Pediatric sport and exercise medicine: Eight things clinicians and patients should question.
Kristin M HoughtonErika PerssonLaura PurcellPublished in: Paediatrics & child health (2023)
Choosing Wisely Canada (CWC) is the national voice for reducing unnecessary tests and treatments in Canada. A small working group created by the Canadian Academy of Sport and Exercise Medicine developed a list of pediatric sport and exercise (SEM) recommendations based on existing research, experience, and common practice patterns. These recommendations identify tests and treatments commonly used in pediatric musculoskeletal assessments that are not supported by evidence and could expose patients to harm. Iterative feedback from key stakeholders informed the final list. The final list comprises eight recommendations including imaging recommendations for Osgood Schlatter's disease, shoulder and knee injuries, back pain, scoliosis, spondylolysis, distal radial buckle fractures, minor head injury/concussion, and management of chronic pain syndromes. Adopting these CWC pediatric SEM recommendations as part of routine practice may optimize care and minimize unnecessary investigations and treatments.
Keyphrases
- end stage renal disease
- clinical practice
- chronic pain
- newly diagnosed
- ejection fraction
- high intensity
- healthcare
- chronic kidney disease
- physical activity
- peritoneal dialysis
- palliative care
- prognostic factors
- quality improvement
- primary care
- high resolution
- resistance training
- magnetic resonance imaging
- young adults
- computed tomography
- magnetic resonance
- patient reported
- minimally invasive
- image quality
- knee osteoarthritis
- fluorescence imaging
- rotator cuff