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FootballClub Barcelona Injury Study
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Lluís Til Sports Medicine & Orthopedics FCBarcelona
Olympic Training Center (CAR) Consorci Sanitari de Terrassa (CST)
Football Club Barcelona Injury Study
1. IntroducFon why
2. ObjecFve what
3. Method how
4. Results
5. Conclusions
6. Messages
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
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.
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…
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
• 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
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
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
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)
4. Medical assistance per athlete per year
4. Results by month
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)
4. Medical assistance per athlete per year
4. Sports injury per athlete per year
4. Sports injury per athlete per year
4. Sports injury per athlete per year
4. Sport injury per athlete per year
4. Sports injury per athlete per year (sports)
4. Medical assistance and Sports injury per athlete per year
4. Medical assistance and Sports injury per athlete per year in some sports
4. Severity of injury and age
4. Severity of injury and month
4. Severity of injury and sport
B
F H
R FF
F H
F
4. Severity of injury and sport
B
F H
R FF
F H
F
4. Site of sports injury
4. Site of sports injury & age
4. Site of sports injury & age
4. Site of sports injury & season
4. Site of sports injury & sport
4. Site of sports injury & sport
4. Site of sports injury & severity
4. Type of sports injury
4. Type of sports injury & age
4. Type of sports injury & season
4. Site of sports injury & sport
4. Type of sports injury & severity
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
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
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)
Lluis Til Mauricio Monaco Ramon Canal Bruno Montoro
Football Club Barcelona Injury Study
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