position and secured using the lap belt without also using the top tether. Keep reading to see more details of the recall.

When used in both the rear and forward-facing modes with children up to 65 pounds according to proper installation methods, all models can continued to be used. As of now, there have been no issues of injuries reported.

Currently, the NHTSA has not released a course of action if you have the affected seats. However, if you have questions, you can contact a Maxi-Cosi customer service representative by calling 877-657-9546, emailing Pria85recall@djgusa.com or visiting consumercare.maxicosi.com/s/contactsupport.

––Karly Wood

Feature photo: Courtesy of Amazon

 

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Carrying and birthing life into this world is a miracle. Our bodies go through so many beautiful changes in order for this to happen. Yet there is a cultural expectation for moms to erase signs of pregnancy immediately after giving birth. We are made to feel ashamed of our protruding belly, loose skin, stretch marks, and sagging breasts. We feel the pressure to immediately get our pre-pregnancy body back! When I’m asked how I was able to do it I simply respond, “I didn’t and I’m not mad about it!”

After carrying and birthing four babies, I have learned to celebrate and love my body unconditionally. I’ll be honest though, it took almost four pregnancies before I got to this place of self love. I finally started nourishing and moving my body from a place of love and adoration, which helped me to start enjoying my postpartum fitness journey. I changed my focus from achieving a certain weight, size, or shape to giving my body what it needed to thrive! It was this mindset shift that led to improved health, increased energy and confidence.

Here are 7 things I did that helped me develop a healthy and enjoyable lifest‌yle:

1. I took time to rest and recover. I took time to bond and enjoy my baby, while my body healed. I had a C-section with each of my pregnancies, so I was never in a rush to start exercising. Once I reached the 8 week postpartum mark, I started walking a few days a week. I started slowly, really listening to my body and only doing what it allowed. 

2. I focused on actionable goals rather than outcome goals. This means I figured out what actions I needed to take to reach my larger, long term goal. My short term goals, starting out, were to drink plenty of water daily, eat protein at every meal and snack, and to get in three, 25 minute workouts each week. By focusing on actionable goals, I felt more in control of my journey because I was in control of my actions. It also made the journey fun because it kept me from focusing on how far away I was from my pre-pregnancy size, and brought me to the present! My focus became about conquering each goal for the day, and that was doable! This also kept me focused on sustainable and healthy methods to lose the baby weight, rather than turning to quick fixes, jeopardizing my overall health to temporarily move the scale. 

3. I built a strong foundation. After a few weeks of just walking, I eased into workouts, really focusing on building stability in my core and joints. I learned the importance of this the hard way! After my third pregnancy, I made the mistake of skipping over this step and I ended up with a back injury as a result. I spent several months in physical therapy, to reverse the injury and build stability in my core. The hormonal changes and changes from pregnancy and delivery can cause joint dysfunction, especially around the pelvis, and weakness of the pelvic floor. That, combined with the separation of the abdominal muscles to allow for a growing belly, are a recipe for injury. This is why after Baylor was born, I made strengthening my core a priority. When people think core, they often think sit-ups are the best way to target it. Instead, it’s important to focus on strengthening the deepest abdominal layer, the pelvic floor, and hip stabilizing muscles.

4. I ate more protein. By increasing my protein intake, I was able to boost my metabolism significantly, helping to burn calories and fat throughout the day. It also helped to curb my hunger by balancing out weight-regulating hormones. I increased my protein intake by eating protein at every meal and snack, making sure to eat at least every 3-4 hours throughout the day. My go-to lean protein sources were grilled chicken, grass fed ground beef, beans and legumes, eggs, salmon and tuna.

5. I cut back on processed food. I tried to eat mostly whole, natural foods while limiting my intake of foods from a package. However, it was busy with four kids under six years old and I was breastfeeding a brand new baby. I definitely wasn’t prepping all my foods from scratch. To make the best choices I could, I made sure to read the ingredients list on the food labels. I would try to choose options with ingredients I could pronounce or understand, avoiding the big and unrecognizable ingredients that are more heavily processed and chemically altered.  

