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Lluís Til Sports Medicine & Orthopedics FCBarcelona
Olympic Training Center (CAR) Consorci Sanitari de Terrassa (CST)
Football Club Barcelona Injury Study
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1. IntroducFon why
2. ObjecFve what
3. Method how
4. Results
5. Conclusions
6. Messages
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1. IntroducFon
• To know what are the most common and the most serious injuries that our athletes suffer is the first step to improve our medical resources to treat and prevent them
• In view of the frequency of injury, the resulFng costs and not least the personal suffering of the injured players, we are focused in sports injury study
• FCBarcelona wants to share its experience to improve the athletes health
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2012-2013 CENSUS SUMMARY
Sports Sections Athletes Staff TOTAL people CATEGORIES TEAMS ATHLETICS 210 7 217 18 18 BASKETBALL 170 37 207 14 16 WHEELCHAIR BASKETBALL 13 4 17 1 1 BASEBALL 107 16 123 6 7 FOOTBALL 283 42 325 12 17 Female FOOTBALL 75 17 92 4 4 FUTSAL 146 36 182 6 12 HANDBALL 80 27 107 3 5 ICE HOCKEY 130 7 137 6 6 FIELD HOCKEY 95 10 105 6 6 ROLLER HOCKEY 36 15 51 4 5 FIGURE SKATING & ICE DANCE 79 7 86 8 7 RUGBY 206 20 226 7 8 VOLLEYBALL 59 9 68 4 4 Female VOLLEYBALL 24 -‐ 24 2 2
14 1713 254 1967 101 118
More than 4,000 matches a year.
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FINANCIAL DATA:
2012/2013 BUDGET 6,8200,000 Euros 1.5% total
90% Expenditures for services and salaries
HUMAN RESOURCES
Structural
20 Physicians Sports medicine, Orthopedics, Cardiology,
26 Physiotherapists -‐ Qualified nurses Physiotherapy, Nursing, Osteopathy, RecuperaFon
Chiropodist 1
Youth football physiotherapists (matches) 16/20
SERVICES
HR – Match days at Camp Nou 17/30
HR – Weekend coverage 20/25 matches
As we work in an internal and external network: trainers, coaches, external health providers…
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2. ObjecFves
• To quanFfy workload
• To compare the injury incidence with others databases
• To know wich are the most common and most severe injuries for each sport and age
• Quality control
It will allow us to develop appropiate prevenFon programs
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• 1713 athletes we take care.
• 20 Physicians ad 26 physiotherapist who work as a Service, sharing experiences, protocols ,…
• Working in a network is the easier way for us • In each team • In the sports medicine group • With external colleagues, friends and insFtuFons from everywhere
• The FCB interest in sports medicine
• Excellent sport Fme
To improve the knowledge in sports medicine is the only
opFon
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3. Methods Shared external databases
– Standarized collecFon data method
– The UCL study allows to compare the injury epidemiology between similar elite teams and it shows how has been the evoluFon along the seasons at each team
– Different medical staffs maybe record the data with some differences between them
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3. Methods
Shared external databases
– The less injuries the team has got, more opFons it has to get a good ressult
Liga Liga Liga Liga Liga Cup Cup
1 1 3 6 1 0 0 0 2
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3. Methods Interal database (GEM)
– 5 seasons 2008/09 to 2012/13 – Less homogenous in sports, more
consistent in collecFon data
– Players: 4260: • 682 (16.0 %) football
• 3578 (84.0 %) no football
– Age: 17 y.o
• OSICS 1st & 2nd leler • Same injury definiFon (Fme loss)
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4. Medical assistance per athlete per year
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4. Results by month
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4. Medical assistance per athlete per year
Anual rate of medical assistance 0.79 / player * year (0-‐16)
Anual rate of sport injury (Fme loss)0.39 / player * year (0-‐8)
Medical assistance per athlete*year 38.4 % (3711/9670)
Sports injury per athlete*year 26.6 % (2569/9670)
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4. Medical assistance per athlete per year
4. Sports injury per athlete per year
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4. Sports injury per athlete per year
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4. Sports injury per athlete per year
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4. Sport injury per athlete per year
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4. Sports injury per athlete per year (sports)
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4. Medical assistance and Sports injury per athlete per year
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4. Medical assistance and Sports injury per athlete per year in some sports
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4. Severity of injury and age
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4. Severity of injury and month
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4. Severity of injury and sport
B
F H
R FF
F H
F
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4. Severity of injury and sport
B
F H
R FF
F H
F
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4. Site of sports injury
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4. Site of sports injury & age
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4. Site of sports injury & age
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4. Site of sports injury & season
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4. Site of sports injury & sport
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4. Site of sports injury & sport
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4. Site of sports injury & severity
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4. Type of sports injury
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4. Type of sports injury & age
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4. Type of sports injury & season
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4. Site of sports injury & sport
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4. Type of sports injury & severity
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5. Conclusions
• Our athletes are so young 17 y.o ( 8-‐42)
• Every athlete in FCB has a rate of Medical assistance 0,79 /season and a rate of sports injury with Fme loss 0,39 /season
• The injury are distributed during the year with a bimodal distribuFon (like many illness)
• The data are so constant and consistent last 5 seasons
• The rates are diferents between ages and sports
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5. Conclusions
• The older athletes have more Fme loss injuries
• Basket & handball have less severe injuries (>28d) than football, it could be due than the players can return faster to play because the changes in compeFFon are unlimited
• The most frequent sites are Thigh, knee and ankle
• The most frequent types are muscles, joint and tendon
• The apophysiFs appear in young football players
• The types and the sites of the injury show different tendencies in each sport
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5. Message
• The injury incidence is constant in FCBarcelona • Our interest areas are Thigh muscles, knee, ankle, patellar and Achilles
tendon • To improve our data we need to collect the exposure to train and
compeFFon • We must conFnue analyzing data to understand some links between
injuries • More deeper analysis of risk factors are been done in some teams ( u-‐19
and Female football teams)
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Lluis Til Mauricio Monaco Ramon Canal Bruno Montoro
Football Club Barcelona Injury Study