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erleading. Whats more, the National Center found that high school cheerleading accounted for 65.1 percent of all serious female sports injuries—including concussions, dislocations, lacerations, and soft-tissue damage—between 1982 and 2007; in the most recent year for which statistics are available, 2009-2010, 78 school cheerleaders reported serious impairments as a result of their squad’s activities. Even more shocking, there were two cheerleading fatalities that year.

Dr. Frederick Mueller, director of NCCSI, cites 26,786 emergency room visits by cheerleaders in 2007 alone. The reason, he says, is a shift in what cheerleaders do. In the 1960s, cheerleaders were shaking pom-poms, and the only stunt they performed was a short anal toys jump off the ground, he wrote in the Journal of Athletic Training. Not so today. Mueller states that contemporary cheerleaders are high-level acrobats who generally perform on wooden or concrete floors. It is a competitive contact sport that involves all kinds of gymnastic stunts, pyramids, and partnering as well as throwing flyers high in the air and catching them, he concludes.

Faced with these daunting injuries, sports and health practitioners agree that the best way to prevent injuries lies in training, instilling a rigorous regard for warm-up exercises, healthy habits, and appropriate self-care in all participants. Both coaches and players need to follow these rules, they say. “Some coaches think about the technical aspects of their sport, the hitting and scoring, but don’t necessarily pay attention to injury prevention. Youth coaches have the potential to have the highest impact on young athletes. They teach kids good habits and techniques. If they teach prevention—beginning with warm-up exercises—the child will be more likely to have longevity in the sport,” trainer Stacy Struble says.

Warming Up and Cooling Down

Dr. Catherine Robertson also stresses the importance of educating coaches. “When coaches see data that says that if you spend 15 minutes a day on warming up, you have G-spot a lower risk of athletic injuries, you’ve given them a compelling reason to build in warm-ups,” she says. “What’s harder is keeping up the enthusiasm since warm-ups don’t completely eliminate impairments.”

In addition, she continues, female athletes need to take basic self-care seriously. “Women and girls often feel as if they need to present a front of invulnerability. We have a kind of warrior woman mentality, but we need to learn that it’s okay to admit when something is wrong and strike a balance between being strong and letting injuries heal,” she adds.

Peter Cirolia, a kinesiologist and personal trainer in Westchester County, New York, specializes in treating sports injuries among women and girls. “Most girls are not taught to stretch before competing. They’re told, ‘Lets go,’ and they start running around the track when they’re not warm, or just go and start the game. I talk to the parents of each kid and emphasize that if they don’t stretch they’ll eventually sex toys for men have problems. A 10 to 15 minute stretch can release muscles that are spasmed or contracting; it further releases the pull on hamstrings, spine, knees, and hips.

“Women often don’t bui.

ing and antiretroviral therapy are kept at current levels. Increasing antiretroviral therapy use and HIV screening frequency in addition could avert more than 2 million HIV infections over 10 years, or 60 percent of the projected total.

The researchers also determined a hierarchy of effectiveness versus cost for these intervention strategies. Where budgets are limited, they suggest money should be allocated first to increasing male circumcision, then to more frequent HIV screening, use of vaginal microbicides and increasing antiretroviral therapy. Additionally, they calculate that omitting pre-exposure prophylaxis from their combination strategy could offer 90 percent of the benefits of treatment for less than 25 percent of the costs.

The authors conclude: In the absence of multi-intervention randomized clinical or observational trials, a mathematical HIV epidemic model provides useful insights about the aggregate benefit of implementing a portfolio of biomedical, diagnostic and treatment programs. Allocating limited available resources for HIV control in South Africa is a key priority, and our study indicates that a multi-intervention HIV portfolio could avert nearly two-thirds of projected new HIV infections, and is a cost-effective use of resources.

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