Competitive Cheer, a relatively new and unofficial addition to the sports world, has gained momentum and popularity over the last several years. It is not to be confused with sideline cheering at sporting events such as football and basketball games. This demanding arena has no pom poms or simple routines with chants or cheers that engage a crowd. It is an athletic sport that is highly physical and requires personal stamina, agility, body strength and skill. It is so physically rigorous that The Journal of Pediatrics lists it as having the highest number of physical injuries among all sport genres.