6. I drank a lot of water. Since I was breastfeeding Baylor, I knew I needed to drink plenty of water to keep my milk supply up. I also wanted to make sure that I was getting enough water to support my recovery from workouts, energy levels, digestion, and skin. These areas tend to suffer when I’m not getting enough. I carried around a 32 oz water bottle and refilled it several times throughout the day.

7. I showed up consistently. At the beginning of each week I took time to schedule my workouts like I would a meeting. I blocked that time off for myself. If something came up, I always made sure to reschedule my workout for another day or time. It wasn’t about being perfect in my fitness routine or diet, because I never was. There were also times I had to cut my workouts short to tend to a crying baby or needy toddler. What was important was that I kept showing up! It was the consistency that led to change.

I encourage you to celebrate and love your body for all it has done! You will be surprised at how far a little self love can take you. While you may not look or feel the way you did before having babies, I can promise you this. You are beautiful!  

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This post originally appeared on The Lavender Lifestyle.

Ashley and Jocelyn have experienced it all being a working mom, stay-at-home mom, pregnancy fitness, postpartum fitness, fad diets, nutrition struggles, etc. Both are NASM certified personal trainers, certified nutrition coaches, and hold a B.S. in Health/Fitness management. They help women step into their power and become who they are meant to be, inside + out!

School is out for the summer and playgrounds are in full swing. Whether you’re headed to the high tech new spot across town or the old faithful equipment around the corner, accidents happen. That’s why the American Academy of Orthopaedic Surgeons just released safety tips to keep your outside playtime fun, not frightening.

A child in the U.S. visits the emergency room for a playground-related injury every two-and-a-half minutes and ER departments see more than 220,000 children for these injuries each year, according to the Centers for Disease Control and Prevention. But many of these incidents are preventable by following these tips:

  • Never go down a slide with a baby or toddler in your lap. The child’s foot can get caught underneath the adult’s leg and cause a twisting injury.
  • Make sure your kids play on age-appropriate playground equipment.
  • Check to see that there is enough space for children to easily get off the slide and look for crowding around exit areas.
  • Double check climbing devices to make sure the handholds are the right size and secure.
  • Swing seats are best made of plastic or rubber for better grip.
  • Stay away from equipment with openings where your child’s head could get stuck.
  • Make sure you can see your kids playing at all times.
  • Use playgrounds that have soft surfaces (wood chips, mulch or shredded rubber) as opposed to hard surfaces like asphalt.
  • In warm weather, check equipment before using to make sure it’s not too hot.
  • Finally, look out for tripping hazards like rocks or sticks and remove from the area before playing.

“In a natural effort to protect themselves, children often will fall on an outstretched hand and break the bones involving the wrist or elbow,” said Dr. Rachel Goldstein, pediatric orthopaedic surgeon at Children’s Hospital Los Angeles. “By closely supervising children and making sure they are using equipment the way it is intended to be used, these injuries can be curbed. For example, no jumping from the swings and one person at a time on the slide.”

The next time you head out to play, keep these guidelines in mind for a little extra piece of mind. The AAOS has even more tips available at OrthoInfo.org. And get ready to enjoy unrestricted access to your favorite spaces!

Featured image: Sarah Pflug via Burst

 

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In many areas, kids are starting to return to in-person school—which also means a return to after-school activities like clubs and sports. Your young athlete likely wants to hit the ground running, but after a yearlong hiatus from sports, that may not be the smartest (or safest) option. We talked to Dr. Bianca Edison, a sports medicine physician at Children’s Hospital Los Angeles, to get her tips for keeping kids healthy and happy during the upcoming sports season. 

For the third year in a row, Children’s Hospital Los Angeles has been named to Newsweek’s list of World’s Best Hospitals 2021. Learn more about CHLA!

What precautions are you taking with Covid-19 to ensure appointments are safe for families?

