According to a study that appears in the February issue of the Journal of the American Academy of Orthopaedic Surgeons, youngsters who injure the anterior cruciate ligament (ACL) of the knee require special treatment and care to prevent future knee injuries and complications such as osteoarthritis.

The ACL is the main, stabilizing ligament of the knee joint. ACL injuries were once rare in children and young teens but are on the rise due to factors such as year-round training, less free play, and a focus on only one type of sport, say the researchers

They analyzed published studies to identify the best ways to treat ACL knee injuries in children and adolescents whose bones have not yet fully matured, which typically occurs in girls by age 14 and in boys by age 16.

Researchers found that youngsters with an ACL injury should be treated by an orthopedic surgeon who has expertise in surgical treatment of this type of injury. Their other recommendations included:

• Nonsurgical treatment — including limits on physical activity and bracing and/or physical therapy — should be considered for patients with partial ACL tears that involve less than 50 percent of the diameter of the ligament
• Management after surgery may include weight-bearing and physical activity restrictions, physical therapy, knee strength-training exercises and a gradual, careful return to sports.

The study author, Dr. Jeremy Frank, a pediatric orthopedic surgeon at the Joe DiMaggio Children’s Hospital in Hollywood, Fla., stated in a news release that complications from ACL knee surgery are rare in youngsters when the appropriate operation is performed on the right patient.

The following post is by Erin McNeill.

Camping in the outdoors can be one of the best ways to spend the warmer summer months with your family.

Camping is a chance to unplug and spend time together, while experiencing the beauty of nature.

However, it can also be one of the most daunting experiences parents face, as traveling with kids is rarely easy. With a few simple tips, you can ensure that you will have a successful trip together!

Plan – Planning is the key to making a camping trip successful. Involve the kids as much as possible in your planning; they can help choose where to go camping, activities to do while camping, meals you’ll eat and even hiking trails to take. The more that they are involved in the process, the more likely it is that they’ll have an experience that they will enjoy and take ownership of. Always have back-up plans, just in case!

Practice – Show your kids what you’ll be doing on a camping trip by starting small. Pick a nice evening to go camping in your backyard, show them how to set up the tent and have them help you. Build a small fire, if allowed in your neighborhood, and teach them about fire safety. On another occasion, take a day trip to a local state park and go for a hike, have a picnic lunch and go swimming, if it’s available. This will help your children acclimate to spending the day and night in the outdoors, especially if it’s something they aren’t used to.

Prepare – Preparation is important. Have your children help prepare for the camping trip by packing their own bags (each child should have their own bag or container for clothing, toys and books), guide them through the process and double check that they have what they need for the trip. Ensure that you have a working tent and sleeping bags for everyone and that all of your gear is in working order.

Organize – Create a packing list that you can check off as you pack up items for your trip. Separate cooking supplies and food into bins and containers. Have one bin of toys that everyone shares. Each person should have their own bag for their clothes and belongings, and you should encourage them to put their things in there when they aren’t using them so that they can easily find them again later!

Bring familiar and new toys – Have the children help you choose what toys they should bring camping with you. It’s best to leave the electronics and expensive toys at home. Throw in some outdoor toys to have while you are camping. Paddle ball, discs and kites are always good ideas, as well as a few games to play while waiting around (Pass the Pigs is always an entertaining game to play while camping!). If you are staying at a park with roads and trails, bring along your bikes.

Bring friends – Camping is always more fun with friends. Find a family that also loves camping and plan trips with them.  If that doesn’t work, consider allowing your children to bring a friend to play and hang out with on your trip.

Enjoy nature – Take the opportunity to learn about the plants, trees, bugs and animals that are native to your camping environment. Enlist the help of the park rangers if they are available, as they will often have a wealth of knowledge to pass onto you and your family. Often times, parks will have educational events offered throughout the weekend, so take advantage of these learning opportunities. Take a day hike together and explore the trails (with a map, of course), have your children start a nature journal or sketchbook and take the time to take notes about the beauty that surrounds you. Teach your children to respect the nature around them by not picking live plants or flowers and emphasize the importance of leaving no trace behind.

Enjoy the night – Being outside at night can be a new and sometimes scary experience for children, who are used to being inside once it’s dark out. Make nighttime fun. Teach your children to safely build a campfire and roast marshmallows together, tell stories to each other, learn about the constellations, discover the new sounds you are hearing at night and give each child a flashlight to help them feel a bit safer.

