Cheerleading Injuries Increasing

Study: Related ER-Visits More Than Doubled In Recent 13-Year Span

(CBS/AP)  Some cheerleaders "practice in hallways and practice on hard surfaces instead of mats," Shields said. "So when they fall off a pyramid or from in the air and they land on hard surfaces, the chances for injury are drastically increased."

The study recommends that coaches get professional safety training and that high schools and cheerleading associations adopt uniform safety procedures and also develop a national database for injuries.

That is something the Memphis, Tenn.-based American Association of Cheerleading Coaches and Advisors has been advocating for several years.

The association publishes a safety manual for cheerleaders and offers safety courses for coaches around the country, said the group's executive director, Jim Lord.

He said several factors, including the popularity of televised cheerleading competitions, have encouraged more cheerleaders and coaches to mimic difficult tumbling moves before they have the right training.

"It's not that the sport is dangerous, but it's people trying skills they shouldn't," Lord said. "Basket tosses are the most difficult skill you can do, but that doesn't mean you should do them."

Dr. Andrew Gregory, an assistant professor of orthopedics and pediatrics at Vanderbilt University School of Medicine, tells CBS News, "We really worry about the catastrophic injury that involves falling on the head or breaking the neck. Several universities … disbanded their cheerleading program because they don't want to take the risk of a catastrophic injury, (of someone) being paralyzed or killed."

There's a perception issue about the dangers of cheerleading versus other sports, such as football, basketball and baseball, Gregory says. Most parents probably realize that a child playing football runs the risk of getting injured. However, they may not consider this when it comes to doing gymnastics.

"They need to understand there is risk involved," Gregory points out. "Parents should go to the practices and observe and make sure they are working out on padding," he advises. "Anytime someone is going up in the air, there should be an adult spotter."

Proper coaching could also reduce the risk of injury, Gregory adds.

What about adult spotters during games? Gregory says he's not sure: During games, cheerleaders aren't doing as many repetitions as they doing practice. However, he doesn't rule out having adult spotters. He says, if you look in the background of national competitions, you'll see them.

Recently, Gregory continued, the NCAA (National Collegiate Athletic Association) made cheerleading a varsity sport. As a result, the institute where he works at Vanderbilt University has started giving cheerleaders physicals.