HealthPop
By

Ryan Jaslow /

CBS News/ September 24, 2012, 10:43 AM

Pediatricians warn against trampoline use at home, citing injury risks

Shutterstock.com

(CBS News) The American Academy of Pediatrics (AAP) is discouraging the recreational use of trampolines, saying the activity poses a major injury risk for kids and there's no clear way to reduce chances of getting hurt.

The modern trampoline was patented by competitive gymnast George Nissen in 1945, designed for acrobats, gymnasts and eventually used by the military for training, according to the AAP. But at-home recreational trampoline use has increased in recent decades as the products have become more affordable.

Watch: Trampoline Tragedies
Dangerous "games" that may harm kids and teens

Despite statements from numerous medical groups that discourage trampoline use and warnings to exercise caution on trampolines at home or on the playground, the AAP says trampoline use and injuries remain a big problem.

The new guidance is published in the Sept 24 issue of the academy's journal, Pediatrics.

In 2009, the last year of available data, trampoline injury rates were 70 injuries per 100,000  children ages 0- to 4-years-old and 160 injuries per 100,000 5- to 14-year-olds, for a total of 98,000 injuries that year. Kids in the older age group were more likely to use a bicycle or other unsafe equipment on the trampoline. Between three percent and 14 percent of the injuries require hospitalization.

"Unfortunately, the very forces that make trampoline use fun for many children also lead to unique injury mechanisms and patterns of injury," the statement's authors write.

Three-quarters of all trampoline injuries occur when several kids are bouncing at the same time, with the smallest kids 14 times more likely to get injured than their heavier counterparts, due to the added force the bigger kids create by jumping that gets absorbed by the smaller kids.

Falls account for up to 40 percent of trampoline injuries, with risk increased when the trampoline is placed on uneven ground, In recent years, companies have sold netting and other perimeter enclosures for trampolines, but researchers from the AAP said there is no evidence the safety features reduce injury risk. Some of the kids even opted to climb the netting, further risking injury.

Injuries include fractures, dislocations, sprains, strains, bruises and other soft-tissue injuries, with young children under 6 the group most likely to get hurt. Bone injuries are also more likely in younger kids. Ankle injuries, head and neck injuries (which in rare cases resulted in permanent neurological damage), spinal injuries, shin fractures, chest fractures and other serious injuries have been reported in studies the AAP reviewed.

Failed attempts at somersaults and flips while on a trampoline may especially result in cervical spine injuries, some with permanent consequences. 

Despite adult supervision, multiple studies show that up to one-half of trampoline inuries occur when an adult is nearby.

The injury rates are similar to those of home swimming pools, say the AAP. But with swimming pools, there are evidence-based safety measures for reducing risk such as four-sided fencing that surrounds the pool, but for trampolines there's no evidence-baked safety measures. What's more, many parents - if they're supervising - don't even know basic safety tips like limiting trampoline use to one child at a time.

The AAP recommends avoiding recreational trampoline use entirely. If a child or teen still wants a trampoline in their lives, the academy says using a structured sports training program with appropriate supervision, coaching and safety measures already in place. If a family still wants a trampoline at home, check with your insurance provider to make sure it covers trampoline-related injury claims.

Dr. Robert Glatter, an emergency medicine physician at Lenox Hill Hospital in New York City who wasn't involved in the new policy statement, told CBSNews.com in an email, "Although parents may see the trampoline as a fun and engaging way to have their children exercise, the potential for serious and catastrophic injury should make them think twice about this dangerous activity."

