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The Cost of Injury
Psychological – Self / Family/ Team
Financial – personally/ club/ county board
Health – long term
“Ouch!” – 13 of the worst injuries suffered by GAA players in 2013
http://thescore.thejournal.ie/colm-oneill-cruciate-injury-2014-1215104-Dec2013/
Incidence of Injury
•Over the 4 seasons estimated that there will be 1.19 injuries per player. (1)•Injuries 15 x more common during matches than training
69%
29%
InjuredInjury free
Classification of Injury (1)
32%
50%
17%
Type of Injury
ContactNoncontactunspecified
Non contact incorporated the following mechanisms:
Sprinting Turning Landing Kicking
Distribution of injury
72 % of all injuries occur to the lower limb g
roin
Thig
h
knee
Ankle
calf
Foot
+to
es
Upper
/oth
er
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
35.00%
9.40%
33.30%
11.30%10.00%
5.20%2.80%
28.20%
Type of tissue + time lost
M/s tendon52.80%
ligament
Bone 19.7 •Muscle injury
25.3 •Ligament Injury
32.4 •Tendon Injury
The bigger picture
Player Well being
Flexibility
StrengthConditioning
“At Risk”Players
Mental Health
Training load
NutritionHydration
PEP Goals
Avoid vulnerable positions
Increase flexibility
Increase Strength
Include Plyometrics
Include Proprioception
+Agilities
Incorporate PEP program into training
www.learning.gaa.ie/node/268653
~You may need to work on specific areas of the Program
www.learning.gaa.ie/node/268683
Does it Work ? Other studies (3),(4) implemented various programmes incorporating a
combination of the PEP program concepts and results are promising.
74%- 89% decrease in lower limb injury incidence Noncontact injuries decreased by 1/3. Re-occurence of lower limb injury was 5x more likely in the control
groups. 6-8 weeks required for the Program to have neuromuscular effect Emphasis on technique:
- landing softly on the forefoot engaging hip and knee flexion + avoid knee collapsing inward
- Deceleration techniques
Key Points
Consider + incorporate PEP components into training
Avoid poor techniques + vulnerable positions Increase Flexibility Increase Strength Include Plyometrics Include Agilities and Proprioception
Identify “at risk” players - Previous Incidence of Injury is the best predictor of reinjury!
• Educate
• Increase awareness
• Demonstrate and reassess
• Individualise when necessary
• Modify for age
References
(1) Murphy J, O’Malley E, Gissane C, Blake C (2012)American Journal of Sports Medicine , vol. 40, No.9
(2) Silvers H, Mandelbaum B (2011)SportOrtho Trauma 27, 18-26
(3) Alentorn-Geli E, Myer G, Silvers H, Samitier G (2009)Prevention of non contact ACL injuries in Athletes : A review of prevention programs aimed at modifying risk factors and reducing injury rates.Knee surgery and sports traumatology 17:859-879
(4) Griffin E, Letha Y (2003)Clinical Orthopaedics and Related Research vol. 409; 53-60
www.learning.gaa.ie/node/268653http://thescore.thejournal.ie/colm-oneill-cruciate-injury-2014-1215104-Dec2013/