Martial Arts for Your Child

More than 6 million children in the United States participate in martial arts. Martial arts are known to improve social skills, discipline, and respect in children. Children can also improve their abilities to concentrate and focus on activities, as well as bettering their motor skills and self-confidence. Martial arts can be fun and beneficial at any age.

The term martial arts can be used to describe any number of styles or disciplines of self-defense practices. There are many different styles practiced around the world, with the most popular forms being karate, tae kwon do, and judo.

  • Karate (KAH-rah-teh) means “empty hand,” as it
    is normally practiced without weapons.
    Karate is a traditional Japanese form. The hands and feet are trained and prepared for use in a weaponless form of self-defense.
  • Tae kwon do (tahy-kwon-doh) means “the way of foot and fist.” This is a traditional Korean martial art. It is also the most popular. This form highlights discipline, respect, and personal growth and focuses on the use of the feet for powerful kicks in self-defense.
  • Judo (joo-doh) means “gentle way” and is known for a variety of throwing techniques. It uses many methods to control an opponent while on the ground. In many ways it is more similar to wrestling than to the other martial arts.
  • Kung fu (kung-foo) most commonly translates to “hard work” and is one of the oldest forms of martial arts. The term may be used to describe all of the hundreds of Chinese martial arts. Kung fu is mainly a “stand-up” form of the martial arts, known for its powerful blocks. Wushu is the most popular and modern form of kung fu.
  • Aikido (eye-key-do) means “way of harmony.” This Japanese martial art is known as a throwing style. It teaches a nonaggressive approach to self-defense, focusing on joint locks, throws, and restraining techniques, rather than kicks and punches. While aikido may be learned at any age, it is especially popular among women and older adults. Aikido is not practiced as a competitive sport.
  • Jujitsu (joo-jit-soo) means “the art of softness” and emphasizes techniques that allow a smaller fighter to overcome a bigger, stronger opponent. First practiced in Japan, jujutsu is considered a ground fighting or grappling style of the martial arts. Many of the forms have been incorporated into other martial arts such as judo, karate, and aikido. The arm lock and submission techniques have been taught to police all over the world.

While the martial arts are relatively safe, injuries can happen because there is physical contact between opponents. The following is information from the American Academy of Pediatrics (AAP) about how to prevent martial arts injuries. Also included is an overview of martial arts forms.

Injury prevention and safety tips

  • Instructors. Experienced instructors will teach at a level appropriate for your child’s age and maturity. Lessons should emphasize technique and self-control. Experienced instructors will carefully advance your child through more complex training. Lessons should also be fun. Visit a variety of instructors and ask about their experiences with young children and their teaching philosophy.
  • Technique. An instructor’s emphasis on technique and self-control is very important in limiting the risk for injury. Children should learn to punch and kick with their hands and feet in proper position and using the appropriate amount of force. Kicks and punches with the hand or foot in the wrong position can cause injuries to fingers and toes. Punches or kicks that are too hard can cause pain or bruises. Contact to the head should be discouraged.
  • Equipment. Safety gear should fit properly and be well maintained.
    • Headgear. When the rules allow, protective headgear should be worn for sparring or for activities with risk of falling, such as high jumps or flying kicks.
    • Body pads can help protect against scrapes and bruises and limit the pain from kicks and punches. Arm pads, shin pads, and chest protection for sparring.
    • Mouth guards.
  • Environment. Mats and floors should be safe to play on. Gaps between mats can cause sprained ankles. Wet or worn floors can cause slips and falls.

Common injuries may include scrapes and bruises, sprains and strains, finger and toe injuries, head injuries. Martial arts injuries can be prevented with proper supervision and compliance with the rules and safety guidelines in place for martial arts.


Source: Care of the Young Athlete Patient Education Handouts (Copyright © 2010 American Academy of Pediatrics). The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.


Advertisements

Helping Your Child Learn to Read

How can I help my child learn to read?

