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Youth Soccer Injury Prev

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Information about Youth Soccer Injury Prev
Sports

Published on January 14, 2009

Author: aSGuest10568

Source: authorstream.com

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Youth Soccer : Youth Soccer Anthony Beutler, MD Major, USAF, MC Chief, Injury Prevention Research Laboratory Uniformed Services University, Bethesda MD Injury Prevention * Youth Soccer : Youth Soccer Anthony Beutler, MD Major, USAF, MC Chief, Injury Prevention Research Laboratory Uniformed Services University, Bethesda MD Injury Prevention Youth Soccer : Youth Soccer Anthony Beutler, MD Major, USAF, MC Department of Family Medicine, USU Injury Prevention Overview : Overview The Spectrum of Soccer Injuries Are Soccer Injuries a Problem? What We “Know” About Injury Prevention What’s Next in Injury Prevention Encourage You to Stay-Tuned & Stay Involved Objective Your Chance to be Sports Doc : Your Chance to be Sports Doc How About This One? : How About This One? Overview : Overview The Spectrum of Soccer Injuries Are Soccer Injuries a Problem? What We “Know” About Injury Prevention What’s Next in Injury Prevention Fast Facts About: Youth Sports Injuries : Fast Facts About: Youth Sports Injuries Account for 42% of medically attended injuries in children More than transportation-related accidents 3.7 million ER visits 7 million doctor visits 20% of children miss at least 1 school day per year due to sports related injury Lower Extremity Injuries=70% Common & Severe: ACL (Anterior Cruciate Ligament) Tear : Greatest risk in High School and College Higher % risk in girls Higher # of injuries in boys Common & Severe: ACL (Anterior Cruciate Ligament) Tear Bad News Gets Worse: Long-term Effects of ACL Tear : Surgery 6 to 36 month rehabilitation 77% sports disability within 5 years 44% disability with daily living in 5 years Bad News Gets Worse: Long-term Effects of ACL Tear Bad News Gets Worse: Long-term Effects of ACL Tear : Surgery 6 to 36 month rehabilitation 77% sports disability within 5 years 44% disability with daily living in 5 years Bad News Gets Worse: Long-term Effects of ACL Tear Arthritis Risk: No Surgery: >90% in 20 years “Good” Surgery: >90% in 20 years Prevention is Key!! Overview : Overview The Spectrum of Soccer Injuries Are Soccer Injuries a Problem? What We “Know” About Injury Prevention What’s Next in Injury Prevention Looking at the Man in the Mirror: What to Change? : Rules? Braces? Fields/Cleats? Changing You! Looking at the Man in the Mirror: What to Change? Human Movement Change: What we “Know” about Injury Prevention : Human Movement Change: What we “Know” about Injury Prevention Mandelbaum - 2005 80% decrease in ACL Injury 14-18 yo female soccer players 30 minute exercise program before pract/game Non-randomized Human Movement Change: What we “Know” about Injury Prevention : Human Movement Change: What we “Know” about Injury Prevention Mandelbaum - 2005 80% decrease in ACL Injury Myklebust - 2003 Decreased ACL injury in “elite” handball athletes Human Movement Change: What we “Know” about Injury Prevention : Human Movement Change: What we “Know” about Injury Prevention Mandelbaum - 2005 80% decrease in ACL Injury Myklebust - 2003 Decreased ACL injury in “elite” handball athletes Olsen - 2005 50% decrease leg injuries (?ACL) 14-18 yo male & female handball players 20 minute program before practice & game Human Movement Change: What we “Know” about Injury Prevention : Human Movement Change: What we “Know” about Injury Prevention Mandelbaum - 2005 80% decrease in ACL Injury Myklebust - 2003 Decreased ACL injury in “elite” handball athletes Olsen - 2005 50% decrease leg injuries (?ACL) 14-18 yo male & female handball players 20 minute program before practice & game Pfieffer - 2006 No Change in Injury Female High School Soccer, Basketball, and Volleyball Athletes Slide 18: Landing/moving “stiff” Decreased trunk, hip, and knee flexion Large ground reaction forces Excessive frontal plane motion Knee valgus Tibial rotation Multifactorial Human Movement Change: Risk Factors for ACL Injury Overview : Overview The Spectrum of Soccer Injuries Are Soccer Injuries a Problem? What We “Know” About Injury Prevention What’s Next in Injury Prevention Future of Injury Prevention: What’s Going on Now? : Future of Injury Prevention: What’s Going on Now? 20 Teams from North Carolina - TUSA Triangle United Soccer, Chapel Hill 20 Teams from Maryland - MSI & NCSL Slide 21: Movement Assessment Jump Landing Two Legged Squats One Legged Squats Preseason Slide 22: Exercise “Warm-Up” Program Tailored Program Generalized Program Placebo (Mouthguard) Program In-season Injury Monitoring Slide 23: Post-Season Assessment Improvement overall score Improvement individual deficits Not just injury prevention - but injury screening Postseason Future of Injury Prevention: Why Injury Screening? : Pre-Season Future of Injury Prevention: Why Injury Screening? Post-Season Future of Injury Prevention: What Have We Learned? : Post-Season scores are better than Pre-Season scores Gains mostly retained between Spring & Fall seasons Future of Injury Prevention: What Have We Learned? Future of Injury Prevention: What Have We Learned? : Post-Season scores are better than Pre-Season scores Gains mostly retained between Spring & Fall seasons What Would We Still Like to Know? Does tailored program prevent more injuries? What biomechanics are associated with fewer ACL injuries? How often, how long, how long between? Future of Injury Prevention: What Have We Learned? Can We Prevent All Injuries? : Can We Prevent All Injuries? Overview : Overview The Spectrum of Soccer Injuries Are Soccer Injuries a Problem? What We “Know” About Injury Prevention What’s Next in Injury Prevention Encourage You to Stay-Tuned & Stay Involved Objective Questions? : Questions? Youth SoccerInjury Prevention Anthony Beutler, MD abeutler@usuhs.mil Chief, Injury Prevention Research Lab Uniformed Services University In collaboration with: Darin Padua, Ph.D, ATC Associate Director Sports Medicine Research Laboratory Steve Marshall, Ph.D Associate Professor Injury Prevention Research Center Lindsay DiStefano, MA, ATC Doctoral Student Sports Medicine Research Laboratory Michelle Boling, MS, ATC Doctoral Student Sports Medicine Research Laboratory University of North Carolina, Chapel Hill

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