EDUCATION - MEDICINE & PERFORMANCE

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THE ASSOCIATION BETWEEN PHYSICAL TESTING AND TRAINING OUTPUT ACROSS AN 8-WEEK TRAINING CYCLE AMONGST ELITE LEVEL SOCCER PLAYERS

MARCH 2019

A OWEN, L DJAOUI, B MENDES, S MALONE, O ATES

Professional soccer players at the elite level are placed under continual domestic, European and international competitive demands. Inadequate conditioning levels combined with limited recovery phases between matches induce significant stress and subsequent injury risk (Carling et al., 2012; Laux et al., 2015). Technical and physical coaching staff involved within the ph…

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NEUROGENIC HAMSTRING AND CALF PAIN IN FOOTBALL – WHEN IS A TEAR NOT A TEAR

FEBRUARY 2019

DR S PETRIDES MB BS DO DM-S MED DIP SPORTS MED PGCERT FFSEM (UK&I)

Hamstring and calf injuries or strains are one of the most difficult conditions to treat in sports medicine. They are especially common in footballers but also found in the general population due to an increase in activity levels. The aetiology behind hamstring and calf injuries continues to be confusing and inconclusive for both medical pra…

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GILMORES GROIN REVISITED

FEBRUARY 2019

S MARSH & R ROLF

With so many potential diagnoses, pathologies and treatment options, groin pain in athletes seems to get more and more complicated with every passing year! But, perhaps in our desire to understand groin pain in its entirety, we have lost site of the original, specific, clinical syndrome which has spawned so much discussion and generated so much confusion!

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NUTRITIONISTS IN ACADEMY FOOTBALL: A RECIPE FOR SUCCESS

FEBRUARY 2019

M RUSSELL – LEEDS TRINITY UNIVERSITY

To create a world leading Academy system that serves to provide more and better home grown players, the English Premier League initiated the Elite Player Performance Plan (EPPP) in 2012 [1,2]. This initiative sought to increase the coaching hours of English youth soccer players to better align to the amount delivered by European clubs and other British youth development programmes outside of football. Accordingly, when progressing from under 9 to under 21 age groups in the highest standards of classification, coaching hours rose from 3-12 to 4-16 h·player-1·week-1.

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THE OFFICIATING TEAM: MODERN CARE OF FOOTBALL REFEREES

FEBRUARY 2019
C CASTAGNA & M BIZZINI

A football match cannot kick off without the referee and their assistants to regulate the behaviour of the players and enforce the rules of the game. The last official FIFA survey (‘Big Count 2006’) revealed that there were approximately 900,000 registered referees and assistant referees worldwide, across all levels of football. Of these, about 90% are male and 10% female. There are also about 3400 registered international referees wearing the FIFA badge.

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THE EFFECT OF SLEEP ON HIGH SPEED RUNNING DURING A WEEKLY MICRO-CYCLE IN ELITE FEMALE SOCCER PLAYERS

FEBRUARY 2019


A Wiseman & G K Stebbings

The potential benefits of adequate sleep for increased recovery and performance in elite sport have been widely documented, however the effect of sleep on soccer match performance has been less reported, especially within female soccer. The aim of this study was to investigate the effect of sleep quality and quantity on match day high speed running (HSR) in elite female soccer players. 

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THE TEMPORAL PATTERN OF RECOVERY IN ECCENTRIC HAMSTRING STRENGTH POST-SOCCER SPECIFIC FATIGUE

JANUARY 2018


David Rhodes, Lars McNaughton, Matt Greig

ABSTRACT

Eccentric hamstring strength is an aetiological risk factor for soccer injury. The temporal pattern of recovery post-exercise is critical in injury management. 18 male professional soccer players completed baseline assessments of eccentric hamstring strength at isokinetic speeds of 60, 150 and 300°· s−1. Post SAFT90 measures were repeated immediately, + 24 hrs, + 48 hrs and + 72 hrs. …..

