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Bouncers Beware: Backyard Trampoline Injuries Increase.

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While it is common to see more than one child at a time on the trampolines, the AAOS also says only one child should jump at a time and there should be people standing around the perimeters acting as spotters should a child fall toward the edge.

The potential for injury increases when children try high-risk maneuvers such as somersaults and backflips. Special protective equipment, such as harnesses that will hold a child from flipping off to the ground, should be in place.

Finally, the trampoline should be at ground level, with adequate padding of all the supporting bars, strings, and landing surfaces.

"It's very important that individuals who use trampolines exercise caution and follow injury prevention guidelines," R. Dale Blasier, MD, states in an AAOS press release. "Parents should review prevention information, discuss safety with their physicians and be certain that adult supervision and instruction occur when trampolines are used." Blasier is a pediatric orthopaedist at Arkansas Children's Hospital in Little Rock.

But perhaps an alternative bouncing outlet might be a better choice.

The bounce houses, with netting all around and often found at fairs or available from party rental outlets, are a better jumping choice, says Sarwark. "They're restrained and they're safe. That is a better alternative."

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