INJURY PREVENTION FOOTBALL
severe, overuse and overall injuries was reduced, in support of structured warm-up programmes for prevention of injuries in young female football players (50).
CONCLUSIONS The growth and popularity of the sport of football is unprecedented. It infiltrates nearly every community in a global fashion. The benefits of sport participation are numerous, and far outweigh the risks. However, the likelihood of incurring a football-related injury should not be underestimated. As clinicians, it is integral to our collective ethos to recognise the risks associated with the game of football and to profess the merits of prevention protocols like those in the peer- reviewed literature. These interventions may successfully and significantly reduce the incidence of football-related injuries. Researchers will continue to seek new ways of improving the quality and efficacy of these prevention programmes within each sporting community, and recognise and embrace the need for further randomised controlled trials to further elucidate the epidemiology, aetiology and ultimately the prevention of sports-related injury.
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RESOURCES FIFA F–Marc: The F-MARC programme is committed to reducing the incidence of injuries and complaints caused by football, as well as to promoting football as a health- enhancing leisure activity. See
www.fifa.com/aboutfifa/developing/medical/the11/ n Santa Monica Orthopaedic Group and Sports Medicine Research Foundation: Their PEP Programme was designed to address the neuromuscular deficits most commonly associated with female football players. See
www.aclprevent.com n Stop Sports Injury Campaign: There is a growing epidemic of preventable youth sports injuries that are dismantling the athletic hopes and dreams of children at an early age. In response, the STOP Sports Injuries campaign was created by a coalition of organizations and corporations to help prevent athletic overuse and trauma injuries in children.
www.stopsportsinjuries.org
THE AUTHOR Holly J. Silvers MPT is a board certified physical therapist specialising in sports orthopaedic rehabilitation in Santa Monica, CA. Currently, she is the director of research at the Santa Monica Orthopaedic and Sports Medicine Research Foundation with a primary focus on ACL prevention, articular cartilage injury prevention and rehabilitation, sports hernia prevention and head injury prevention in athletes. She is a current member of USA Soccer Federations Men’s and Women’s National Medical Team, a member of FIFA’s F-Marc Medical Research Committee, and a member of the International Cartilage Research Society’s Rehabilitation Committee. She is also the spokesperson for the American Physical Therapy Association’s taskforce on ACL Prevention, the director of rehabilitation for Major League Soccer’s Chivas USA, the Los Angeles Galaxy, and the Amgen Tour of California pro-tour cycling race. She also presides on the editorial board of the British Journal of Sports Medicine and has published several peer-reviewed articles on the prevention of ACL injury and epidemiology, sports hernia, articular cartilage injury and patellofemoral disorders.
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TEST YOUR LEARNING
n Have you read the current literature on injury prevention in sport? If so, how have you implemented this knowledge into your current clinical practice? n How do you interact with an athlete who is attempting to return to sport from a significant injury? Do you advise him or her about injury prevention before fully clearing them for return to play?
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n Animation showing the stabilising function of the ACL in the knee
n YouTube video giving an overview of the role of the ligaments in the knee
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