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Goals Tonight. Confirm common vision: Promote and improve educational based athletics for all WCPSS students Focus on minimizing risks and maximizing athletic performance through education Provide overview of WakeMed SportFit opportunities
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Goals Tonight Confirm common vision: Promote and improve educational based athletics for all WCPSS students Focus on minimizing risks and maximizing athletic performance through education Provide overview of WakeMed SportFit opportunities Explore your educational needs and how we can maximize this partnership Introduce a simple injury prevention program proven to reduce up to 50% of injuries and keep your players on the field
General Overview: We recognize WCAA is new and our desire to evolve this relationship to meet your needs We want to help coaches and athletes succeed
What we offer: resources, education and expertise Concussion Nutrition/hydration CPR and cardiac related care Injury Prevention Programs Treatment, rehab and SAFE return to sport
Why do we play sports? Sports are generally safe Benefits • Exercise • Social Development • Team Work Bone and muscle health Decreased obesity and diabetes
The “GOOD AND BAD” Problem • 45 million youth participate in organized sports • Young athletes are specializing in sports (and positions) at an earlier age, with one sport, year round participation. • Increased injuries due to: • increasing body mass supported by immature bones • suboptimal training, conditioning and equipment • failure to recognize early injuries • insufficient REST after injuries • OVERUSE INJURIES- account for half of all sports injuries Source: Centers for Disease Control and Safe Kids USA
Sports Injuries are Very Common Up to 19% of the ER visits are sports related Middle & High School athletics account for >2 million injuries annually 3-8 Xs more common in women
775,000 Children Under 15 Treated in Emergency Rooms for Sports Injuries Source: The National Electronic Injury Surveillance System
Knee injuries are INCREASING Each Year: Knee ligament injuries account for more than 30% of time lost3 • 45,000 female athletes <19 yo experience an Anterior Cruciate Ligament (ACL) injury
Young, active people typically need surgery Allows stable knee and return to sport (at 6 – 12 months) Many athletes never return to pre-injury functional status Prevents further injury: cartilage (70%) & meniscal tears (98%) Bach, AJSM 1995
How do ACL Injuries Occur? • In most cases (70%) • Non-Contact Injury (no collision) • Knee collapses into a “knock-knee” position (valgus) • Hip rotates inward (internal rotation) • Muscular imbalance
How can we prevent ACL injuries? We can train our muscles to resist: • Knee collapse into a “knock-knee” position (valgus) • Hip rotating inward • Muscular imbalance • Jump and land differently
Research: ACL Prevention Project* PEP Program Prevent Injury and Enhance Performance http://smsmf.org/smsf-programs/pep-program The Santa Monica Sports Medicine Research foundation Avoidance Flexibility Strengthening Plyometrics Agilities *Mandelbaum Am J Sports Med. 2005
Results From PEP Program Enrolled:1041 athletes 2 ACL tears Control: 1901 athletes 32 ACL’s Overall 88% reduction in ACL tears Mandelbaum Am J Sports Med. 2005
CDC/NCAA Randomized Controlled Trial*The PEP Program NCAA Division I Women’s soccer 61 teams enrolled Control: 833 athletes (no intervention) Enrolled: 561 athletes (performed intervention program) *Gilchrist, J. Am J Sports Med. 2008
Results of NCAA Study Gilchrist, J. Am J Sports Med. 2008
Results of NCAA Study (cont’d) Prevent Re-injury! Gilchrist, J. Am J Sports Med. 2008
INJURY PREVENTION IS POSSIBLE!! So why isn’t everyone already doing it??
Challenges with Prevention Programs Not enough time Not enough money Low Motivation Athletes adherence Lack of coaching role (education and time)
INJURY PREVENTION MADE SIMPLE11+ = comprehensive 20 minute injury prevention warm-up program Initial running exercises (8 minutes) Strength, plyometric, balance, & coordination (10 minutes) Final- speed running (2 minutes)
Injury Prevention Program Designed to reduce the most frequent athletic injuries: Ligament injuries (ACL, MCL) Muscles injuries of thigh (Quad and hamstring strains) Ankle sprains Overuse injuries
GOAL: Core-hip-Knee Control Poor leg control increases risk for injuries. Master in a controlled environment, translates to the field of play. DEFENSE MECHANISM Improves agility, power and performance
Research Confirms Success 93 Youth teams 1,892 female players Randomized- Intervention or Control (no intervention) Average age 15.4y Minimum 2x per week training 8 months intervention (2 seasons) Soligard T, et al., Brit Med Journal Dec, 2008
Proven Results - Injury Reductions Soligard T, et al., Brit Med Journal Dec, 2008
Key points to remember Not all sports injuries can be prevented, but most can be significantly reduced FIFA 11+ A clinically proven simple 20-minute warm-up program that prevents up to 50% of injuries No expensive equipment or gym membership required 11+ can be done anywhere, anytime, by anyone The IDEAL time: practice/training Goal: the “routine”
NEXT STEPS Confirm common goal Collaborate to minimize risks, maximize performance through education For success, we need to hear form you Bobby emailing a survey for greatest needs What works best? Large group sessions (coaches and staff) Individual team and/or parent sessions
THANK YOU FOR YOUR ATTENTION! “Success is not an accident. It is hard work, perseverance, learning, studying, sacrifice, and most of all, love of what you are doing or learning to do” - Pelé
References: 1. Mandelbaum BR, et al. Cartilage Issues in Football (Soccer): An Executive Summary of the Federation International de Football Association (FIFA) / International Cartilage Repair Society (ICRS) Initiative. Cartilage. 2012;3(Suppl. 1). 2. Bekkers JEJ, et al. Cartilage Repair in Football (Soccer) Athletes: What Evidence Leads to Which Treatment? A Critical Review of the Literature. Cartilage. 2012;3(Suppl. 1). 3. Hambly K, et al. Cartilage Issues in Football (Soccer): An Executive Summary of the Federation International de Football Association (FIFA) / International Cartilage Repair Society (ICRS) Initiative. Cartilage. 2012;3(Suppl. 1). 4. Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. September 29, 2006 / Vol. 55 / No. 38. 5. Renstrom P. et al. Non-contact ACL injuries in female athletes: an International Olympic Committee current concepts statement. Br. J Sports Med 2008; 426 394-412 6. Mandelbaum BR, et al. Cartilage Issues in Football (Soccer): An Executive Summary of the Federation International de Football Association (FIFA) / International Cartilage Repair Society (ICRS) Initiative. Cartilage. 2012;3(Suppl. 1). Sports Med 2008. 7. Soligard T, et al. A comprehensive warm-up programme to prevent injuries in female youth football : a cluster randomized controlled trial. BMJ Dec9, 2008. 8.,9. Lee HH, et al. Clinical and Basic Science of Cartilage Injury and Arthritis in the Football (Soccer) Athlete. Cartilage. 2012;3(Suppl. 1). 10,.11. Bekkers JEJ, et al. Cartilage Repair in Football (Soccer) Athletes: What Evidence Leads to Which Treatment? A Critical Review of the Literature. Cartilage. 2012;3(Suppl. 1). 12. http://www.medicinenet.com/dehydration/article.htm