© 2012 CBS Interactive Inc. All Rights Reserved.
22 Comments Add a Comment
linkicon reporticon emailicon
Misle_Farhat says:
I became a doctor so I could spell it the classy way - "Paediatrician"
reply
linkicon reporticon emailicon
do_japan says:
Believe me, I already got the message a few months ago when pediatricians warned about the growing danger of children and stairs. We get the idea; anything fun entails a slight risk, but at a certain point you have to wonder, how desperate are these guys for funding that they actually research crap like the dangers of falling down the stairs or falling off trampolines?
reply
linkicon reporticon emailicon
rwsmith29456 says:
We had one with a net fence around it, but it still scared me to pieces and somebody was always bumping heads and getting their jaws knocked. Thank goodness that was all it was. That sucker is gone now, thank goodness. They are great fun and exercise but too risky for a really serious injury.
reply
HenryAdams replies:
linkicon reporticon emailicon
Nicely Said smith
linkicon reporticon emailicon
matt702lv says:
Three issues with this:
1) Trampolines are an amazing source of balance and leg-strength for a country that is getting fatter and less athletic. They do not properly exercise in school, as to avoid offending the fat kids. People get hurt on many recreational devices, especially when not used properly, they even said so themselves that over 75% of the injuries are when multiple people are on the tramp. That's like instead of recommending a car-seat for kids, they say to avoid driving.
2) It is strange that a doctor would release something with the appearance of trying to help. They don't want to help, they want to get PAID! Doctors are a huge part of the problem in the medical industry, so any thing I read from a doctor, I simply file it into this category, RUN AWAY AND DO THE OPPOSITE!
3) As long as doctors are passing out narcotics like they are candy, they have zero place in my mind for deciding what is safe. How many people die or go to rehab because of "legal" drugs that the doctors give out? I bet the negative impact of prescription narcotic painkillers out ways the trampoline.
reply
signseeker1717 replies:
linkicon reporticon emailicon
2) Not all doctors are money-grubbers. I come from a family of doctors and surgeons who wouldn't want you for a patient no matter HOW much they got paid. If you routintely do the OPPOSITE of a doctor's advice, you're simply self-destructive, and lucky to still be alive.
linkicon reporticon emailicon
Pappione says:
Just what do these doctors have to say about climbing trees? Do they offer some standards to adhere to when growing such trees in yard? I tell you what, in our pre-teen and early teen years (before we figured out girls were more fun), you couldn't keep us out of trees! I cannot even count the times that we have fallen through branches, slid down the tree-trunks too fast, or just fell out of the trees! Let the parents and the kids figure out what can be done with trampolines.
reply
linkicon reporticon emailicon
thesedays665 says:
good lord... who pays attention to this crap? What a miserable way to live your life.
reply
erasmus111 replies:
linkicon reporticon emailicon
Do you have kids? Do you pay any attention to them at all?

If you do have kids, and this is what you have to say, then you must be one of the INCOMPETENT ones I was talking about.

There seems to be a lot of them in America.
thesedays665 replies:
linkicon reporticon emailicon
dumassmus111 -I do have kids, and they jump on our trampoline almost daily. Sure, they may get hurt, but living your life constantly scared of what might happen is a weak and miserable existence. Kids raised like that are going to make pathetic, weak adults (a.k.a.- liberals) which is what we do have way too much of in America. Let the kid fall off the trampoline once or twice, the results will amaze you.
Permission slip from their parents? are you being serious? I need to let you in a little secret -you're kids are weenies, and aren't going to stand much of a chance in middle/high school if you're the one teaching them about life.
See all 4 Replies
linkicon reporticon emailicon
erasmus111 says:
I had a trampoline for my kids, but then I consider myself to be a COMPETENT parent. I'm not too sure there are many competent parents out there.

I had RULES for the trampoline. One person at a time and no one was to go on it unless I was there. I didn't allow flips until after they took classes on it. None of their friends got on it unless I had a written permission slip from their parents. I actually made up slips saying that I wouldn't be responsible if their child were to get injured. Of course that probably would not have held up in a court of law. I only had to ban one child from using it. She was just WAAAAAAY out of control. I was afraid she was going to kill herself.

I also had a FENCE around my yard to keep people out when I wasn't home.
reply
erasmus111 replies:
linkicon reporticon emailicon
The only time I allowed more than one kid on the trampoline is if they were SITTING on it. As my kids got older, they loved to sit on it with their friends and kinda have a gabfest. It became a "gathering" place. (I still watched them to make sure they didn't start jumping on it.)

Trampolines are very dangerous. One wrong jump and it could be disaster. You are supposed to have spotters around the outside when a person is jumping on it.
erasmus111 replies:
linkicon reporticon emailicon
by EmpireGeorge---_______-- September 24, 2012 4:32 PM EDT
erasmus111, love your parenting, but a permission slip ?

See my reply to the dumb ass above.

And on the bacteria or virus crap, I have no idea what the hell you are talking about.
See all 4 Replies
linkicon reporticon emailicon
Cru09 says:
Your child has a .0001% chance of being hospitalized by a trampoline according to their data. What a huge risk.
reply
linkicon reporticon emailicon
SkepticalMom says:
Hey, AAP! 1 in 100 kids is being diagnosed with AUTISM in this country. 1 in 6 has a DEVELOPMENTAL DELAY. 10% OF US CHILDREN HAVE ASTHMA, 25 in 100,000 DIABETES, 4 in 100 has FOOD ALLERGIES! Trampolines are low-hanging fruit, easy to shake your finger at and costs you NO EFFORT WHATSOEVER. It's long past time to address what's causing American's children to be chronically ill.
reply
linkicon reporticon emailicon
Canuck42 says:
AW, just give them computer games and let them sit and be safe from all injuries and let them get fat and die from a heart attack!!!
reply
See all 22 Comments
Scroll Left Scroll Right