Youth Soccer
Anthony Beutler, MDMajor, USAF, MC
Chief, Injury Prevention Research LaboratoryUniformed Services University, Bethesda MD
Youth Soccer
Anthony Beutler, MDMajor, USAF, MC
Department of Family Medicine, USU
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
Your Chance to be Sports Doc
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How About This One?
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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
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
Greatest risk in High School and College Higher % risk in girls Higher # of injuries in boys
Common & Severe: ACL (Anterior Cruciate Ligament) 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
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
Arthritis Risk: No Surgery: >90% in 20 years “Good” Surgery: >90% in 20 years
Overview
The Spectrum of Soccer Injuries Are Soccer Injuries a Problem? What We “Know” About Injury
Prevention What’s Next in Injury Prevention
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
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
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
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
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
• Pfieffer - 2006 • No Change in Injury• Female High School Soccer, Basketball, and Volleyball Athletes
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
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?
• 20 Teams from North Carolina - TUSA• Triangle United Soccer, Chapel Hill
• 20 Teams from Maryland - MSI & NCSL
• 20 Teams from North Carolina - TUSA• Triangle United Soccer, Chapel Hill
• 20 Teams from Maryland - MSI & NCSL
Movement Assessment Jump Landing Two Legged Squats One Legged Squats
PreseasonPreseason
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Exercise “Warm-Up” Program Tailored Program Generalized Program Placebo (Mouthguard) Program
In-seasonIn-season
Injury Monitoring Injury Monitoring
Post-Season Assessment Improvement overall score Improvement individual deficits Not just injury prevention - but injury
screening
PostseasonPostseason
Pre-Season
Future of Injury Prevention: Why Injury Screening?
Post-Season
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Post-Season scores are better than Pre-Season scores
Gains mostly retained between Spring & Fall seasons
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?
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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
Questions?Questions?Youth SoccerYouth Soccer
Injury PreventionInjury PreventionAnthony Beutler, MDAnthony Beutler, MD
[email protected] Chief, Injury Prevention Research LabChief, Injury Prevention Research Lab
Uniformed Services UniversityUniformed Services University
In collaboration with:Darin Padua, Ph.D, ATCAssociate DirectorSports Medicine Research Laboratory
Steve Marshall, Ph.DAssociate ProfessorInjury Prevention Research Center
In collaboration with:Darin Padua, Ph.D, ATCAssociate DirectorSports Medicine Research Laboratory
Steve Marshall, Ph.DAssociate ProfessorInjury Prevention Research Center
Lindsay DiStefano, MA, ATCDoctoral StudentSports Medicine Research Laboratory
Michelle Boling, MS, ATCDoctoral StudentSports Medicine Research Laboratory
Lindsay DiStefano, MA, ATCDoctoral StudentSports Medicine Research Laboratory
Michelle Boling, MS, ATCDoctoral StudentSports Medicine Research Laboratory
University of North Carolina, Chapel HillUniversity of North Carolina, Chapel Hill