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Protecting our young Athletes

Protecting our young Athletes. Michael Hatzakis Jr. MD Rehab Options of Issaquah, WA (425) 394-1200 Nancy Mitrano PT Impact Physical Therapy, Seattle, WA (425) 778-2325. Introduction. No matter how much time is spent on injury prevention, sooner or later, injuries happen Acute or chronic

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Protecting our young Athletes

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  1. Protecting our young Athletes Michael Hatzakis Jr. MD Rehab Options of Issaquah, WA (425) 394-1200 Nancy Mitrano PT Impact Physical Therapy, Seattle, WA (425) 778-2325

  2. Introduction No matter how much time is spent on injury prevention, sooner or later, injuries happen Acute or chronic Acute injuries, trauma Chronic, repetitive, overuse activities

  3. Introduction • Goal of talk: • Help preparing pre-athletic programs to reduce preventable injuries and reduce disability • When an injury occurs, better able to quickly identify problem and formulate an expedient solution along with an individual prevention plan • Help devise support infrastructure in teams to handle prevention and injuries

  4. Outline Statistics and trends Types of injuries Common conditions and warning signs General Paradigms of treatment/prevention

  5. Statistics Cultural trends Significant increase in participation by young children, particularly females The most common injuries include sprains, muscle strains, bone & growth plate injuries, heat illnesses and repetitive motion injuries

  6. Statistics 30 mil youth participate in organized sports 3.5 million injuries each year Almost one-third of all injuries incurred in childhood are sports-related injuries Most common are sprains and strains. Sports and recreational activities comprise more than 21 percent of all traumatic brain injuries

  7. Types of Injuries Sprain and Strain Overuse injuries Fractures Head injuries Thoracic and abdominal injuries Heat and environmental conditions Aggravations of health conditions

  8. Survey of injury sites • Hip Pain: • Bursitis or gluteal strains, • Either trauma or overuse • Rest, inflammation subside • Inadequate abductor strength • Strengthen hip abductors • Weak and tight hip adductors and abductors associated with poor performance and higher injury rates, especial in soccer players (Hrysomallis 2009 J. Strength & Cond) • Don’t forget to stretch flexors

  9. Survey of injury sites • Knee Pain • Patellofemoral Syndrome (Runner’s Knee) (Chondromalacia) • Pain behind the kneecap, walking, running, or sitting, worse when walking downhill, may have snapping, popping, or grinding in the knee • Overuse injury, plus, too tight quads • Rest, stretch & strengthen, cross-train

  10. Survey of injury sites • Knee Pain • Patellar Tendonitis (Jumper’s Knee can give rise to Osgood-Schlatter’s) • Repetitive micotrauma results from the frequent use of the extensor mechanism (jumping) • Rest, ice then stretch and strengthen • Infrapatellar strap, develop strong thigh muscles

  11. Survey of injury sites • Knee Pain: • ACL Injuries: • ACL prevents front-back motion • Injuries occur, cutting, landing, stopping, side impact • Girls 8x > boys • Highest in basketball, volleyball and soccer

  12. Survey of injury sites • Knee Pain • ACL Injuries: • Causes: weak quads: girls land with less knee flexion, more valgus (inward) stress • Decrease H:Q muscle imbalance • Dynamic Warm-up, Plyometrics/Jump Training, Speed and Agility Training, High Intensity Strength Training, Flexibility Training • Need to learn to absorb landing with entire limb, “soft-land” • Cross-train

  13. Survey of injury sites • Ankle Pain • Ankle Sprain: Grade I, II or III • 90% are lateral, inversion strain/sprains

  14. Survey of injury sites • Ankle Pain • Must seek medical attention if • Inability to bear weight for >1 day, or symptoms do not improve x several days, or, numbness in toes persist, or, pain above the ankle or in the foot • Causes: tight calfs, weakness in stabilizers • Elastic wrap acutely to control inflammation • Prevention: calf stretching, strengthening, ankle drills,

  15. General Paradigms Engage in appropriate conditioning program for 6 weeks prior to beginning daily practice routine Appropriate warm-up/cool-down. Practices two hours or less to avoid overuse injuries and medical complications. Do not over-train Make time for stretching and specific stretching exercises. Be sure young athletes know it is important to you that they stretch and strengthen; they will take cues from you

  16. General Paradigms • Overuse: • Cross training using other muscle groups to manage or prevent overuse • Do not chose same muscle group cross-training • Ie., chose swimming for running athletes • 2-3 months per year break, with alternate conditioning • “The American Academy of Pediatrics has issued two policy statements on overuse injuries in three years, the latest in 2007.”

  17. General Paradigms • Make sure injured athletes have access to medical assessments: • “Team doctor” assessment • Encourage player to seek out primary doc or community sports medicine, orthopedist or physiatrist or, require evaluation note from player than an evaluation or treatment plan has occurred. Close relationship with physical therapy

  18. Thank You • Michael Hatzakis Jr MD • Rehab Options of Issaquah • info@Rehabissaquah.com • www.Rehabissaquah.com(425) 394-1200 • Nancy Mitrano PT • Impact Physical Therapy • (425) 778-2325

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