Since the start of the COVID-19 pandemic, Children’s Hospital Los Angeles has implemented extensive protective measures to prevent the spread of the novel coronavirus and keep patients, families and team members safe. We are conducting daily health screenings for all team members and visitors. We also require everyone over the age of two to wear a mask. There is increased cleaning and disinfecting of surfaces and areas throughout the hospital as well as safe physical distancing in waiting rooms, the lobby and the cafeteria. Appointments that do not require a physical exam or a procedure like an X-ray or vaccination can often be done virtually via a secure online connection. 

With kids returning to school and to sports, it seems likely that kids will have more injuries. What are the most common orthopedic injuries you see in kids?

Injuries can occur whenever an athlete has been away from a sport for a while, whether that’s from an injury or, in many cases these days, because of the COVID-19 pandemic. For young athletes who compete at a high level, it’s imperative to gradually re-establish a foundation of basic fitness and conditional stamina before ramping up. It’s important to not suddenly go from zero to 100. If an athlete hasn’t been training regularly since the pandemic began, the muscle memory that was previously built up—which protects the joints and helps prevent injury—goes away. In addition, when an athlete has been deconditioned due to time away, the muscles and body tire more quickly when restarting sports. Injuries are more apt to occur during periods of fatigue and an athlete pushing through. 

With some aspects of life, the more you work at a skill, the better you conceivably become. But that logic doesn’t apply to sports—especially with kids. Focusing only on one sport can increase the likelihood of an overuse injury. The kinds of injuries we commonly see are overuse injuries with the knee, the ankle, the arm and shoulder. These kinds of injuries happen when athletes overtrain or try to do too much too soon. For example, a baseball pitcher may work on throwing harder and not give their arm proper time to rest in between workouts or may not realize the proper muscles to engage to power a throw. A runner or soccer player may overtrain and experience a stress fracture or a knee injury.

If a child is injured during a sport, what signs should parents look for to know if the injury is serious enough to bring them into a specialist?

Is your child limping or suddenly favoring a body part? Do you notice swelling or bruising? Is your child trying to ‘push through’ pain? It’s important to have an ongoing dialogue with your child about how they are feeling. While competition can be healthy, it can also put a lot of undue stress on a child. Some kids feel enormous pressure from their coaches or their parents to perform at peak perfection level immediately. It’s important to emphasize that sports should be fun. Because kids are growing and their muscles and bones are still developing, it’s important to see a specialist when they experience pain that lasts for more than 24 hours, or if they have injured a joint like an ankle or a knee that swells and limits their range of movement.

However, you do not need to wait until an injury occurs to see a sports medicine specialist. Many of us are trained in preventative care and we can analyze different movement patterns and make recommendations or discuss ways to prevent an injury.

What does a typical first appointment with an orthopedic specialist look like?

There are no typical visits for me. My days can look very different, as everyone is unique and each person’s background and ailment can differ. However, when someone comes in to see me, I introduce myself and my team, discuss concerns, try to learn about that person’s short-term and long-term goals in regards to their sport, and ascertain the nuanced details of their lives that may help or hinder progress or recovery. Those details include the sports they’re involved in, their level of performance, nutrition status, sleep quality and any life stressors that may impact prognosis.

Does my child need to go to a pediatric-focused orthopedic specialist?

Yes! Children and teens are still growing. Their bones, joints, muscles and ligament injuries, when injured, may present differently than what we see in adult bodies. For example, a child’s broken arm is diagnosed and treated differently than an adult’s broken arm. A pediatric orthopaedic specialist has special training and experience to treat pediatric-specific injuries. 

Every parent wants to keep their child healthy and safe. Any tips for preventing injuries, whether kids are at school or in sports?

Sleep does a body good! A research study from our group showed that those kids who did not sleep the recommended hours per night had a 67% increased risk of injury. Another study I led showed that those athletes who had suboptimal sleep performed worse on cognitive tests. I make a point to ask about their sleep when I see my patients. Sleep plays a huge role in brain function. A good night’s sleep, anywhere from nine to 12 hours, will help the body rejuvenate, reboot, rid the brain of waste and in turn, help kids focus and concentrate.

Also, make sure that the child is wearing proper safety gear for their activity—helmets, shin guards, wrist guards and knee pads—and is training and moving appropriately. I encourage parents to have an ongoing dialogue with their child’s coaches to ensure that they are on the same page in terms of how their child is participating and performing. 

