Study Finds Pediatric Gymnastics-Related Injuries a Concern

April 7, 2008

More than 600,000 children participate in school-sponsored and club-level gymnastics competitions annually in the United States. Yet gymnastics continues to be overlooked in terms of potential for injury, while having one of the highest injury rates of all girls’ sports.

A study, conducted by researchers in the Center for Injury Research and Policy (CIRP) at The Research Institute at Nationwide Children’s Hospital and published in the April electronic issue of Pediatrics, examined data on children 6 to 17 years of age who were treated in hospital emergency departments for gymnastics-related injuries between 1990 and 2005. According to the findings, on average nearly 27,000 injuries are reported each year – nearly 426,000 injuries during the 16-year period.

“Many parents do not typically think of gymnastics as a dangerous sport,” said study senior author Lara McKenzie, PhD, MA, principal investigator in CIRP at Nationwide Children’s Hospital. “In fact, many parents consider it an activity. Yet gymnastics has the same clinical incidence of catastrophic injuries as ice hockey.”

The majority of the gymnastics injuries - 40 percent - occurred at school or a place of recreation/sports. Girls were more likely than boys to sustain upper extremity injuries, while head and neck injuries were more common in boys.

Fractures and dislocations were most common for children 6 to 11 years of age, and strains and sprains were more frequent in the 12 to 17 age group.

“Our study suggests prevention and reduction of gymnastics injuries may be achieved by the establishment and universal enforcement of rules and regulations for gymnasts, coaches and spotters,” said McKenzie, also an assistant professor at The Ohio State University College of Medicine.

Data for the study were obtained from the National Electronic Injury Surveillance System (NEISS) of the U.S. Consumer Product Safety Commission to calculate national estimates of injuries. The analysis included cases of gymnastics-related injuries treated in emergency departments across the country during the 16-year period.

About Nationwide Children's Hospital

Named to the Top 10 Honor Roll on U.S. News & World Report’s 2023-24 list of “Best Children’s Hospitals,” Nationwide Children’s Hospital is one of America’s largest not-for-profit free-standing pediatric health care systems providing unique expertise in pediatric population health, behavioral health, genomics and health equity as the next frontiers in pediatric medicine, leading to best outcomes for the health of the whole child. Integrated clinical and research programs, as well as prioritizing quality and safety, are part of what allows Nationwide Children’s to advance its unique model of care. Nationwide Children’s has a staff of more than 14,000 that provides state-of-the-art wellness, preventive and rehabilitative care and diagnostic treatment during more than 1.7 million patient visits annually. As home to the Department of Pediatrics of The Ohio State University College of Medicine, Nationwide Children’s physicians train the next generation of pediatricians and pediatric specialists. The Abigail Wexner Research Institute at Nationwide Children’s Hospital is one of the Top 10 National Institutes of Health-funded free-standing pediatric research facilities. More information is available at NationwideChildrens.org.