Reading books aloud is one of the best ways you can help your child learn to read. This can be fun for you, too. The more excitement you show when you read a book, the more your child will enjoy it. The most important thing to remember is to let your child set her own pace and have fun at whatever she is doing. Do the following when reading to your child:

  • Run your finger under the words as you read to show your child that the print carries the story.
  • Use funny voices and animal noises. Do not be afraid to ham it up! This will help your child get excited about the story.
  • Stop to look at the pictures; ask your child to name things she sees in the pictures. Talk about how the pictures relate to the story.
  • Invite your child to join in whenever there is a repeated phrase in the text.
    Show your child how events in the book are similar to events in your child’s life.
  • If your child asks a question, stop and answer it. The book may help your child express her thoughts and solve her own problems.
  • Keep reading to your child even after she learns to read. A child can listen and understand more difficult stories than she can read on her own.

Listening to your child read aloud

Once your child begins to read, have him read out loud. This can help build your child’s confidence in his ability to read and help him enjoy learning new skills. Take turns reading with your child to model more advanced reading skills.

If your child asks for help with a word, give it right away so that he does not lose the meaning of the story. Do not force your child to sound out the word. On the other hand, if your child wants to sound out a word, do not stop him.

If your child substitutes one word for another while reading, see if it makes sense. If your child uses the word “dog” instead of “pup,” for example, the meaning is the same. Do not stop the reading to correct him. If your child uses a word that makes no sense (such as “road” for “read”), ask him to read the sentence again because you are not sure you understand what has just been read. Recognize your child’s energy limits. Stop each session at or before the earliest signs of fatigue or frustration.

Most of all, make sure you give your child lots of praise! You are your child’s first, and most important, teacher. The praise and support you give your child as he learns to read will help him enjoy reading and learning even more.
Learning to read in school

Most children learn to read by 6 or 7 years of age. Some children learn at 4 or 5 years of age. Even if a child has a head start, she may not stay ahead once school starts. The other students most likely will catch up during the second or third grade. Pushing your child to read before she is ready can get in the way of your child’s interest in learning. Children who really enjoy learning are more likely to do well in school. This love of learning cannot be forced.

As your child begins elementary school, she will begin her formal reading education. There are many ways to teach children to read. One way emphasizes word recognition and teaches children to understand a whole word’s meaning by how it is used. Learning which sounds the letters represent—phonics—is another way children learn to read. Phonics is used to help “decode” or sound out words. Focusing on the connections between the spoken and written word is another technique. Most teachers use a combination of methods to teach children how to read.

Reading is an important skill for children to learn. Most children learn to read without any major problems. Pushing a child to learn before she is ready can make learning to read frustrating. But reading together and playing games with books make reading fun. Parents need to be involved in their child’s learning. Encouraging a child’s love of learning will go a long way to ensuring success in school.

Reading tips

The following are a few tips to keep in mind as your child learns to read:

  • Set aside time every day to read together. Many children like to have stories read to them at bedtime. This is a great way to wind down after a busy day and get ready for sleep.
  • Leave books in your child’s room for her to enjoy on her own. Make sure her room is reading-friendly with a comfortable bed or chair, bookshelf, and reading lamp.
  • Read books that your child enjoys. After a while, your child may learn the words to her favorite book. When this happens, let your child complete the sentences or take turns reciting the words.
  • Do not drill your child on letters, numbers, colors, shapes, or words. Instead, make a game out of it and find ways to encourage your child’s curiosity and interests.

Source: Helping Your Child Learn to Read (Copyright © 1999 American Academy of Pediatrics). The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.


Is Your Child Overweight?

Pediatricians evaluate children’s growth and build by means of standardized growth charts and body mass index (BMI). Growth charts show whether a child falls within the normal range of height and weight for her age. Children whose weight or height is above the 85th or below the fifth percentile should be examined by a doctor to determine whether further evaluation is needed. Pediatricians also will watch for fluctuations in children’s weight, which may mean something has changed and put them on the path toward gaining excess weight.