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THE (RETURN TO PLAY) THE TIMES THEY ARE A CHANGIN’

DECEMBER 2018

Markus Walder & Clare Ardern

FOUR EXAMPLES OF HOW DECISION-MAKING IS IMPROVING OUTCOMES FOR THE FOOTBALL PLAYER WITH ACL INJURY

There are just a few weeks remaining of the season’s football campaign. The match calendar is chock-a-block and your star player, with an expiring contract, tears his anterior cruciate ligament (ACL). Might this be a career-ending injury? Fast-forward a few months. The initia…

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A COMMONLY MISDIAGNOSED INJURY – LISFRANC FRACTURE DISLOCATION IN A PROFESSIONAL SOCCER PLAYER

DECEMBER 2018

Ashley Jones MSc; Rodger Wylde BSc & Richard Moss MSc

Lower limb injuries are common within professional sport and particularly in soccer, making up 65% of reported injuries in the 2014 FIFA World Cup [1]. Within these soccer injuries the incidence of fractures within the foot is less than 1% [2], with the Lisfranc injury category even less commonly observed making up only 0.2% of reported injuries [3]. With su…

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WHAT DO SPORTS MEDICINE PROFESSIONALS WORKING IN FOOTBALL NEED TO KNOW ABOUT SPORT PSYCHOLOGY?

NOVEMBER 2018

Dr Caroline Heaney, The Open University

Sport psychology and sports injury are undeniably linked – psychological factors have been shown to impact on both injury prevention and injury rehabilitation. Factors such as high stress levels can increase the risk of injury, whilst the occurrence of a sports injury can lead to several negative psychological reactions such as anger, frustration, fear, anxiety and depression…

Vivomed

THE SUPPLY OF MEDICINES TO SPORTS TEAMS

NOVEMBER 2018

RONI LENNON BSC, LEAD PHARMACIST AT VIVOMED

Recent headlines in the media highlighting perceived deficiencies in record keeping regarding the supply of medicines in professional sport would suggest that it would be an appropriate time to review procedures around the supply of medicines in the Club environment.

The Human Medicines Regulations came into force in August 2012 replacing much of the Medicines Act…

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ARE WE SQUEEZING THE LIFE OUT OF ADDUCTOR MONITORING?

NOVEMBER 2018

Gary Silk, 1st Team Physiotherapist, Leicester City FC

Hip and groin injuries are a common problem in Professional Football (1) due to the specific demands of match play and are typically difficult to both diagnose and manage. The most commonly injured being the Adductors, which have remained a constant burden over a 15 year period within elite level European football (2). Hip adductor strength is consistent throughout the li…

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CARDIAC SCREENING SAVES FOOTBALLERS’ LIVES – BUT CAN WE DO MORE

NOVEMBER 2018

David Oxborough

Sudden cardiac death in young football players is a worrying phenomenon, and, according to our latest study, it is also more common than previously thought.

For our study, published in the New England Journal of Medicine, we evaluated more than 11,000 football players, aged 15- 17, over a 20-year period. The data revealed a prevalence of sudden cardiac death of seven in 100,000 players – h…

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DECLINE IN MATCH RUNNING PERFORMANCE IN FOOTBALL IS AFFECTED BY AN INCREASE IN GAME INTERRUPTIONS

NOVEMBER 2018


Daniel Linke, Hendrik Weber, Martin Lames Lames1

This study quantified the contribution of game interruptions to the fatigue-related declines in match running performance over the course of a football match. Using a semi-automatic multiple camera system, the running activity of 792 individual German Bundesliga performances was divided into pre-defined 15-minute intervals and subsequently analysed under two prerequisi…

 

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THE BARCELONA WAY

NOVEMBER 2018

Damian Hughes

Last year Manchester City seemed to be light years ahead of the Premier League pack. Can they emulate that success or even improve upon it this season? Professor Damian Hughes, an expert in winning cultures has spent the past three years studying coach Pep Guardiola’s methods.

Here he gives an assessment of the man considered by many to be the greatest coach for a generation.

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IS PLANTAR LOADING ALTERED DURING REPEATED SPRINTS ON ARTIFICIAL TURF IN INTERNATIONAL FOOTBALL PLAYERS?