Pack the right clothing – Your children will get dirty and wet while camping, so make sure you pack plenty of extra clothes! Your child’s comfort will depend on the fact that you’ve packed enough clothing and the right types of clothing for your trip. Be sure that each child has plenty of clothes for daytime, at least two swimsuits, a pair of pants, a fleece sweater, a rain jacket, a hat and anything that you might need for the climate you are camping in. Teach them to layer their clothing as the evening cools off.

Safety – Instruct your children on a meeting spot in case of an emergency; pick a tree or nearby building that you can all easily find in the event that something happens. Instruct them on proper fire and stove safety to avoid burns. If your child wanders off into the woods, teach them to stay put once they realize they are lost and to make noise. If there is water nearby, let them know that they are not allowed near the water without an adult, even if a lifeguard is on duty. If there are dangerous animals in the area that you are camping in, show children what do if they encounter one.

Take your time and start slow, go for a night or two and work up to a length of time that is comfortable for your entire family. Your family will begin to cherish your trips to various campsites and will start to look forward to their time away from home.

Camping is fun with children; you just have to be well prepared and ready for just about anything!

A study coming out of New Zealand found that the more TV children watch before bedtime, the less sleep they get. The study appeared online in Pediatrics 2013.

Children and teens that spent the most time in front of a screen were more likely to go to sleep later than those who were engaged in non-screen sedentary activities before bed.

Sleep duration in younger people has declined rapidly over the past 100 years, researchers noted, adding that not enough sleep is associated with behavior and health issues.

To investigate associations between activities, the researchers used data from a nationally representative, cross-sectional survey of New Zealand children and teens, ages 5 to 18. Participants were interviewed in-person and then follow-up was done through telephone interviews between September 2008 and May 2009.

Baseline face-to-face interviews gathered information on participant characteristics and 1 to 2 days of data on use of pre-sleep time. The follow-up gathered 2 additional days of data. Younger children’s parents would assist with recalling activities when necessary.

Participants reported time of sleep onset, sedentary behavior, physical activity, and self-care during the 90 minutes before sleep by selecting from a list of roughly 250 activities. Activities were given energy costs and psychometric properties, and were recounted with time spent engaged in each activity.

Times of sleep onset were categorized as very early, early, late, and very late. Participants were grouped by ages 5 to 12 and 13 to 18.

A total of 2,017 survey participants were included in the current analysis. The mean age was 11.6, just over half were male (52.9%), and most were of New Zealand European ethnicity (71.4%).

Overall, younger participants went to bed earlier than older ones. The most common activities before bed were watching television while sitting (47.8%), dressing/undressing before bed (41.8%), and brushing one’s teeth (41.5%), and all were considered low-intensity activities (metabolic equivalents ranging from 1 to 2).

“In New Zealand, a maximum of 2-hours of screen time per day is recommended for young people,” the authors noted, adding that the roughly half hour of screen time before bed accounted for one quarter of a child’s daily recommended screen time.

Researchers also found that participants who reported later sleep onset also reported up to 13 more minutes of screen time before bed than those who went to bed earlier. Additionally, early sleep onset was associated with significantly less time in screen-based sedentary activity versus later sleep onset.

Those who went to bed earlier also spent more time engaged in non-screen sedentary behaviors, “The largest time differences between those of early and late sleep onset were for screen time, which suggests that this set of activities may be an appropriate target for interventions to promote earlier sleep onset and subsequently improve sleep duration in young people,” researchers concluded.

Americans Are Walking More!

Ira Dreyfuss with HHS HealthBeat, the U.S. Department of Health and Human Services, issued a press release on Sept 4^th reporting that recent research indicates more Americans are walking. More of us need to take up walking regularly.

The Centers for Disease Control and Prevention also indicates we have miles to go. The review of national survey data found about 62 percent of adults walked at least once for 10 minutes or more in the previous week in 2010. That’s up from about 56 percent in 2005.

People need to do at least 150 minutes a week of moderate intensity aerobic physical activity to get health benefits. Researcher Dianna Carroll:“In our study, we found less than half of adults get the 150 minutes of aerobic activity each week. This can be improved by doing activity as simple as walking .

 The Signs of Bullying

If you’re worried that someone is bullying or being bullied, look for changes in behavior.

Let’s talk about the bullies. If a child is aggressive, is overly competitive and aware of popularity, or isn’t taking responsibility for his or her actions, he or she might be bullying others. Being bullied has warning signs, too.

Deborah Temkin is at the U.S. Department of Education says, “Children being bullied become more anxious and depressed and may be at more risk to use substances or miss school.”

