injuries in the young athete injury prevention symposium
TRANSCRIPT
INJURIES IN THE YOUNG ATHETEINJURY PREVENTION SYMPOSIUM
“The heightened intensity of training and competition among young athletes places them at increased risk for both acute and chronic injuries”
Why are children susceptible to injury? I. Developmental Factors
II. Varying athletic Ability
III. Unsupervised athletic activities
IV. Increase in intense training at younger ages and participation in multiple sports.
THE MIRACLE OF PUBERTY
NEISS National Electronic Injury Surveillance System Primary Purpose: Provide timely data on consumer product-
related injuries occurring in the U.S.A Data collected from 100 selected Emergency Departments
as a probability sample of all the 5,300 U.S. hospitals By Groupings eg. Sports and Recreational Equipment, Yard
and Garden Equipment(59,155 hand garden tool injuries 2009), Home Furnishings & Fixtures(246,733 ladder or stool injuries 2009)
NEISS 2009 SPORTS AND RECREATIONAL EQUIPMENT Basketball injuries: 501,251 Baseball and softball injuries: 286,708 Football injuries: 451,961 Soccer injuries: 208,214 Track and Field Activities, Equipment: 22,191 Racquet Sports: 32,529 Nonpowder Guns, BB’s Pellets: 22,630
KEY PLAYERS INJURY PREVENTION Medical staff- Team physician, athletic trainer, physical
therapist,
Coaches
Athlete
Parents
MEDICAL STAFF Injury Management Initial Diagnosis Define Treatment Plan Restore Normal Function after Healing of Injury Prevent Future Problems
Education
Communication
MEDICAL STAFFWhat is the goal?
Return to Play
Preserving the health of the athlete’s present and future
High rates of osteoarthritis after ACL reconstruction
Defining impact of injury on future medical problems
RETURNING TO SPORTSLengthen healing time if return from injury to soon
Never exercise the injured part if you have pain during rest
When pain stops at rest, start simple ROM exercises and progress to strengthening
Return gradually to sports specific training altering progression based on recurrent pain or swelling
Gradual increase sports intensity until back to preinjury level
COACHES What is your role? Educator Role model Encourager Mother or father figure
PARENTS
INJURY PREVENTION Always use proper body mechanics in sports involving
repetitive stress Listen to your body. Pain is the Good Lord’s warning sign Knee PWSMM Train for your sport Cross train for overall conditioning and to allow specific
muscles to rest
INJURY PREVENTION Prepare for you sport, both physically and mentally Weekend warrior syndrome eg. Summer before ninth grade Balance training with rest Wear and use proper gear for your sport Understand the rules and follow them Warm up slowly before activity esp in sports requiring quick ,
dynamic movements
LOWER EXTREMITY INJURIES Ankle Injuries
Knee injuries
Lower Back Injuries
ANTERIOR CRUCIATE LIGAMENT
ACL TEAR Devastating injury to knee
Most long term studies show OA in 60-70% of patients down the road after ACL injury despite “successful” surgical treatment and return to sports
ACL tears occurring at all ages even as young as 6 years of age
ACL PREVENTION
CONCUSSIONDefinition: Traumatic injury to the brain that alters mental status or causes other symptoms
CONCUSSIONRemember that a significant brain injury can occur without losing consciousness.
CONCUSSIONSYMPTOMSBalance problem
Difficulty communicating, concentrating Dizziness
Drowsiness
Fatigue
Feeling emotional
Feeling mentally foggy
Headache
Vomiting
CONCUSSIONSYMPTOMSIrritability
Memory difficulties
Nausea
Nervousness
Numbness or tingling
Sadness
Sensitivity to light or noise
Sleeping more than usual or difficulty falling asleep
CONCUSSION How do we prevent concussions? Better equipment eg. State of the Art Helmets Better treatment Avoid second impact syndrome Neuropsychological Testing
PREVENTING HEAT ILLNESS Ensure proper acclimatization at the beginning of the workout session
Evaluate weather condition for temperature, humidity, and sunlight
Schedule rest in the shade
Identify participants at particular risk
Hydrate before practice and competition
Have chilled fluids readily available at the practice site
PREVENTING HEAT ILLNESSES Enforce periodic drinking Never use water restriction as a form of discipline Discourage deliberate dehydration for weight loss Make appropriate clothing adjustments Schedule events to avoid peak hours of heat and sun Educate players and parents Record daily weights to ensure adequate rehydration
between practices
THANKS FOR YOUR ATTENTION