SEPTEMBER 2018

Olivier Girard, Grégoire P. Millet, Athol Thomson and Franck Brocherie

We compared fatigue-induced changes in plantar loading during the repeated anaerobic sprint test over two distinct distance intervals. Twelve international male football outfield players (Qatar Football Association) completed 6 × 35-m sprints (10 s of active recovery) on artificial turf with their football boots. Insole plantar pressure distribu…

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LISFRANC INJURIES IN WATERSPORTS

SEPTEMBER 2018

Nick Savva, Consultant Orthopaedic Foot & Ankle Surgeon

The most common problems encountered when on the water are sunburn, dehydration, cuts and bruises. Virtually every possible musculoskeletal injury has been reported during kite and windsurfing but I am going to focus on the lesser known, and potentially serious, Lisfranc injury. These are being recognised with increasing frequency in sports where the foot i…

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KEEPING YOUR FINGER ON THE PULSE

AUGUST 2018

Dr Jim Moxon – Liverpool FC Academy Doctor

This case report details a case of a pseudoaneurysm of the dorsalis pedis in an academy player at Liverpool FC. These types of vascular malformation are very rare, with only 30 cases ever reported in the literature (Maydew, 2006).

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MUSCULOSKELETAL ULTRASOUND: A SUMMARY OF ITS USES, LIMITATIONS AND TRAINING OPPORTUNITIES

AUGUST 2018

Stuart Wildman, BSC (HONS) MSC, PG CERT, PG DIP

The use of diagnostic musculoskeletal ultrasound is rapidly expanding, driven by increased awareness amongst medical and allied health professionals, improving technology and reducing ultrasound system costs. This article aims to provide you with a brief and hopefully informative summary of some of its uses, limitations and an insight into training opportunities.

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NORDIC HAMSTRING EXERCISE – HOW CAN WE MAKE IT WORK IN THE ELITE FOOTBALL ENVIRONMENT?

AUGUST 2018

Adam Johnson – First Team Performance Physiotherapist, BHAFC

We all know that the hamstrings are the most commonly occurring injury in elite football, with each twenty-five man squad suffering from an average of seven injuries per season (1). We also know that the problem is only getting worse with a 4% annual increase in training-related hamstring injuries (2) being reported over a thirteen year period. So why if we…

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WHY LONG TERM INJURY TO PLAYERS IS A MENTAL HEALTH PROBLEM

AUGUST 2018

Dr Misia Gervis

Long-term injury often poses a threat to a player’s mental health, as it is often the time of greatest psychological struggle. Watching from the side lines of the physio room, players can experience a whole range of psychological difficulties. However, the tried and tested method to support long-term injured players is through physiotherapy and physical rehabilitation. Rarely is an injury thought …

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HAND INJURIES IN GOALKEEPERS

JULY 2018

Sam Haines & Raj Bhatia

Football is one of the most popular world sports, with FIFA estimating there to be around 270 million active players(1). Injuries therefore are extremely commonplace, with evidence to show injury incidence is around 8 injuries/1000 hours(2). Owing to the feet being the most utilized body part in the sport,lower extremity injuries are common and count for around 80% of total injuries within…

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GREAT TOE PLANTAR PLATE INJURY

JULY 2018

Mr Ioan Tudur Jones

Plantar plate injuries of the great toe are thankfully not that commonly seen in football. They are much more common in rugby or American football. It is however important to be aware of how they happen, and how best to manage them. Missed injuries can be career threatening. As always an understanding of the anatomy simplifies the process.

Scott Pearce

GYM TO GRASS

MARCH 2018


SCOTT PEARCE

The role of a sports scientist in the mid stages of long term rehabilitation of an injured player.

In autumn’s edition I discussed the role of the sports scientist in the early stages of rehab and how a sports scientist can play a fundamental role in the rehabilitation process even at the onset of injury by showing emotional support, working with the physio’s/doctors and working around the i…

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ACADEMY V FIRST TEAM: WHICH PATH TO CHOOSE

MARCH 2018

ANDY RENSHAW

After completing a BSc (Hons) in Sport and Exercise Science in Sheffield, and some voluntary work experience at Sheffield United, I enrolled onto a part-time BSc (Hons) degree in Physiotherapy and started working voluntary at Manchester RUFC, who were then in rugby’s versionof the Championship. A friend of mine was the physio there and I spent a season observing and assisting physiotherapy provision an…

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ACADEMY V FIRST TEAM: WHICH PATH TO CHOOSE