Body mass index is a calculation of your child’s weight relative to height. A BMI above the 85th percentile means overweight, while children above the 95th percentile are considered obese, which increases their risk of chronic diseases such as heart disease and diabetes. The BMI percentile that defines severe obesity is 120% of the 95th percentile. If your child’s BMI is between the 85th and 95th percentiles, her excess weight may be fat or muscle. Growth charts and BMI tell only part of the story because neither method measures body fat. Children and adolescents who are particularly athletic with unusually muscular or lean builds may have a high BMI without having excess fat or being obese. In some obesity clinics, as many as 10% to 15% of children fall into this category. Also keep in mind that there are small differences between African American and white children; at the same BMI measurement, African American children and teenagers tend to have more muscle and bone mass and less body fat. However, almost all children and adolescents with a BMI above the 95th percentile have too much body fat, regardless of their ethnicity or muscularity.

Some parents wonder how it is possible for 17% of 2- to 19-year-olds to be obese when only 5% of the population should have a BMI above the 95th percentile. The BMI charts were based on children and teens studied before 1988, when not as many youth were obese. At that time, only 5% of children and teens were obese.

If your child is overweight because her frame size is increased, reassure her that her extra weight is not fat and encourage her to be physically active to maintain her muscle tone. Also, be actively involved in any discussions with your pediatrician and your child about your child’s weight. To prevent worries about body size, parent and child need to accept the child’s body type. Other members of the family may have a similar build. If you focus inappropriately on weight alone and pester your child to lose weight, she may develop a distorted body image and risk an eating disorder. It’s estimated that 70% to 80% of girls perceive themselves, whether rightly or wrongly, as too fat. Experts warn that a misperception of body image may be partly fueling the current obesity epidemic, with inappropriate dieting followed by rebound weight gain.

Choose to Be Happy – Many adolescents, particularly girls, become deeply unhappy when they realize that they are never going to be shaped like supermodels or earn multimillion-dollar contracts as movie stars.

Help your daughter feel comfortable with who she is. Reassure her that real beauty is more than skin deep. Help her develop her skills and talents and emphasize her positive attributes. Offer her female role models who have made the most of their talents, achieving intellectual and humanitarian goals or raising healthy, balanced children, instead of trading on their looks for superficial success.


Source: Nutrition: What Every Parent Needs to Know (Copyright © American Academy of Pediatrics 2011). The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.


Types of Exercise for Teens

Aerobic Exercise

A teen’s fitness program should include aerobic exercise such as brisk walking, basketball, bicycling, swimming, in-line skating, soccer, jogging—any continuous activity that increases heart rate and breathing. Regular workouts improve the efficiency of the cardiorespiratory system, so that the heart and lungs don’t have to work as hard to meet the body’s increased demands for freshly oxygenated blood.

Aerobic exercise also affects body weight composition, by burning excess calories that would otherwise get converted to fat. In general, the more aerobic an activity, the more calories are expended. For instance, if a teenager weighing 132 pounds walks at a moderate pace for ten minutes, he burns forty-three calories. Running instead of walking more than doubles the amount of energy spent, to ninety calories.

Low-intensity workouts burn a higher percentage of calories from fat than high-intensity workouts do. However, the more taxing aerobic exercises ultimately burn more fat calories overall. One study compared the burn rates for a thirty-minute walk at three and a half miles per hour and a thirty-minute run at seven miles per hour. The walking group expended an average of 240 calories. Two-fifths came from fat, and three-fifths came from carbohydrates, for a total of ninety-six fat calories. In the running group, the ratio of fat energy burned versus carbohydrate energy burned was significantly less: one to four. Yet overall, the runners consumed 450 calories. Total number of fat calories burned: 108.

Weight Training

Under the guidance of well-trained adults, children aged eight or older can safely incorporate weight training (also called strength training and resistance training) into their workouts to increase muscle strength and muscle endurance. Muscle strength refers to the ability to displace a given load or resistance, while muscle endurance is the ability to sustain less-intense force over an extended period of time. Males will not be able to develop large muscles until after puberty. Females generally are not able to develop large muscle mass. They do not have to worry about getting too muscular.

The Proper Technique: Less Weight, More Reps – Multiple studies show that young people gain strength and endurance faster by lifting moderately heavy weights many times rather than straining to hoist unwieldy loads for just a few repetitions.

