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TEAM SPORT MEDICAL AND SCIENCE CONFERENCE JULY 2010 - LEEDS

TEAM SPORT MEDICAL AND SCIENCE CONFERENCE JULY 2010 - LEEDS. SPORTS MEDICINE AND SCIENCE. ALAN HODSON. THE PAST… THE PRESENT… THE FUTURE CHALLENGES!. THE PAST TO THE PRESENT. Involved in professional football for over 20 years

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TEAM SPORT MEDICAL AND SCIENCE CONFERENCE JULY 2010 - LEEDS

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  1. TEAM SPORT MEDICAL AND SCIENCE CONFERENCEJULY 2010 - LEEDS SPORTS MEDICINE AND SCIENCE ALAN HODSON THE PAST… THE PRESENT… THE FUTURE CHALLENGES!

  2. 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.

  3. 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

  4. 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)

  5. CHANGES AND ADVANCES • THE PROFESSIONAL STANDING OF SPORTS MEDICINE AND SCIENCE • SPORTS MEDICINE AND SCIENCE EDUCATION

  6. “THE SPORTS MEDICINE TEAM”“THE TEAM WITHIN A TEAM”

  7. PRESENT “TEAM” SURGEONS - (MULTIPLE) (HOME & ABROAD) PHYSICIANS NUTRITIONISTS DIETICIANS OSTEOPATHS SPORTS THERAPISTS CHIROPODISTS PODIATRISTS RADIOLOGISTS PARAMEDICS MANAGER COACHES PLAYERS + DOCTOR(S) PHYSIOS SPORTS SCIENTISTS PAST “TEAM” “DOCTOR” LOCAL SURGEON PLAYERS

  8. THE EMERGENCE OF NEW SURGICAL TREATMENT AND REHABILITATION TECHNIQUES • NEW TECHNOLOGY AND EQUIPMENT • THE EMERGENCE OF NEW PROFESSIONS AND SPECIAL INTEREST GROUPS • SPECIALISATION OF SURGEONS, PHYSICIANS AND THERAPISTS

  9. 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)

  10. THE PAST THE OLD PLAYER

  11. THE PRESENT THE MODERN PLAYER

  12. YOUNG COMPETITOR / ATHLETE / PLAYER DEVELOPMENT / MEASUREMENT AND EDUCATION

  13. Injury Proneness Motor Ability Energy Stores Somatotype Agility Technical Ability (Genetic + Technical Coaching) Power Flexibility Speed Strength Endurance THE COMPLETE PLAYER

  14. Speed Endurance Aerobic Endurance Speed Flexibility Power Strength Balance Coordination FITNESS COMPONENTS

  15. EXERCISE SCIENCE/FITNESS AND CONDITIONING EDUCATION AND TRAINING • Development of: • Strength • Power • Endurance • Agility • Balance • Co-ordination • Proprioception • Speed • Speed Endurance • Acceleration

  16. 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.

  17. EXERCISE SCIENCE/FITNESS AND CONDITIONING EDUCATION AND TRAINING • “WINDOWS OF OPPORTUNITY” • THERE ARE DEFINED DEVELOPMENT WINDOWS OF OPPORTUNITY

  18. 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

  19. EDUCATION OF THE “PAYMASTERS” AND “CONTROLLERS”

  20. “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!!!

  21. “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

  22. “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

  23. Players are Assets Fewer Players available Fewer Assets Reduced Performance Pressure on Manager and Squad Points Achieved League Position Fans, Chairman Directors Unhappy Reduced Results Finances through gate Sponsorship Opportunities THE IMPORTANCE OF MEDICINE AND SCIENCE

  24. 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”

  25. 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?

  26. MORE PLAYER MEASUREMENT / MONITORING / MAINTENANCE AND DEVELOPMENT • SPEED • STRENGTH • ENDURANCE • POWER • GPS SYSTEM • PROZONE

  27. 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

  28. AUDITING INJURIES MONTHLY DISTRIBUTION OF INJURIES

  29. AUDITING INJURIES NATURE OF INJURIES • Strains, sprains and contusions represent 69% of all injuries • 81% of thigh injuries were muscular strains • Over 12% of all injuries are hamstring strains

  30. AUDITING INJURIES RE-INJURIES • 7% of injuries were re-injuries • 48% strains, 18% sprains • Re-injuries = 25 days missed compared to 19 days for the initial injury • A significant no. injuries were followed by injuries to the same locality

  31. % of Injuries Time (minutes) AUDITING INJURIES TIME OF MATCH INJURIES

  32. 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.

  33. 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?

  34. 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

  35. 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

  36. THANK-YOU

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