The public health impact of injury in child and adolescent sport is great. Injury prevention in child and adolescent sport is becoming a greater public health priority in light of the long term health impact and societal burden related to decreased levels of participation in physical activity and early osteoarthritis following many injuries. Clinical, community and policy decisions should be informed by scientific evidence in the field of injury prevention in child and adolescent sport. The purpose of this paper is to advocate for a scientific approach to research in injury prevention in child and adolescent sport. A review of the framework for research in injury prevention in sport that has evolved over 60 years is provided. In addition, evidence is provided for the increasing need to focus on evaluation research and the methodological considerations that are necessary to most appropriately and most accurately provide scientific evidence to inform practice and policy in injury prevention in youth sport.
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