Teens should always be supervised by a qualified adult, who can help them and demonstrate the proper technique. For that reason, it’s safer to work out at school or at a health club than on home exercise equipment. Other precautions to take include the following:

  • See your pediatrician for a physical and medical checkup before your youngster starts training.
  • Remember that resistance training is a small part of a well-rounded fitness program. Experts generally recommend that adolescents exercise with weights no more than three times a week.
  • Don’t overdo it (part 1): Excessive physical activity can lead to injuries and cause menstrual abnormalities. Your teenager may be exercising too much if her weight falls below normal or her muscles ache. Complaints of pain warrant a phone call to your pediatrician.
  • Don’t overdo it (part 2): Teens should be reminded not to step up the weight resistance and number of repetitions before they’re physically ready. Getting in shape takes time.
  • Drink plenty of fluids when exercising. Young people are more susceptible to the effects of heat and humidity than adults. Teens’ ability to dissipate heat through sweating is not as efficient as adults. The Centers for Disease Control and Prevention recommends that teens drink at least two six-ounce glasses of water before, during and after working out in steamy conditions.
  • Always warm up and cool down with stretching exercises before and after training. Stretching the muscles increases their flexibility: the ability to move joints and stretch muscles through a full range of motion, and the fourth component of physical fitness. It also helps safeguard against injury.

Source: Caring for Your Teenager (Copyright © 2003 American Academy of Pediatrics). The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.


Keeping Preschoolers Active

Pediatricians are more aware than ever that a growing number of children are overweight. Your doctor has been keeping track of your child’s height and weight since infancy, and he’ll be able to calculate whether your child weighs more than he should.

Steps You Can Take Now to Reduce Your Child’s Likelihood of Becoming Obese and on Track for a Healthy Life

  • Give some thought to the physical activity in your child’s life. Even though he continues to be a bundle of endless energy, a lot of that energy often goes to waste. Many preschoolers spend several hours a day in front of the TV or computer screen, rather than playing outdoors. In fact, today’s children are only one-fourth as active in their day-to-day lives as their grandparents were.
  • Whether or not your four- or five-year-old is overweight, you need to make sure that physical activity becomes and remains a priority in his life. These preschool years are a time when he should be developing his motor skills, improving his coordination, and playing games and sports with greater skill. You should make sure that he has access to age-appropriate play equipment, such as balls and plastic bats that will make exercise fun and something he looks forward to doing. Of course, these play periods must be supervised; you need to keep him away from dangerous situations like running into the street to chase a ball.
  • Make an effort to turn family time into a physically active time. On a Sunday afternoon, rather than going to the movies, take the entire family on a hike in the hills near your home. Or fly a kite in the park, play tag, or throw a ball back and forth.​

Source: Caring for Your Baby and Young Child: Birth to Age 5, 6th Edition (Copyright © 2015 American Academy of Pediatrics). The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.


The Active Toddler

Physical activity is important for children of all ages. Of course, it may seem that your own toddler gets all the exercise he needs as he’s constantly on the move from sunup to bedtime. He’s crawling, walking, learning to run and jump, climbing onto and down from furniture without help, and kicking a ball or pulling toys behind him while walking.

By 2 to 3 years of age, your child’s physical activity will move to even more challenging levels. As his coordination keeps improving, he’ll be able to walk up and down stairs. He’ll run easily and start learning to pedal a tricycle. With his short attention span, he may be moving from one activity to the next, almost minute by minute, keeping you on the run just to stay up with him.

We can’t overemphasize how important this active play is. To encourage it in your toddler, you should be discouraging him from watching TV. The AAP believes strongly that children up to 2 years should not be watching any TV, choosing instead to participate in supervised physical activity outdoors and indoors. Encourage them to play with siblings or other children their own age. When planning family activities, make them as active as possible.

You can also promote physical activity by using the stroller judiciously. When you’re out for a walk, don’t automatically sit your toddler in the stroller for the entire trip. Let him get out and walk beside you if that’s what he wants to do.

If your toddler attends child care, find out how active he is there. In too many child care settings, the TV set and not the kids gets a real workout during the day. Safety should also be a big concern while your toddler is in the child care setting whether he’s playing or eating. Request that he always be seated while being fed, rather than running around with food in his mouth on which he could end up choking.


