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

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  • Protecting our young AthletesMichael Hatzakis Jr. MD

    Rehab Options of Issaquah, WA(425) 394-1200

    Nancy Mitrano PTImpact Physical Therapy, Seattle, WA(425) 778-2325

  • IntroductionNo matter how much time is spent on injury prevention, sooner or later, injuries happen

    Acute or chronic

    Acute injuries, traumaChronic, repetitive, overuse activities

  • IntroductionGoal 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

  • OutlineStatistics and trendsTypes of injuriesCommon conditions and warning signsGeneral Paradigms of treatment/prevention

  • StatisticsCultural 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

  • Statistics30 mil youth participate in organized sports3.5 million injuries each yearAlmost one-third of all injuries incurred in childhood are sports-related injuriesMost common are sprains and strains.Sports and recreational activities comprise more than 21 percent of all traumatic brain injuries

  • Types of InjuriesSprain and StrainOveruse injuriesFracturesHead injuriesThoracic and abdominal injuriesHeat and environmental conditionsAggravations of health conditions

  • Survey of injury sitesHip Pain:

    Bursitis or gluteal strains, Either trauma or overuseRest, inflammation subsideInadequate abductor strengthStrengthen hip abductorsWeak and tight hip adductors and abductors associated with poor performance and higher injury rates, especial in soccer players (Hrysomallis 2009 J. Strength & Cond)Dont forget to stretch flexors

  • Survey of injury sitesKnee Pain

    Patellofemoral Syndrome (Runners Knee) (Chondromalacia)Pain behind the kneecap, walking, running, or sitting, worse when walking downhill, may have snapping, popping, or grinding in the kneeOveruse injury, plus, too tight quadsRest, stretch & strengthen, cross-train

  • Survey of injury sitesKnee Pain

    Patellar Tendonitis (Jumpers Knee can give rise to Osgood-Schlatters)Repetitive micotrauma results from the frequent use of the extensor mechanism (jumping) Rest, ice then stretch and strengthenInfrapatellar strap, develop strong thigh muscles

  • Survey of injury sitesKnee Pain:

    ACL Injuries: ACL prevents front-back motionInjuries occur, cutting, landing, stopping, side impactGirls 8x > boysHighest in basketball, volleyball and soccer

  • Survey of injury sitesKnee Pain

    ACL Injuries:Causes: weak quads: girls land with less knee flexion, more valgus (inward) stressDecrease H:Q muscle imbalanceDynamic Warm-up, Plyometrics/Jump Training, Speed and Agility Training, High Intensity Strength Training, Flexibility TrainingNeed to learn to absorb landing with entire limb, soft-landCross-train

  • Survey of injury sitesAnkle Pain

    Ankle Sprain: Grade I, II or III90% are lateral, inversion strain/sprains

  • Survey of injury sitesAnkle Pain

    Must seek medical attention ifInability 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 footCauses: tight calfs, weakness in stabilizersElastic wrap acutely to control inflammationPrevention: calf stretching, strengthening, ankle drills,

  • General ParadigmsEngage 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

  • General ParadigmsOveruse:Cross training using other muscle groups to manage or prevent overuseDo not chose same muscle group cross-training

    Ie., chose swimming for running athletes2-3 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.

  • General ParadigmsMake sure injured athletes have access to medical assessments:

    Team doctor assessmentEncourage 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

  • Thank YouMichael Hatzakis Jr MD

    Rehab Options of [email protected](425) 394-1200

    Nancy Mitrano PT

    Impact Physical Therapy(425) 778-2325