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Injury Prevention in the GAA Dr Clare Lodge MISCP, DPT. 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 - PowerPoint PPT Presentation
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Injury Prevention in the GAA
Dr Clare Lodge MISCP, DPT
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 gr
oin
Thigh
kn
eeAn
kle calf
Foot+
toes
Upper/
other
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”PlayersMental Health
Training loadNutritionHydration
Action – PEP Program (2)
Prevent Injury Enhance Performance
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
Thankyou
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/