Source: A Parent’s Guide to Childhood Obesity: A Road Map to Health (Copyright © 2006 American Academy of Pediatrics). The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.


The Transition from High School to College

Academically, the step up from high school to college isn’t as steep as previous transitions may have been. Unless a student takes on an unusually heavy course load, the demands aren’t markedly different from before.

What is different, and what can trip up first-year students, is the atmosphere in which learning and studying take place. College affords young people a level of autonomy they’ve never experienced before. And if they’re attending a college away from home, they don’t have Mom and Dad standing sentinel outside their bedroom door to order them back inside to study for tomorrow’s midterm exam. Most students have the self-discipline to make the adjustment without too much difficulty, but others get swept up in the social whirl of college life.

“We see it here at the University of North Carolina,” says Dr. William Lord Coleman, an associate professor of pediatrics at UNC’s School of Medicine in Chapel Hill. “Kids go downhill or drop out because they can’t get organized enough to forget about the beer-keg party on a Sunday afternoon and go to the library like they’re supposed to.”

Colleges, recognizing the potential perils of youngsters living on their own for the first time, usually insist that new undergrads spend their first year or two living in the residential halls. A 1998 study from the Harvard School of Public Health painted a disturbing portrait of alcohol abuse among U.S. college students. Forty-two percent were found to indulge in binge drinking, which is defined as consuming five drinks in one sitting for men, and four drinks for women.

By far, the highest rate of excessive drinking was among fraternity and sorority members: a staggering 84 percent. The second highest rate, 54 percent, was among school athletes. Third highest were students living in coed dorms: 52 percent. Interestingly, the rate of binge drinking among students living in off-campus housing or in single-sex dorms was lower than the overall average: 40 percent and 38 percent, respectively.

You might want to consider steering an impressionable youngster away from schools with reputations for heavy partying. Believe it or not, every year the Princeton Review ranks the top ten party colleges in the United States, based on surveys distributed to hundreds of thousands of students.

Monitoring College Students From A Distance

Short of secretly taking up residence in an adjacent dorm room, what can parents do to keep tabs on a son or daughter living away from home? Dr. Coleman recommends “the age-old wisdoms: Call regularly, encourage visits home whenever possible and visit your youngster more frequently than just on Parents’ Day. Also, if you can, get to know the parents of the roommate or suite mates. If necessary, you can do a little networking together behind the scenes.”

If you suspect that your youngster is having difficulty adapting to college (homesickness, for example, is common among students living away from home for the first time), encourage him to speak to a counselor at the student health service. If you’re truly worried about his welfare, make the call yourself and ask one of the mental-health professionals there to pay a visit to your youngster or invite him down to talk.


Source: Caring for Your Teenager (Copyright © 2003 American Academy of Pediatrics). The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.


BACK TO SCHOOL: Tips for Your Family

back to school concept. hand draw with color pencils.

​​​The following health and safety tips are from the American Academy of Pediatrics (AAP).

Backpack Safety

  • Choose a backpack with wide, padded shoulder straps and a padded back.
  • Pack light. Organize the backpack to use all of its compartments. Pack heavier items closest to the center of the back. The backpack should never weigh more than 10% to 20% of your child’s body weight. Go through the pack with your child weekly, and remove unneeded items to keep it light.
  • Remind your child to always use both shoulder straps. Slinging a backpack over one shoulder can strain muscles.
  • Adjust the pack so that the bottom sits at your child’s waist.
  • If your school allows, consider a rolling backpack. This type of backpack may be a good choice for students who must tote a heavy load. Remember that rolling backpacks still must be carried up stairs, they may be difficult to roll in snow, and they may not fit in some lockers. And review backpack safety with your child.

