1. Adolescent Injury Prevention and Management Danny Low Physiotherapist Hoppers Crossing Physiotherapy Centre 171 Heaths Road Hoppers Crossing

2. Causes of Injury External forces External forces Internal Forces Internal Forces Overuse Overuse Unexpected Forces Unexpected Forces

3. Anatomical Terms Ligament Ligament Muscle (myo) Muscle (myo) Joint (arthro) Joint (arthro) Tendon (tendo) Tendon (tendo) Cartilage (chondro) Cartilage (chondro) Bone (osteo) Bone (osteo)

4. Pathology Terms Tear – muscle, tendon, ligament Tear – muscle, tendon, ligament Sprain - joint Sprain - joint Strain - muscle Strain - muscle Haematoma - bleeding Haematoma - bleeding Fracture - bone Fracture - bone Dislocation - joint Dislocation - joint Subluxation - joint Subluxation - joint

5. ‘Itis’ (Inflammation of) Tendonitis ?? Tendonitis ?? Arthritis Arthritis Neuritis Neuritis Myositis Myositis

6. Children and Adolescents Growth Spurts Growth Spurts Bone growth vs Muscle/tendon growth Bone growth vs Muscle/tendon growth Growth Plates Growth Plates Epiphysis Epiphysis

7. Injury Bleeding / Swelling Scar tissue Removal and Remodel Repair

8. S T O P S - top the injured athlete S - top the injured athlete T - alk to the injured athlete T - alk to the injured athlete O - bserve whilst talking O - bserve whilst talking P - revent further injury P - revent further injury

9. D R A B C D – angers – to yourself and player D – angers – to yourself and player R – esponse – consciousness R – esponse – consciousness A – irway A – irway B – reathing B – reathing C - irculation C - irculation

10. R I C E R=Rest I=Ice C=Compression E=Elevation

11. H=Heat A=Alcohol R=Return to Sport M=Massage

12. Physiotherapy Management RICE RICE DiagnosisTreatment Plan DiagnosisTreatment Plan Return to Sport Return to Sport

13. Prevention Warm up, Stretching?, Cool down Warm up, Stretching?, Cool down Development of Skills Development of Skills Fitness Fitness Rules of Game Rules of Game Facilities and Equipment Facilities and Equipment

14. Prevention Taping Taping Environmental Conditions Environmental Conditions Management of illness and injury Management of illness and injury Hygiene Hygiene Balance Competition Balance Competition

15. Training Errors Excessive Volume Excessive Volume Inadequate Recovery Inadequate Recovery Excessive Intensity Excessive Intensity Rapid Increase Rapid Increase Sudden Change Sudden Change Excessive Fatigue Excessive Fatigue Faulty Technique Faulty Technique Poor timing of activities Poor timing of activities

16. Injury Rehabilitation Be active in rehabilitation Be active in rehabilitation Provide alternatives Provide alternatives Bike Bike Boxing Boxing Core training Core training Swimming Swimming

17. ‘What can I do, I am only the coach?’ Accredited Sports trainers Accredited Sports trainers LIASE with Medical team LIASE with Medical team Rehabilitation and Training Rehabilitation and Training What are the options? What are the options? Coaches don’t treat Coaches don’t treat - medicos don’t coach Evaluation of Injuries Evaluation of Injuries

18. Questions