MARCH 2018

ANDY RENSHAW

After completing a BSc (Hons) in Sport and Exercise Science in Sheffield, and some voluntary work experience at Sheffield United, I enrolled onto a part-time BSc (Hons) degree in Physiotherapy and started working voluntary at Manchester RUFC, who were then in rugby’s versionof the Championship. A friend of mine was the physio there and I spent a season observing and assisting physiotherapy provision an…

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SPORTS SCIENCE & MEDICINE PROVISION IN THE FIFTH TIER

MARCH 2018

MIKE HINE

We’ve all seen the wonderful provisions that the elite clubs’ sports science and medical staff have, via the internet and coverage on TV. Great, thousands of pounds spent on the most hi-tech equipment, number of backroom staff superseding the playing squad, unlimited resources but what are things like at the base of the football pyramid? Let me tell you, Sports Science and Medicine does actually exist d…

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WAIT, DON’T TELL ME: FACILITATING ORGANIC KNOWLEDGE GENERATION WITHIN PROFESSIONAL FOOTBALL

MARCH 2018

NEIL GIBSON

Sports medicine and sport science departments have grown exponentially in recent years; we don’t have to go back too long, and programmes such as the Premiership years are a stark reminder of this, to see only a handful of people occupying the touchline.

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THE PREVALENCE AND ASSOCIATED RISK FACTORS OF KNEE OSTEOARTHRITIS IN EX PROFESSIONAL FOOTBALLERS COMPARED TO GENERAL POPULATION CONTROLS

MARCH 2018

DR GWEN FERNANDES

Football is the world’s most popular team sport and there are over 265 million people who actively play the sport. It is estimated that there are 110,000 professional male footballers worldwide and over 26,000 in the UK specically. Professional football has a high injury rate and 17% of all injuries involve the knee.

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MEDICINES MANAGEMENT IN SPORT

MARCH 2018


STEVE SIMBLER  

Medicines are an important part of the healthcare provision in sports teams and organisations. Medicines Management is defined as, “The entire process by which medicines are selected, procured, delivered, prescribed, administered and reviewed to optimise the contribution they make to produce informed and desired outcomes of patient care”.  

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DOES THE STIGMA ATTACHED TO MENTAL HEALTH RESTRICT PROFESSIONAL FOOTBALLERS SEEKING PROFESSIONAL HELP WHILST STILL ACTIVELY PLAYING?

JANUARY 2018

JORDAN LUKE BROADBENT

Social stigma is often attached to mental illness. Mental illness is becoming more prevalent within young adults. Many studies have looked at the manifestation of mental illness within athletes.

Poor ankle mobility was outlined as a major contributing factor to injury in professional football. These injuries were recorded both at the ankle and higher up the kinetic chain. Joint flossin…

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DOES THE STIGMA ATTACHED TO MENTAL HEALTH RESTRICT PROFESSIONAL FOOTBALLERS SEEKING PROFESSIONAL HELP WHILST STILL ACTIVELY PLAYING?

JANUARY 2018

JORDAN LUKE BROADBENT

Social stigma is often attached to mental illness. Mental illness is becoming more prevalent within young adults. Many studies have looked at the manifestation of mental illness within athletes.

Poor ankle mobility was outlined as a major contributing factor to injury in professional football. These injuries were recorded both at the ankle and higher up the kinetic chain. Joint flossin…

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AN EXPLORATORY INVESTIGATION INTO PATTERNS OF TRAINING LOAD PRIOR TO NON-CONTACT INJURY IN ELITE YOUTH SOCCER PLAYERS

JANUARY 2018

R. WRIGLEY, C. BARNES & V. UNNITHAN

The aim of the study was to retrospectively examine the relationship between training load and injury incidence across the course of one competitive soccer season in elite youth soccer players.

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THE EFFECTS OF COPING INTERVENTIONS ON ABILITY TO PERFORM UNDER PRESSURE

JANUARY 2018


The ability to perform under pressure is necessary to achieve goals in various domains of life. We conducted a systematic review to synthesise findings from applied studies that focus on interventions developed to enhance an individual’s ability to cope under performance pressure. Following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines, a comprehensive search of five electronic databases was conducte…