Eating During the School Day

  • Studies show that children who eat a nutritious breakfast function better. They do better in school, and have better concentration and more energy. Some schools provide breakfast for children; if yours does not, make sure they eat a breakfast that contains some protein
  • Most schools regularly send schedules of cafeteria menus home and/or have them posted on the school’s website. With this advance information, you can plan on packing lunch on the days when the main course is one your child prefers not to eat.
  • Many children qualify for free or reduced price food at school, including breakfast. The forms for these services can be completed at the school office. Hunger will affect a child’s performance in class.
  • Many school districts have plans which allow you to pay for meals through an online account. Your child will get a card to “swipe” at the register. This is a convenient way to handle school meal accounts.
  • Look into what is offered inside and outside of the cafeteria, including vending machines, a la carte, school stores, snack carts and fundraisers held during the school day. All foods sold during the school day must meet nutrition standards established by the US Department of Agriculture (USDA). They should stock healthy choices such as fresh fruit, low-fat dairy products, water and 100% fruit juice. Learn about your child’s school wellness policy and get involved in school groups to put it into effect. Also, consider nutrition if you child will be bringing food to eat during school.
  • Each 12-ounce soft drink contains approximately 10 teaspoons of sugar and 150 calories. Drinking just one can of soda a day increases a child’s risk of obesity by 60%. Choose healthier options (such as water and appropriately sized juice and low-fat dairy products) to send in your child’s lunch.

Before & After School Child Care

  • During early and middle childhood, children need supervision. A responsible adult should be available to get them ready and off to school in the morning and supervise them after school until you return home from work.
  • If a family member will care for your child, communicate the need to follow consistent rules set by the parent regarding schedules, discipline and homework.
  • Children approaching adolescence (11- and 12-year-olds) should not come home to an empty house in the afternoon unless they show unusual maturity for their age.
  • If alternate adult supervision is not available, parents should make special efforts to supervise their children from a distance. Children should have a set time when they are expected to arrive at home and should check in with a neighbor or with a parent by telephone.
  • If you choose an after-school program for your child, inquire about the training of the staff. There should be a high staff-to-child ratio, trained persons to address health issues and emergencies, and the rooms and the playground should be safe.

Develop a Sleep Routine

  • Getting enough sleep is critical for a child to be successful in school. Children who do not get enough sleep have difficulty concentrating and learning as well as they can.
  • Set a consistent bedtime for your child and stick with it every night. Having a bedtime routine that is consistent will help your child settle down and fall asleep. Components of a calming pre-bedtime routine may involve a bath/shower, reading with them, and tucking them in and saying good-night to them.
  • Have your child turn off electronic devices well before bedtime.
  • Try to have the home as quiet and calm as possible when younger children are trying to fall asleep.
  • Insufficient sleep is associated with lower academic achievement in middle school, high school and college, as well as higher rates of absenteeism and tardiness. The optimal amount of sleep for most younger children is 10-12 hours per night and for adolescents (13-18 year of age) is in the range of 8-10 hours per night.

Developing Good Homework & Study Habits

  • Create an environment that is conducive to doing homework starting at a young age. Children need a consistent work space in their bedroom or another part of the home that is quiet, without distractions, and promotes study.
  • Schedule ample time for homework; build this time into choices about participation in after school activities.
  • Establish a household rule that the TV and other electronic distractions stay off during homework time.
  • Supervise computer and Internet use.
  • By high school, it’s not uncommon for teachers to ask students to submit homework electronically and perform other tasks on a computer. If your child doesn’t have access to a computer or the internet at home, work with teachers and school administration to develop appropriate accommodations.
  • Be available to answer questions and offer assistance, but never do a child’s homework for her.
  • Take steps to help alleviate eye fatigue, neck fatigue and brain fatigue while studying. It may be helpful to close the books for a few minutes, stretch, and take a break periodically when it will not be too disruptive.
  • If your child is struggling with a particular subject, speak with your child’s teacher for recommendations on how you or another person can help your child at home or at school. If you have concerns about the assignments your child is receiving, talk with their teacher.
  • If your child is having difficulty focusing on or completing homework, discuss this with your child’s teacher, school counselor, or health care provider.
  • For general homework problems that cannot be worked out with the teacher, a tutor may be considered.
  • Some children need extra help organizing their homework. Checklists, timers, and parental supervision can help overcome homework problems.
  • Some children may need help remembering their assignments. Work with your child and their teacher to develop an appropriate way to keep track of their assignments – such as an assignment notebook.

