Indices of Sporting Need - Presentation from Sport in Numbers October 2014, Leeds Data Mill
TEAM SPORT MEDICAL AND SCIENCE CONFERENCE JULY 2010 - LEEDS
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Transcript of TEAM SPORT MEDICAL AND SCIENCE CONFERENCE JULY 2010 - LEEDS
TEAM SPORT MEDICAL AND SCIENCE CONFERENCEJULY 2010 - LEEDS
ALAN HODSON
SPORTS MEDICINE AND SCIENCE
THE PAST…THE PRESENT…
THE FUTURE CHALLENGES!
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THE PAST TO THE PRESENT
Involved in professional football for over 20 years
Head of Medicine and Exercise Science for The Football Association for over 20 years
Witnessed many changes and advances over this time.
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THE PAST
NO SPECIFIC SPORTS MEDICINE TRAINING FOR DOCTORS AND PHYSIOTHERAPISTS (NHS & PRIVATE)
FEW STAFF EITHER ONE F/T OR P/T PHYSIO DOCTOR WAS A GP WHO CAME TO CLUB 2 DAYS PER
WEEK AND MATCH DAY DOCTOR WAS NOT ON THE BENCH ONLY
MANAGER/COACH NO PLAYER SCREENING (ORTHOPAEDIC / CARDIAC) NO EMERGENCY CARE TRAINING OR STRATEGY NO EDUCATION (COURSES OR CONFERENCES) NO SPORTS MEDICINE / SCIENCE JOURNALS NO SPORTS MEDICINE RESEARCH NO OR VERY FEW NEW INNOVATIONS
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THE PAST
MANAGER WAS GOD – RESPECT FOR MEDICAL STAFF LITTLE PREVENTATIVE MEDICINE LITTLE CLOSED SEASON FITNESS MAINTENANCE NO RECOVERY STRATEGY FOLLOWING A GAME OR HARD TRAINING NO STRUCTURE TO THE PRE-SEASON TRAINING PROGRAMME LITTLE LIASON BETWEEN MANAGER, COACHES AND MEDICAL STAFF THE TRAINING WAS UNSTRUCTURED, WITH NO SCIENTIFIC
APPROACH LITTLE PLAYER EDUCATION NO DOPING CONTROL (WELL JUST A LITTLE!) NO SPECIFIC MEDICAL INSURANCE IN PLACE NO SPECIALISING SURGEONS / PHYSICIANS NO SPECIFIC PLAYER MEDICAL RECORDS, I.E. A MEDICAL CAREER
PASSPORT A QUICK OR NO PLAYER PRE SIGNING MEDICAL NO CONCENTRATION ON THE PHYSICAL / PHYSIOLOGICAL
DEVELOPMENT OF TALENTED YOUNG / YOUTH PLAYERS NO ACADEMIES OF FOOTBALL (9-18 YEARS OLD)
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CHANGES AND ADVANCES
THE PROFESSIONAL STANDING OF SPORTS MEDICINE AND SCIENCE
SPORTS MEDICINE AND SCIENCE EDUCATION
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PAST “TEAM”
PHYSIO
MANAGER
COACHES
“DOCTOR”LOCAL SURGEON
PLAYERS
PRESENT “TEAM”
MANAGER
SPORTS SCIENTISTS
COACHES
PLAYERS
DOCTOR(S)PHYSIOS
SURGEONS - (MULTIPLE) (HOME & ABROAD)
PHYSICIANSNUTRITIONISTS
DIETICIANSOSTEOPATHS
SPORTS THERAPISTSCHIROPODISTSPODIATRISTS
RADIOLOGISTSPARAMEDICS
+
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THE EMERGENCE OF NEW SURGICAL TREATMENT AND REHABILITATION TECHNIQUES
NEW TECHNOLOGY AND EQUIPMENTTHE EMERGENCE OF NEW PROFESSIONS
AND SPECIAL INTEREST GROUPSSPECIALISATION OF SURGEONS,
PHYSICIANS AND THERAPISTS
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MEDICAL / SCIENCE REGULATIONS PUT IN PLACE BY GOVERNMENT BODIES OF SPORT
SPORTS MEDICINE / SCIENCE RESEARCH GIVES MORE KNOWLEDGE MORE DIRECTION FOR ACTION
SPORTS MEDICINE / SCIENCE EQUIPMENT ADVANCES NEW INNOVATIONS INJURY PREVENTION STRATEGIES RECOVERY STRATEGIES COMPETITOR / ATHLETE / PLAYER PERFORMANCE
MONITORING (PHYSICAL / PHYSIOLOGICAL)
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THE COMPLETE PLAYER
Injury Proneness
Motor Ability
Energy Stores
Somatotype
Agility
Power
Flexibility
Speed
Strength
Endurance
Technical Ability(Genetic + Technical Coaching)
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FITNESS COMPONENTS
Aerobic
Endurance Speed
Speed
Endurance Flexibility
Power Strength Balance Coordination
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EXERCISE SCIENCE/FITNESS AND CONDITIONING EDUCATION AND TRAINING
Development of: Strength Power Endurance Agility Balance Co-ordination Proprioception Speed Speed Endurance Acceleration
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EXERCISE SCIENCE/FITNESS AND CONDITIONING EDUCATION AND TRAINING
Each person has an in-built genetic limit for all physical and physiological attributes
Unless specific training is applied the genetic limits will not be reached
The athletic ability of the player will not have been realized
A development programme for each individual player is required to optimise performance.
