Pediatricians should advise children and their parents against recreational use of trampolines, pointing out that various safety measures have not successfully reduced injury rates, according to a policy statement from the American Academy of Pediatrics published in Pediatrics.

In 2009, the rate of trampoline-associated injuries was 160 per 100,000 among 5- to 14-year-olds, the AAP notes. About three fourths of injuries occurred when more than one person was on the trampoline at the same time, with small children particularly at risk.

For families who continue to use trampolines, the AAP makes a series of recommendations, including:

• Only one person at a time should use a trampoline.
• Trampolines should be equipped with protective padding.
• Somersaults and flips should not be allowed.
• An adult willing to enforce safety rules should always be present.
• Homeowners should check whether their insurance policies cover trampoline-associated claims.

Source: Pediatrics