Parents can be aware of their kids’ actions and habits. “Look for behavioral changes in your kids and talk to them about what’s going on, because it may be either they’re being bullied or they’re bullying others. And sometimes they’re involved in both, so we need to be very aware of any sort of changes we see in our kids.”

Learn more about the signs of bullying and how you can take action to prevent it from happening at stopbullying.gov.

Paul Taylor, provider of the following guest post, is an ex-nanny. Passionate about thought leadership and writing, Paul regularly contributes to various career, social media, public relations, branding, and parenting blogs/websites. She also provides value to nanny service by giving advice on site design as well as the features and functionality to provide more and more value to nannies and families across the U.S. and Canada. She can be available at taylor33.paul@gmail.com.

Eager to learn and filled with curiosity, preschool children can present quite a challenge when it comes to keeping them entertained and out of trouble.

During this stage of their life, children are still learning about the world around them through play and structured activities, and having a variety of activities to keep them engaged and entertained is a must; through the virtual village that is the blogosphere, parents and childcare providers have access to a wealth of educational and entertaining activity ideas. The following 30 blogs prominently feature entries covering such subjects, making them a valuable resource for the adults charged with caring for preschoolers.

Indoor Play

Inclement weather and lack of access to safe and open outdoor play space can leave parents and caregivers scrambling for ways to keep housebound kids from going stir crazy. These activities are all structured around the idea of keeping kids engaged indoors, for times when outdoor play simply isn’t feasible.

• Boredom Busters! Preschool Summer Activities
• Giant List of Indoor Activities for Kids
• Preschool Physical Education
• Preschool Activities: Homemade Indoor/On the Floor Obstacle Course
• Rhyme Time Indoor Play

Outdoor Play

Research conducted by the Seattle Children’s Research Institute and the University of Washington indicates that many preschool children have few opportunities to engage in supervised outdoor play, which can support creativity, prevent obesity by discouraging sedentary habits, and strengthen developing motor skills. The benefits of getting young children off the couch and into the great outdoors are numerous; here are five blogs with ideas for active and stimulating outdoor play.

• Handprint Art in the Garden
• Kids’ Activities for Outdoor Play
• Outside Activities
• 9 Warm Weather Activities for Preschoolers
• Preschool Outdoor Activities: Where It’s Okay to Get Messy

Educational Play

Almost any play that a preschooler engages in provides them with hands-on, real-life learning experiences; however, there are some activities that help kids learn important concepts. Bloggers share their ideas for educational activities in the following five links.

• Preschool Science Activities
• Guruparents Preschool Education Blog
• 5 Popular Preschool Activities
• Why Music is Important in Preschool
• The Science of Polymers – The Leak-Proof Bag

Group Play

While keeping a group of preschoolers entertained and getting along can be a struggle, side-by-side and group play are essential for helping kids learn the socializing skills that they’ll carry with them as they get older. Parents and caregivers can keep tantrums and feuds to a minimum by encouraging structured activity during play dates, making the information included in the following five blog entries quite valuable.

• Preschool Summer Olympics
• Planning Playdate and Play Group Activities
• Playdate Tips to Keep Toddlers and Preschoolers Busy and Happy
• Creative Ideas for a Playdate
• Summer Art Playdate #1

Safe Play

During the preschool years, kids are learning safety skills on a large scale, like fire or water safety, and also the basics of safe play in general. Helping pint-sized daredevils learn to play it safe and passing along the basic rules of safety in general can be done through active play, as detailed in these five posts.

• Play Safe Outside This Spring
• Roughhousing & Preschoolers: Why it’s Great and How To Keep it Safe
• Introducing Fire Safety to Toddlers and Preschoolers
• Tips for Teaching Preschool Stranger Danger
• Water Play and Child Safety

Preschool Prep

If your little one is on the verge of beginning a structured preschool program, it’s likely that quite a bit of your energy is dedicated to helping him prepare for this major milestone. From knowing what to expect to perfecting potty training, these five blog entries can help parents and caregivers get a child on the right track and ready for school.

• Preschool Software – Give Your Preschooler a Head Start in Education
• Preschool Activities That Help With Potty Training
• Learning Activities
• Preschool Prep
• Expert Tips for Preparing Your Child for Preschool

There are a staggering number of blogs on the Internet with a focus on preschool activities and other relevant topics, so don’t stop here! Check the links section in a favorite blog’s sidebar for others that may be similar.