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EXERCISE SCIENCE/FITNESS AND CONDITIONING EDUCATION AND TRAINING
“WINDOWS OF OPPORTUNITY” THERE ARE DEFINED DEVELOPMENT
WINDOWS OF OPPORTUNITY
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EXERCISE SCIENCE/FITNESS AND CONDITIONING EDUCATION AND TRAINING
The Physical / Physiological development begins from an early age
Development of specific athletic attributes commences at different ages to coincide with neurological and orthopaedic development of the growing player for example:Balance and Co-ordination
Development begins at a young age and the body’s central nervous system is developing
Strength and Power Addressed by a specific training
programme later in life e.g. 14, 15, 16 years old
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“PAYMASTERS” AND “CONTROLLERS”
ADVANCEMENT IN SPORTS MEDICINE REQUIRES FINANCES
FOR RESEARCH AND DEVELOPMENT TO GAIN KNOWLEDGE AND DIRECTIONS FOR ACTION
IT TOOK 10 YEARS FOR ME TO REALISE I WAS PREACHING AND TRYING TO INFLUENCE THE WRONG PEOPLE…
MY MEDICAL COMMITTEE!!!
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“PAYMASTERS”
THE PREMIER LEAGUE THE FOOTBALL LEAGUE COMMITTEES OF SPORTS GOVERNING BODIES UK SPORT CHAIRMEN OF FOOTBALL / RUGBY CLUBS ETC. THE PROFESSIONAL FOOTBALLERS’ ASSOCIATION
FOLLOW THE MONEY!!!
ADVICE: ALWAYS INVITE, INCLUDE NON-MEDICAL / SCIENCE
PEOPLE OF INFLUENCE FROM THE ABOVE LIST TO SERVE ON YOUR COMMITTEE
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“CONTROLLERS”
TO INFLUENCE CHANGE, OR INTRODUCE NEW PRACTICES, OR REQUIRE INCREASED FINANCES / STAFF FOR DEVELOPMENT AND SERVICES, INFLUENCE:
CLUB MANAGER – “GOD” FINANCE DIRECTORS PERFORMANCE DIRECTORS
AS PROFESSIONALS WE NEED TO BE INCLUSIVE NOT EXCLUSIVE
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Fewer Players available Fewer Assets
Reduced Performance
Reduced Results
Players are Assets
Points Achieved
League Position
Financesthrough gate
SponsorshipOpportunities
Fans, ChairmanDirectors Unhappy
Pressure on Managerand Squad
THE IMPORTANCE OF MEDICINE AND SCIENCE
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THE PAST – “FAITH HEALERS”, “WIZARDS” AND “WALLY’S”
MYTHS – COMMON PRACTICE TO HEAR THE FOLLOWING:
“HE’S A FAST HEALER” “HE’S HAVING INTENSIVE TREATMENT” PREDICTION BY THE MANAGER – “HE WILL BE
OUT FOR ‘X’ WEEKS!” “IF HE CAN RUN, HE CAN PLAY” “HE IS HAVING A LATE FITNESS TEST”
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THE PRESENT
PUBLIC SCRUTINY OF “ON FIELD” TREATMENTS
THE MEDIA – TV CAMERAS – “UNDER THE EYE”
MEDICAL MALPRACTICE MEDICAL / INDEMNITY INSURANCE THE EMERGENCY CARE OF PLAYERS
THE SPEEDS OF THE GAME: HIGH SPEED COLLISIONS / TACKLES HIGH SPEED NON-CONTACT INJURIES MORE 1ST, 2ND AND 3RD DEGREE INJURIES?
