Guilford Soccer Injury Meeting

Ivo Wesseling, MAT, ATC, LATAthletic Trainer since 2003

Agenda

• Commonly seen injuries• Acute management of injuries• Identifying when advanced care is needed• Knee injury prevention• Concussion Management

Common Soccer Injuries

• Data shows between 67%-70% soccer injuries are lower extremity- ankle injuries- knee injuries- contusions- muscle strains

Ankle Injury

Gregory Coupet ankle injury

Ankle

Knee Injury

Jonathan Reis Knee Injury

Knee

Injury Differences

• Sprain- injury involving the ligaments - stretching/tearing - does not return to original state- swelling and bruising immediate

• Strain- injury involving muscles or tendons- stretching/tearing- can return to original state- swelling and bruising delayed at times

Acute Injury Management• R.I.C.E

- Rest, Ice, Compression, Elevation- 15min ice, 45min no ice (no chemical ice preferred)- NO HEAT FIRST 72hrs

• When to seek advanced care- Deformity (compared to the other side)- Immediate (profuse) swelling- Unable to move affected limb- Unable to bear weight- Increased pain with ice application- Uncontrollable bleeding- Out of character pain

Chronic Injury Management

• Injuries that fall under chronic- tendonitis, bursitis, “shin splints”, patellar-related pain

• Rest, Ice (before and after activity)• Heat before activity, Ice after• When to seek advanced care

- No decrease in symptoms - Rest does not help

How To Recognize an Injury

• Obvious signs: limping, awkward limb position• Out-of-character behavior• Collision/Contact that was severe

Knee Injury Prevention

• Programs are effective• www.aclprevent.com

- Santa Monica based prevention program

- program takes about 15minutes

Concussion• Public Act 10-62, "An Act Concerning Student Athletes and

Concussions.'' - Anyone who has a coaching permit issued by the State Board of Education and who coaches intramural or interscholastic athletics must be trained in how to recognize and respond to head injuries and concussions. - A coach must take a student athlete out of any interscholastic or intramural game or practice if the athlete (1) shows signs of having suffered a concussion after an observed or suspected blow to the head or body or (2) is diagnosed with a concussion. The coach must keep the athlete out of any game or practice until the athlete has received written clearance to return to the game or practice from a licensed medical professional.

Concussion sustained

Burdisso Head InjuryDavid Villa Head Injury

What is a Concussion?

• Why is everyone talking about it?• Why are they so dangerous?• Are there different types of concussions?• Mechanism of injury

- contact to the head- head hits the ground (cervical injury)

Concussion Symptoms

• Headache• Dizziness• Nausea• Balancing problems• Disoriented behavior• Sensitivity to light• Loss of Consciousness

When to seek advanced care?

• Any time a concussion is suspected visit a licensed medical professional

• Any time there is loss of consciousness - immediate transportation to ER

Questions?