1. Sports Injury Clinics – who needs them? Dr John A. MacLean Medical Director The National Stadium Sports Medicine Centre Hampden Park, Glasgow GP, Maryhill Health Centre, Glasgow. SALSC National Seminar 2005

2. Sports Medicine Centre or Sports Health &Injury Clinic? Are Sports Injury Clinics important? Potential risks in sport Nature of Sports Injury What expertise is available within a clinic? Sports Medicine Treatment The National Stadium Sports Medicine Centre

3. Are Sports Injury Clinics important?

4. Sports Medicine If we could give every individual the right amount of nourishment and exercise, not too little and not too much, we would have found the safest way to health. Hippocrates 377 B.C.

5. Exercise: more than just keeping fit Beneficial effects of exercise on fitness and sense of well being Physical:Muscle strength Mobility proprioception and balance Stamina Weight Control Recreational and Social Medical:Benefits of exercise in the prevention and treatment of disease.

6. Sport for all Means Injury for all

7. How well do existing services manage sports injuries? Facilities Waiting times Follow-up Continuity of care

8. Risks of Fatal Injury Sports participation carries certain risk. 160 fatalities/year in sport. 1.3% of all accidental deaths Wide range of sporting risks in individual sports. High risk sports equivalent to high risk occupations.

9. Risks of Non- Fatal Injury 20 million Sports injuries/yr. in GB 50% football related £1 billion cost of treatment/lost production Majority do not seek medical attention Sports injury clinics can provide appropriate advice/facilities and Medical/Rehabilitation services.

10. Nature of Sports Injury Increasing activity due to increasing public interest in health. Increased leisure time and availability of sporting activity 1960 - 1-2% all A&E attendance's 2000 - 10%

11. What expertise is available within a clinic? 1.Medical Examination : Screening and Pre-Season 2.General Medical Conditions 3.Diagnosis and Management of Injuries 4.Fitness Assessment and Training Schedules 5.Special Groups and Conditions 6.Sports Nutrition and Fluid Balance 7.First Aid Facilities at Venue and First Aid Training 8.Sports Psychology 9.Drugs in Sport

12. General medical conditions Cardiovascular Disease Sudden deathHypertension “Athletes Heart” Infection Respiratory disease esp. asthma Diabetes Exercise in children Sport & Exercise for disability athletes Exercise in arthritis and older age groups Overtraining Pregnancy, menstruation and anaemia Sports Nutrition and fluid and electrolyte balance and replacement Foreign travel

13. Cardiovascular Screening Why? –Case Histories How? –Questionnaire –Medical Examination –Cardiac Echo

14. Sports Nutrition Fluid requirements Nutritional requirements during training Pre-competition day nutritional requirements – preparation for sporting events Competition day meal Post-competition nutritional requirements Individual energy needs

15. DRUG USE AND ABUSE IN SPORT Sport allows a positive opportunity for achievement- but the greater the rewards the greater the pressure Place of “social drugs” Sportsmen as Role Models Drugs legislation is ever changing

16. Follow-on Care Initial REST followed by ACTIVE REST. continue active muscle conditioning e.g.. Hydrotherapy. CRYOTHERAPY continues during initial inflammatory phase. ELECTROTHERAPY - e.g. ultrasound. SUPPORT/TAPING All this is best provided by specialist staff

17. Follow-on Care Other treatment modalities Surgery as indicated Medicines Further Investigations Access to scanning and fast-track Consultant opinion Rehabilitation and Training Programme A structured rehab programme is the key When can I play again????

18. Sports First Aid Current level of provision What is the ideal? What should we do? –Best practice v recommendation v compulsion

19. Sports Medicine Treatment G.P. N.H.S. Referral: Orthopaedic Surgeon Physiotherapy Sports Council Clinics Private Sector The National Stadium Sports Medicine Centre

20. State of the art, purpose-built facility based within the new BT South Stand at Hampden Park. Run by an independent charitable trust. Direct access via an underground roadway directly into the Centre and on site parking.

21. The centre is multi-activity and our aim and ethos is to encourage all levels of sport and exercise participants to use the Centre’s facilities – from elite to recreational athletes and to include those who “just want to get a bit fitter” – who recognise the importance of activity as part of a healthy lifestyle. This ethos compliments our Well-person and Fitness assessment packages All have access to the full range of services and facilities

22. Centre Staff Full-time doctor 3 f/time and 4 p/t chartered physiotherapists with extensive experience in sport and activity – with an interest in health promotion through exercise. Sessional input from other Sports Medicine specialists and key University staff. Cardiology (including exercise prescription and rehabilitation) Sports Science Podiatry and Biomechanical Assessment Sports Psychology Sports Nutrition.

23. Centre Opening The Centre is open seven days each week This flexible opening allows clients to attend the centre at times which fit in with their own individual lifestyle and working hours.

24. Are Sports Injury Clinics important?

25. Why bother – what’s in it for us? Prevention – Cardiovascular and injury prevention screening. Sports First Aid. Injury treatment and rehabilitation. Further input – specialised advice and rehabilitation.

26. Why bother – what’s in it for us? It is now accepted by all of us involved with sport that we should achieve standards in: Organisation Coaching Facilities We are not doing the best for our athletes if we don’t include adequate standards of First Aid and Injury Treatment and rehabilitation.