Hey Coach! I m Injured! Top 10 Injuries To Recognize Brent George, MPT CEO G4 Athlete WIAA, Yakima July 27, 2013
Contents 3.The front lines 12...The reality 14...The sports we play 18...The epidemic 29...It s in your hands WIAA, Yakima July 27, 2013 2
The front lines WIAA, Yakima July 27, 2013 3
Coaches, you are on the front lines. Our athletes are sustaining injuries at an alarming rate. A healthy athlete is a measure of success on all fronts Understand, recognize and plan/prevent for the top injuries in your sport WIAA, Yakima July 27, 2013 4
The front lines we ve all seen it happen WIAA, Yakima July 27, 2013 5
The front lines a lost season WIAA, Yakima July 27, 2013 6
The front lines players out when it matters WIAA, Yakima July 27, 2013 7
The front lines overextending WIAA, Yakima July 27, 2013 8
The front lines wear and tear WIAA, Yakima July 27, 2013 9
The front lines seen this before? WIAA, Yakima July 27, 2013 10
The front lines aggressive play WIAA, Yakima July 27, 2013 11
WIAA, Yakima July 27, 2013 12 The reality
The reality 35 million youth participating in athletics per year 1:6,000 will play in NFL 1:10,000 will play in NBA 1:90 will play Division 1 WIAA, Yakima July 27, 2013 13
The sports we play WIAA, Yakima July 27, 2013 14
The sports we play the big 5 for WA 21,066 track & field 19,424 playing football 17,856 playing basketball 17,423 playing soccer 10,866 playing tennis more than 30 sports offered in U.S. schools WIAA, Yakima July 27, 2013 15
The sports we play the big 5 for the U.S. Football Basketball Track & Field Baseball Soccer WIAA, Yakima July 27, 2013 16
The sports we play fastest growing sport? Lacrosse: 218% increase since 2001 WIAA, Yakima July 27, 2013 17
The epidemic WIAA, Yakima July 27, 2013 18
The epidemic Over 2 million reported injuries per year 8, 000 youth E.R. visits daily for sport injury E.R. visits highest among rural settings 62% injuries occur in practice settings 42% U.S. high schools with ATC s 34% WA high schools with ATC coverage $49,192,781,832 cost for these injuries/yr WIAA, Yakima July 27, 2013 19
The epidemic injury defined 1. Any physical damage to the structure or function of the body caused by an outside agent or force which may be physical or chemical 2. A pathological disturbance WIAA, Yakima July 27, 2013 20
The epidemic types of injury Sprain: A stretch or tear of ligamentous tissue (the fibrous connective tissue that connects bone to bone). Ankle most common Strain: A stretch or tear of muscle or tendon. Each sprain/strain are graded; 1-3 (mild-severe) Tendonitis: Inflammation of a tendon. Causes pain outside the joint and associated with activation of that tissue. Can lead to rupture. (i.e.) Tennis Elbow, Jumper s Knee, Rotator Cuff, and Achilles WIAA, Yakima July 27, 2013 21
The epidemic types of injury cont d Shin Splints or Medial Tibial Stress Syndrome: Inflammation to the tissues surrounding the tibia, typically on the medial side (inside of lower leg). Can lead to stress fractures or compartment syndrome if not addressed Plantar Fasciitis: Inflammation of the thick band of tissue connecting the heel to the toes. Can feel like heel pain, arch pain, tearing or searing pain WIAA, Yakima July 27, 2013 22
The epidemic types of injury cont d Contusion: Injury to tissue, without breaking the skin, resulting in damage to blood vessels. This leads to bruising and can be significant leading to loss of motion or function Concussion: A mild, traumatic brain injury. Each is unique and can alter brain function. Reported up to 4 million cases/yr. WHEN IN DOUBT, SIT THEM OUT WIAA, Yakima July 27, 2013 23
The epidemic types of injury cont d Heat Illness: Overexertion that can lead to heat rash, cramping, heat exhaustion and heat stroke where the body s temp. > 106. Dangerous and can lead to brain injury or death Apophysitis: Inflammation at boney tubercle; Osgood-Schlatter s, Sever s Disease are examples WIAA, Yakima July 27, 2013 24
The epidemic types of injury cont d Overuse: Any repetitive overload or prolonged stress to a musculotendinous unit or joint structure resulting in fatigue of connective or contractile tissues. The result of overuse = everything above WIAA, Yakima July 27, 2013 25
The epidemic diving deeper WIAA, Yakima July 27, 2013 26
The epidemic diving deeper WIAA, Yakima July 27, 2013 27
The epidemic diving deeper WIAA, Yakima July 27, 2013 28
WIAA, Yakima July 27, 2013 29 It s in your hands
It s in your hands Overuse injuries = 50% of all sport injuries CDC: 50% youth sport injuries preventable 3.5 million of our kids receive medical treatment for sports injuries each year WIAA, Yakima July 27, 2013 30
It s in your hands stages of injury Stage 1: Pain after sport, but no functional impairment with daily activities Stage 2: Pain during/after sport with minimal functional impairment with daily activities Stage 3: Pain during/after sport, persists throughout day with significant functional impairment Stage 4: Significant functional impairment with all sport and daily activities. Unable to perform sport WIAA, Yakima July 27, 2013 31
It s in your hands signs to look for Joint or muscle pain Limping, loss of range of motion Swelling, warmth or redness at injury site Loss of power, speed or coordination Notable body compensation or protection Numbness or tingling in limb or joint Dizziness, confusion, or nausea WIAA, Yakima July 27, 2013 32
It s in your hands immediate steps Always be aware, head on a swivel Educate yourself and your staff Have an emergency action plan in place Have a list of medical providers at hand Keep a stocked first aid kit ready Have ice and bags readily available Have emergency numbers for all athletes WIAA, Yakima July 27, 2013 33
It s in your hands safe steps With all acute injuries, think P.R.I.C.E. Protection: Stop activity, remove from play Rest: Alter movement until diagnosed Ice: For first 48 hrs.; 15-20 min. on the hr. Compression: Use with ice and ADL s Elevation: During ice/compression/rest WIAA, Yakima July 27, 2013 34
It s in your hands the key? PREVENTION! BE PREPARED COACH! WIAA, Yakima July 27, 2013 35
It s in your hands be sure to Be mentally prepared; you and your team! Have team have pre-season physicals! Establish medical care/contacts! Have emergency action plans in place! Rest! Hydrate! Talk nutrition! Get your players ready to have FUN! WIAA, Yakima July 27, 2013 36
WIAA, Yakima July 27, 2013 37 Thank you coaches!
Thank you coaches! YOU ARE ON THE FRONT LINES THANK YOU FOR ALL YOU DO! WIAA, Yakima July 27, 2013 38
Hey Coach! I m Injured! Top 10 Injuries To Recognize Brent George, MPT CEO G4 Athlete www.g4athlete.com 206.518.9405 WIAA, Yakima July 27, 2013