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Youth Soccer. Injury Prevention. Anthony Beutler, MD Major, USAF, MC Chief, Injury Prevention Research Laboratory Uniformed Services University, Bethesda MD. Youth Soccer. Injury Prevention. Anthony Beutler, MD Major, USAF, MC Department of Family Medicine, USU. Overview. Objective.

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Youth soccer
Youth Soccer

Injury Prevention

Anthony Beutler, MD

Major, USAF, MC

Chief, Injury Prevention Research Laboratory

Uniformed Services University, Bethesda MD


Youth soccer1
Youth Soccer

Injury Prevention

Anthony Beutler, MD

Major, USAF, MC

Department of Family Medicine, USU


Overview
Overview

Objective

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




Overview1
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
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

Lower Extremity Injuries=70%


Common severe acl anterior cruciate ligament tear
Common & Severe:ACL (Anterior Cruciate Ligament) Tear

  • Greatest risk in High School and College

  • Higher % risk in girls

  • Higher # of injuries in boys


Bad news gets worse long term effects of acl tear
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 tear1

Prevention

is Key!!

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

  • Arthritis Risk:

    • No Surgery: >90% in 20 years

    • “Good” Surgery: >90% in 20 years


Overview2
Overview

The Spectrum of Soccer Injuries

Are Soccer Injuries a Problem?

What We “Know” About Injury Prevention

What’s Next in Injury Prevention


Looking at the man in the mirror what to change
Looking at the Man in the Mirror:What to Change?

  • Rules?

  • Braces?

  • Fields/Cleats?

  • Changing You!


Human movement change what we know about injury prevention
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 prevention1
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 prevention2
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 prevention3
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


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


Overview3
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
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


Preseason

  • Movement Assessment

    • Jump Landing

    • Two Legged Squats

    • One Legged Squats


In-season

  • Exercise “Warm-Up” Program

    • Tailored Program

    • Generalized Program

    • Placebo (Mouthguard) Program

Injury Monitoring


Postseason

  • Post-Season Assessment

    • Improvement overall score

    • Improvement individual deficits

    • Not just injury prevention - but injury screening


Future of injury prevention why injury screening
Future of Injury Prevention:Why Injury Screening?

  • Post-Season

  • Pre-Season


Future of injury prevention what have we learned
Future of Injury Prevention:What Have We Learned?

  • Post-Season scores are better than Pre-Season scores

  • Gains mostly retained between Spring & Fall seasons


Future of injury prevention what have we learned1
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?



Overview4
Overview

Objective

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 SoccerInjury Prevention

Anthony Beutler, MD

[email protected]

Chief, Injury Prevention Research Lab

Uniformed Services University

Lindsay DiStefano, MA, ATC

Doctoral Student

Sports Medicine Research Laboratory

Michelle Boling, MS, ATC

Doctoral Student

Sports Medicine Research Laboratory

In collaboration with:

Darin Padua, Ph.D, ATC

Associate Director

Sports Medicine Research Laboratory

Steve Marshall, Ph.D

Associate Professor

Injury Prevention Research Center

University of North Carolina, Chapel Hill


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