Source: American Academy of Pediatrics (Copyright © 2017). The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.


BACK TO SCHOOL: Traveling To & From School

Review the basic rules with your student and practice any new routes or modes of transportation:

School Bus

  • Children should always board and exit the bus at locations that provide safe access to the bus or to the school building.
  • Remind your child to wait for the bus to stop before approaching it from the curb.
  • Make sure your child walks where she can see the bus driver (which means the driver will be able to see her, too).
  • Remind your student to look both ways to see that no other traffic is coming before crossing the street, just in case traffic does not stop as required. Encourage your child to actually practice how to cross the street several times prior to the first day of school.
  • Your child should not move around on the bus.
  • If your child’s school bus has lap/shoulder seat belts, make sure your child uses one at all times when in the bus. (If your child’s school bus does not have lap/shoulder belts, encourage the school system to buy or lease buses with lap/shoulder belts).
  • Check on the school’s policy regarding food on the bus. Eating on the bus can present a problem for students with allergy and also lead to infestations of insects and vermin on the vehicles.
  • If your child has a chronic condition that could result in an emergency on the bus, make sure you work with the school nurse or other school health personnel to have a bus emergency plan, if possibly, prior to the first day of class

Car

  • All passengers should wear a seat belt or use an age- and size-appropriate car seat or booster seat.
  • Your child should ride in a car seat with a harness as long as possible and then ride in a belt-positioning booster seat. Your child is ready for a booster seat when she has reached the top weight or height allowed for her seat, her shoulders are above the top harness slots, or her ears have reached the top of the seat.
  • Your child should ride in a belt-positioning booster seat until the vehicle’s seat belt fits properly (usually when the child reaches about 4′ 9″ in height and is between 8 to 12 years of age). This means that the child is tall enough to sit against the vehicle seat back with her legs bent at the knees and feet hanging down and the shoulder belt lies across the middle of the chest and shoulder, not the neck or throat; the lap belt is low and snug across the thighs, not the stomach.
  • All children younger than 13 years of age should ride in the rear seat of vehicles. If you must drive more children than can fit in the rear seat (when carpooling, for example), move the front-seat passenger’s seat as far back as possible and have the child ride in a booster seat if the seat belts do not fit properly without it.
  • Remember that many crashes occur while novice teen drivers are going to and from school. You should require seat belt use, limit the number of teen passengers, and do not allow eating, drinking, cell phone conversations even when using hands-free devices or speakerphone, texting or other mobile device use to prevent driver distraction.. Familiarize yourself with your state’s graduated driver’s license law and consider the use of a parent-teen driver agreement to facilitate the early driving learning process.

Bike

  • Practice the bike route to school before the first day of school to make sure your child can manage it.
  • Always wear a bicycle helmet, no matter how short or long the ride.
  • Ride on the right, in the same direction as auto traffic and ride in bike lanes if they are present.
  • Use appropriate hand signals.
  • Respect traffic lights and stop signs.
  • Wear bright-colored clothing to increase visibility. White or light-colored clothing and reflective gear is especially important after dark.
  • Know the “rules of the road.”

Walking to School

  • Children are generally ready to start walking to school at 9 to 11 years of age.
  • Make sure your child’s walk to school is a safe route with well-trained adult crossing guards at every intersection.
  • Identify other children in the neighborhood with whom your child can walk to school. In neighborhoods with higher levels of traffic, consider organizing a “walking school bus,” in which an adult accompanies a group of neighborhood children walking to school.
  • Be realistic about your child’s pedestrian skills. Because small children are impulsive and less cautious around traffic, carefully consider whether or not your child is ready to walk to school without adult supervision. If the route home requires crossing busier streets than your child can reasonably do safely, have an adult, older friend or sibling escort them home.
  • If your children are young or are walking to a new school, walk with them or have another adult walk with them the first week or until you are sure they know the route and can do it safely. If your child will need to cross a street on the way to school, practice safe street crossing with them before the start of school.
  • Bright-colored clothing or a visibility device, like a vest or armband with reflectors, will make your child more visible to drivers.

Source: American Academy of Pediatrics (Copyright © 2017). The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.