Incidence zrann u dt 7-12 let v esk republice vsledky 2012-2014

a preventivn program FIFA 11+dti

Doc MUDr. Ji Chomiak, CSc FIFA Medical Centre of Excellence

Ortopedick klinika 1. lkask fakulty UK a Nemocnice na Bulovce , Praha len lkask komise FIFA a FAR

Incidence zrann u dt pi fotbale ve vku 7-12 let ve vcarsku a esk republice

Dosud pouze kus informace o etnosti zrann u dt pi fotbale (odhady)

2012-2014 studie Zrann dt pi fotbale ve vcarsku (Basilej a okol) a v esk republice (Stediska mldee FAR)- sezny 2012-2014

Koordinace studie v R FIFA Med. Centre of Excellence Praha a FAR (Mgr.M. Blaej a Mgr. D. Fitzel)

Poskytnut on-line program pro pravidel zadvn dat o trninku/zpasu/neptomnosti/zrann hr pmo do serveru v Curychu (FIFA) informace jsou dvrn a pstupn pouze urenm lkam vzanm mlenlivost!!

Study cohort in Czech Republic

0

100

200

300

400

500

600

700

7/8

9/10

11/12

658

572

673

158 206 265

Season 2012/2013 Season 2013/2014

Seznam Tm ve studii

SEZNA 2012/2013 SEZNA 2013/23014

Bank Ostrava Brno Zbrojovka

Bohemians 1905 Hodonn

Brno Zbrojovka Jablonec

Beclav Karlovy Vary

esk Budjovice Karvin

Dukla Praha Liberec

FAV Pardubice

Hodonn Sigma Olomouc

Chrudim st n.L.

Jablonec Znojmo

Karlovy Vary Tatran Sedlany

Karvin

Liberec

Mlad Boleslav

Pardubice

Sigma Olomouc

Slavia Praha

Sokolov

Teplice

Tinec

st n.L.

Vlaim

Vykov

Zln

Znojmo

Tatran Sedlany

Injuries November 2012 June 2014 N - 177 injuries

Injury severity definition acc. to Absence from Training /Matches (Eckstrand 1983, Engstrom 1990, Arnason,1996 )

Mild (< 1 week) 48 (27%)

Moderate (1-4 weeks) 72 (31%)

Severe (>4 weeks)+ fx.- dislocations 57 (32%)

Mild 27%

Moderate 41%

Severe 32%

Severity of injuries

Injuries in Training/Matches

Training 101 (57%)

Match 76 (43%)

Training 57%

Match 43%

Trainingh/match -all injuries

Injuries mechanism Overuse 53 (30%)

Injury acute 124 (70%)

Injury Contact 90 (51%)

Injury non-contact 87 (49%)