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MORE PLAYER MEASUREMENT / MONITORING / MAINTENANCE AND DEVELOPMENT
SPEED STRENGTH ENDURANCE POWER GPS SYSTEM PROZONE
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INDIVIDUAL PLAYER IDENTIFICATION OF PHYSICAL / PHYSIOLOGICAL STRENGTH AND WEAKNESSES
SPECIFIC TRAINING FOR THE NEEDS OF THE GAME SPECIFIC INJURY PREVENTION STRATEGIES AUDITING OF INJURIES
FOR THE SPORT AND FOR THE CLUB ADVANCES IN:
SURGICAL TECHNIQUES TREATMENT TECHNIQUES EMERGENCE OF COMPLIMENTARY THERAPIES
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0
100
200
300
400
500
600
Nu
mb
er
of
Inju
rie
s
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr
Month
Training
Matches
AUDITING INJURIES
MONTHLY DISTRIBUTION OF INJURIES
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AUDITING INJURIES
Strains, sprains and Strains, sprains and contusions represent contusions represent 69%69% of all injuriesof all injuries
81%81% of thigh injuries were of thigh injuries were muscular strainsmuscular strains
Over Over 12%12% of all injuries are of all injuries are hamstring strainshamstring strains
0
5
10
15
20
25
30
35
40
% o
f In
juri
es
MuscleStrain
MuscleContusion
Fracture
Nature of Injury
NATURE OF INJURIES
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AUDITING INJURIES
7% of injuries were re-injuries7% of injuries were re-injuries 48% strains, 18% sprains48% strains, 18% sprains
Re-injuries = 25 days missed Re-injuries = 25 days missed compared to 19 days for the initial compared to 19 days for the initial injuryinjury
A significant no. injuries were A significant no. injuries were followed by injuries to the same followed by injuries to the same localitylocality
RE-INJURIES
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AUDITING INJURIES%
of
Inju
rie
s
Time (minutes)
0
5
10
15
20
25
30
0-15 16-30 31-45 46-60 61-75 76-90
TIME OF MATCH INJURIES
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DIFFICULTIES IN AUDITING INJURIES
CHANGING EXTRANEOUS VARIABLES PROFESSIONAL STAFF CHANGES – DOCTORS,
PHYSIOTHERAPISTS, SPORT SCIENTISTS NUMBER OF PROFESSIONAL STAFF - DOCTORS,
PHYSIOTHERAPISTS, SPORT SCIENTISTS MISDIAGNOSIS CHANGES IN:
NUMBER OF SQUAD MEMBERS – HIGHER / LOWER IN NUMBER
AGE OF PLAYERS IN SQUAD PRE-SEASON TRAINING PROGRAMME (EXPOSURE) IN-SEASON TRAINING PROGRAMME (EXPOSURE) CLOSED SEASON MAINTENANCE PROGRAMME (EXPOSURE) MANAGER, COACHES PLAYER EQUIPMENT – BOOTS ETC. TRAINING GROUNDS – TURF, ASTROTURF ETC.
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AUDITING MEDICAL CONDITIONS AND ILLNESSES
IS IT DONE ANNUALLY?ARE THE RESULTS REVIEWED AGAINST
EXISTING PRACTICES / POLOCIES, E.G. INFLUENZA STOMACH COMPLAINTS ETC.
CAN AFFECT SQUAD NOT JUST AN INDIVIDUAL
NUMBER OF TRAINING DAYS LOST?NUMBER OF GAMES LOST?
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THE FUTURE – “CHALLENGES”
REDUCE CONTACT AND NON-CONTACT INJURIES REDUCE PRE-SEASON INJURIES INCREASE RESEARCH IMPROVE DIAGNOSTICS IMPROVE SURGICAL AND TREATMENT /
REHABILITATION TECHNIQUES TO REDUCE TIME TO RETURN TO PLAY
IMPROVE INJURY PREVENTION STRATEGIES “DIAGNOSTICS”
TO MONITOR THE HEALING PROCESS TO REDUCE TREATMENT TIME
HELP MEDICAL STAFF
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PREDICT THE END STATURE AND ADULT PHYSICAL / PHYSIOLOGICAL PROWESS IN YOUTH PLAYERS TO ASSIST TALENT IDENTIFICATION
ADDRESS A NEW WAVE OF INJURIES ↑ EMERGENCY CARE INCIDENTS ↑ METATARSAL FRACTURES / # FRACTURES ↑ OVERUSE INJURIES ↑ HIP INJURIES
- ACETABULAR LABRUM- LIGAMENTUM TERES
↑ CHRONDAL DAMAGE- KNEE JOINT- HIP JOINT
↑ HAMSTRING INJURIES