We cannot forget about the emotional and mental part of our athletes, as we are facing a crisis of young athlete burnout. The Aspen Institute has found that the average child today spends less than three years playing a sport and has a high risk of quitting by the age of 11, mostly because that athlete doesn’t view the sport as fun anymore. While competition can be healthy, winning at any cost can overshadow common sense and robs the child of the sheer essence and joy of playing sports. Make sure your child is learning to love sports for the sake of playing, learning about good sportsmanship and what it means to be a good teammate.

Meet Bianca Edison, MD, MS

I am a sports medicine attending physician in the Children’s Orthopaedic Center at Children’s Hospital Los Angeles and assistant clinical professor of Orthopaedics at the Keck School of Medicine of the University of Southern California. My specialty involves working with young children and athletes to help them remain physically active, optimize safe sport participation and minimize time away from their respective sport. My interests include dance and performing arts medicine, sports-related concussion, adolescent overuse injuries, injury prevention and biomechanics.

One of Peloton’s most popular pieces of workout equipment is under voluntary recall. The Consumer Product Safety Commission (CSPC) made the announcement after Peloton received information the products have caused one death and multiple injury reports.

Two different models are involved: the Tread+ with model number T01 and the Tread with model number T02. The Consumer Product Safety Commission (CSPC) advises that owners of either model immediately stop using the treadmills and contact Peloton for a full refund.

In the case of the Tread+, adult users, children, pets or objects can be pulled underneath the rear of the treadmill, potentially causing injury or death. A six-year-old child recently tragically died and Peloton has received 72 reports of incidents involving the unit. There are about 125,000 units under recall and the model number TR01 is printed on a black sticker located on the end cap in the front of the treadmill deck.

If you decide to keep your Tread+, move it to a room where children and pets cannot access it. In addition, Peloton is implementing software improvements to the product to automatically lock the Tread+ after each use and prevent unauthorized access by assigning a 4-digit passcode that will be required to unlock the Tread+.

Additionally, some Peloton Tread owners will be affected by another recall. The touchscreen on this treadmill can detach and fall, posing risk of injury to users. There have been reports of minor injuries in Canada and the United Kingdom. There are about 1,050 units under recall in the U.S. and 5,400 in Canada. The model number TR02 is printed on a black sticker located on the end cap in the front of the treadmill deck.

If you decide to keep a Tread under recall, Peloton is offering a free inspection and repair that will secure the touchscreen to the treadmill. The company has stopped sales and distribution of the Tread+ at this time.

—Sarah Shebek

Images courtesy of the Consumer Product Safety Commission

 

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The U.S. Food and Drug Administration recently announced a voluntary recall for select Vitafusion gummy vitamin products. Along with adult vitamins, the recall also includes one children’s variety.

Church & Dwight Co., the makers of Vitafusion gummy vitamins, issued the recall following two consumer reports of metallic mesh material found in products. If eaten, the material could cause digestive tract damage.

Photo: Church & Dwight

While there are currently no reports of adverse effects, anyone with the recalled products should discontinue use immediately. The affected vitamins were manufactured between Oct. 29 and Nov. 3, 2020 and were distributed to in-person and online retailers from Nov. 13, 2020 to Apr. 9, 2021.

The recalled vitamins include:

  • Vitafusion MultiVites 150 count
  • Vitafusion Fiber Well 2220 count
  • Vitafusion Fiber Well 90 count
  • Vitafusion Melatonin 140 count
  • Vitafusion Melatonin 44 count
  • Vitafusion SleepWell 250 count
  • Vitafusion Kids Melatonin 50 count

For a full list of UPC codes, Lot codes and expiration dates, visit the FDA’s website here or Church & Dwight’s website here.

Do not use the recalled products. Contact the manufacturer at 1-800-981-4710 Monday through Friday, 9 a.m. to 5 p..m. ET before you dispose of the vitamins for information on what to do next and how to get a full refund. Customers can also contact Safety Call at 1-888-234-1828 with illness or injury-related concerns.

—Erica Loop

 

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