Monday, Aug. 18, 2008

Cheerleading's
Risky Lack of Rules

By Kathleen Kingsbury

Cheerleading
is by far the most perilous sport for female athletes in high school and
college, accounting for as much as two-thirds of severe school-sports
injuries over the past 25 years, according to a new report. Yet cheerleading
remains one of the least-regulated sports, despite more than 95,000 high
school girls and 2,000 boys signing up for spirit squads nationwide each
year.

New
data from the University of North Carolina's National Center
for Catastrophic Sports Injury Research (NCCSI) catalogs 67 fatal or
life-threatening injuries due to cheerleading since 1982. By contrast, there
were nine catastrophic injuries in gymnastics, the sport second most prone to
such incidents. Indeed, cheerleaders suffered more injuries than all other
school athletes combined — about 65% of severe injuries on the high
school level and 67% on the college level. These findings confirm what many
in this sport have worried about for years: as cheerleading has grown more
competitive, athletes are willing to take greater risks. And because there
are no established regulations for reporting cheerleading injuries,
"there are definitely more accidents out there that we haven't even
heard about yet," says the study's lead author, Fred Mueller.

Since
the 1980s, when schools eliminated gymnastics teams due to high liability
costs, more sideline routines have been incorporating high-flying acrobatics.
Girls start cheerleading at younger ages than ever, and parents have proven
willing to pay thousands of dollars for their daughters to participate on
elite touring squads that compete year-round. The pressure can consume
coaches, teams and families alike. In 2003, when Tiffani Bright broke her arm
in two places during a stunt that went awry, the 15-year-old Oregonian and
her parents' immediate concern was how to get her back cheering as quickly as
possible. "As an orthopedic surgeon is explaining she'll have a metal
plate in her arm for the rest of her life, we're asking, 'But can she still
tumble?' " recalls Bright's
mother, Kim Archie, now executive director of the National Cheer Safety
Foundation (NCSF). Archie started the organization after hearing about more
and more injuries like her daughter's. "Girls are willing to do anything
to win," she says.

Only
about 20 states recognize cheerleading as a sport, which generally means
there is less oversight than girls' soccer or basketball. But some states are
now being pushed to expand regulation. One Massachusetts legislator, for example, is
calling for the state to classify cheerleading as a sport, which would lead
to codifying cheerleading training and competition safety practices. The push
for legislation comes after two cheerleading fatalities in the state. In
2005, Ashley Burns, a 14-year-old from Medford,
Mass., died after being thrown
into the air and landing on her stomach, causing her spleen to rupture.
Another Massachusetts
athlete, 20-year-old Lauren Chang, died in April, after she was accidentally
kicked in the chest during a cheerleading competition.

Of the
cheerleaders whose 67 catastrophic injuries were tallied in the NCCSI report,
Jessica Smith considers herself to be "one of the lucky ones." From
15 feet in the air, the Sacramento
City College
student looked on in horror as the teammate who was supposed to catch her
lost his balance and fell backward. With no one to catch her, the then
18-year-old landed headfirst, breaking her back in two places. Doctors told
her she was millimeters away from paralysis after the 2006 incident.
"I'll never fully recover," says Smith, now a spokeswoman for the
NCSF. "Everyone needs to ask themselves, 'Is cheerleading worth not
being able to walk again?' "

Such
incidents have made safety an increasing priority within the sport, and these
efforts appear to be paying off. Total catastrophic injuries went from 11 in
2005, including one fatality, to five injuries with no fatalities in 2006,
according to the report. Part of that success comes from more coaches getting
certified — about 30% of the 70,000 cheerleading coaches in the U.S. are now
certified, according to the American Association of Cheerleading Coaches and
Administrators. The certification course touches on key medical and legal
issues and trains coaches on how to spot squad members properly during
routines and how to safely progress teams through increasingly difficult
stunts. Plus, in recent years, nearly all of the 75 major spirit
organizations have issued some type of safety rules or guidelines. "On a
local level, everyone involved must be sure safety precautions are in place
— athletic directors, coaches, parents, the girls themselves,"
says Jim Lord, executive director of the cheerleading coaches' association.
"They need to know they have a responsibility to speak up if risks are
being taken."

To
this end, Lord's group and others are trying to get out the word on how
parents and administrators can judge the safety of their school's cheer
programs. For instance, the NCSF recently published an emergency-plan outline
to get coaches thinking about how to handle injuries more effectively, with
steps including locating medical kits and making sure at least one adult
present is certified in CPR. The fact that some cheering squads lack even
these rudimentary precautions is pretty distressing. But that's not even the
worst part, according to Archie. "No one has to abide by any of these
rules," she says of the push for more safety precautions. "It's a
joke."