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RULE CHANGES TO REDUCE INJURIES IN THE AUSTRALIAN FOOTBALL LEAGUE

RULE CHANGES TO REDUCE INJURIES IN THE AUSTRALIAN FOOTBALL LEAGUE. John Orchard MD PhD FACSP FACSM FFSEM(UK) 2014 IOC Conference MONACO. Sports injuries are just injuries. There should be no fundamental difference between sports injury prevention and other forms of injury prevention.

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RULE CHANGES TO REDUCE INJURIES IN THE AUSTRALIAN FOOTBALL LEAGUE

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  1. RULE CHANGES TO REDUCE INJURIES IN THE AUSTRALIAN FOOTBALL LEAGUE John Orchard MD PhD FACSP FACSM FFSEM(UK) 2014 IOC Conference MONACO

  2. Sports injuries are just injuries • There should be no fundamental difference between sports injury prevention and other forms of injury prevention. • Like other injuries, sports injuries have reversible risk factors which can be changed.

  3. Knee PCL injuries – bigger but lesser • Can occur in sport with flexed knee hitting ground OR collision between players in mid-air (if player speed is fast enough). • Common in MCAs • Harder to reconstruct than ACLs but fortunately less likely to need it (although late patellofemoral overload)

  4. PCL injuries in Aussie Rules • At start of game & after each goal, play commences with a ruck duel at centre bounce • PCL injuries increased over 1998-2004 as ruckmen started to increase length of run-up to aid jump

  5. PCL injuries in Aussie Rules • Average of 3 PCL collision injuries in centre bounce ruck duels per year in AFL competition 1998-2004 • Reduced to less than one injury per year with centre circle rule limiting run-up of ruckmen.

  6. AFL INJURY PREVENTION • Some (but little) resistance to (1) centre circle rule to prevent ruck PCL injuries (2) reduced head & neck contact to prevent these injuries • High resistance to restriction of interchange to reduce soft tissue injuries – coaches & sports science staff want to maintain high levels of control over rotations

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