Summer 2022 (Volume 32, Number 2)
Update from the Canadian Academy of
Sport and Exercise Medicine
Choosing Wisely: Pediatric Sport and
Exercise Medicine Recommendations
By Kristin Houghton, MD, MSc, FRCPC, Dip Sports Med
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Choosing Wisely Canada (CWC) is the national voice
for reducing unnecessary tests and treatments in
Canada. A small working group (Laura Purcell, Erika
Persson, Kristin Houghton) created by the Canadian Academy
of Sport and Exercise Medicine (CASEM) developed
a list of pediatric-specific sport and exercise medicine
recommendations based on existing research, experience
and common practice patterns. These recommendations
identify tests and treatments commonly used in pediatric
musculoskeletal assessments which are not supported by
evidence and could expose patients to harm. Pediatric
rheumatologists frequently see children with non-inflammatory
musculoskeletal pain and are encouraged to adopt
these CWC recommendations as part of routine practice.
The list includes 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. This list launched on April 12, 2022
on the Choosing Wisely and CASEM websites.1,2 (choosingwiselycanada.org/recommendation/sport-and-exercise-medicine-
for-steve/#pediatric-sport-and-exercise-medicine)
Kristin Houghton, MD, MSc, FRCPC, Dip Sports Med
Clinical Associate Professor,
Division of Rheumatology
Department of Pediatrics
University of British Columbia
Vancouver, British Columbia
References:
1. Choosing Wisely Canada. Available at choosingwiselycanada.org/about/. Accessed June 2, 2022.
2. Canadian Academy of Sport and Exercise Medicine. Available at casem-acmse.org/. Accessed
June 2, 2022.
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