Overuse injury 30%

Acute Injury 70%

Circumstances of injuries

Injury - contact 51%

Injury- non contact

49%

Mechanism of injuries

10 42

126

648 535

542

0

100

200

300

400

500

600

700

800

Age 7/8 Age 9/10 Age 11/12

Injured Non injured

Injury Incidence acc. age

0,15

6,46

19,46

0,6

3,88

17,35

Age 7/8 Age 9/10 Age 11/12

Injury Incidence (%) in 2 seasons

2012/2013 2013/2014

Anatomical location

Foot 14%

Ankle 26%

Lower leg 7%

Knee 16%

Thigh/hamstrings 7%

Hip/Groin 9%

Hand and wrist 9%

Elbow 4%

Shoulder 3%

Head/face 4%

Thorax-ribs 1%

Location of injuries

Anatomical location

Foot 14%

Ankle 26%

Lower leg 7%

Knee 10%

Thigh/hamstrings 7%

Hip/Groin 10%

Hand and wrist 14%

Elbow 5%

Shoulder 0%

Head/face 7%

Injury Location 9/10

Foot 13%

Ankle 19%

Lower leg 6%

Knee 16%

Thigh/hamstrings 13%

Hip/Groin 13%

Hand and wrist 9%

Elbow 2%

Shoulder 3%

Head/face 3%

Thorax-ribs 2%

Spine 1%

Injury location 11/12

Comparison Group 9/10 vs. 11/12

Match/Training

Training 58%

Match 42%

11/12

Training 50%

Match 50%

9/10

Comparison Group 9/10 vs. 11/12

Injury acute 69%

Injury Overuse 31%

Ijury Circumstances

Injury Overuse 39%

Injury Acute 61%

Injury circumstances

Comparison Group 9/10 vs. 11/12

Contact 69%

Non-contact 31%

Injury Mechamism

Injury-contact 43%

Injury-non contact 57%

Injury mechanism

Comparison Group 9/10 vs. 11/12

Mild 30%

Moderate 41%

Severe 29%

Injury severity

Mild 19%

Moderate 38%

Severe 43%

Injury severity

Comparison Group-Lower extremity 9/10 vs. 11/12

Foot 19%

Ankle 35% Lower leg

10%

Knee 13%

Thigh/hamstrings 10%

Hip/Groin 13%

Lower extremity 9/10

Foot 16%

Ankle 23%

Lower leg 8%

Knee 20%

Thigh/hamstrings 17%

Hip/Groin 16%

Lower extremity 11/12

Comparison Ankle injuries 9/10 vs 11/12

Sprain 42%

Contusion 50%

Fracture 8%

Ankle 9/10

Sprain 83%

Contusion 13%

Pain unspec 4%

Ankle 11/12

Comparison Knee injuries 9/10 vs 11/12

Osgood-Schlatter 50%

Distorsion 25%

Contusion 25%

Knee injuries 9/10 (n-4)

Osgood-Schlatter 28%

Sprain 19%

Contusion 29%

Non-speciffied 19%

Synovialitis 5%

Knee injuries 11/12 (N-21)

Comparison Severe injuries 9/10 vs 11/12

Foot 29%

Ankle 18%

Lower leg 0%

Knee 6%

Thigh/hamstrings 12%

Hip/Groin 6%

Hand and wrist 23%

Elbow 6%

Shoulder 0%

Head/face 0%

Severe injury location 9/10

Foot 16%

Ankle 11%

Lower leg 6%

Knee 16%

Thigh/hamstrings 8%

Hip/Groin 8%

Hand and wrist 11%

Elbow/forearm 5%

Shoulder 8%

Head/face 3%

Thorax-ribs 5%

Spine 3%

Severe injuries location 11/12

Comparison Fractures/dislocations 9/10 vs 11/12

Upper extremity 54%

Rib 7%

Lower leg 8%

Foot 31%

Fxt. location 11/12(N-13, 10%)

Upper extremity 50%

Foot 33%

Ankle 17%

Fractures 9/10 (N-6, 14%)

Discussion and Conclusions- preliminary results, CR only Low rate of injuries in 7/8 years 0.6%

Increase of injuries/complains in 9/10 and 11/12 2x, but lower than in group of 14-16 years (AMJSM, 2000)

Significant Nr. of injuries from contact foul play?

Differences in anatomical locations:

- ankle injuries prevail in 9/10 vs. knees in 11/12-

- similar trend in 14-16 years players (Peterson et al., AMJSM, 2000 )

- type of injuries sprain injuries increase in older group

- specific problems knee Osgood-Schlatter diseases , Achilles tendinopathy

traction tendinopathy in 11/12 group,

Thigh/groin/hip injuries- relatively stable and comparable (8-11% of injuries) lower rate than in 14-16 years (10-26%, Peterson et al., AMJSM, 2000 )

Fractures: 14% and 10% in both groups- similar to group of 14-16 group (12% - Chomiak et al. AMJSM, 2000)

Relatively high incidence of upper extremity and head/face falls on grass

Swiss study similar Nr of players and results, only more injuries in youngest players (7/8)

Zvry k snen raz u dt (zasedn v Curychu 14.-15.5.13)

Vytvoen preventivnho programu rozcvien pro dti (FIFA 11+ for Kids) se zamenm na: 1. Nauit dti sprvn padat (pout z Juda) 2. Posilovat vnmn Fair play rodie, treni 3. Specifick problmy na zatku adolescence - M. Osgood-Schatter, bolesti paty mohou ukonit kariru u mladch talent - snit zt u rychle rostoucch dt. 4. Cvien neuromuskulrn koordinace a rovnovhy Forma cvien pijateln pro dti

FIFA 11+ Dti Program rozcvien pro prevenci raz pi fotbale u dt Manul pro trenry

Vytvoen a obsah Doc. Dr. Oliver Faude (Departement fur Sport, Bewegung und Gesundheit Universitt Basel, Schweiz) M. Sc. Roland Rssler (Departement fur Sport, Bewegung und Gesundheit Universitt Basel, Schweiz) Dr. Mario Bizzini (FIFA Medical Assessment and Research Centre, Zurich, Switzerland) Prof. Dr. Evert Verhagen (VU University Medical Center Amsterdam, The Netherlands) Prof. Dr. Astrid Junge (FIFA Medical Assessment and Research Centre, Zurich, Switzerland) Za spoluprce ZDr. Karen aus der Funten (Institut fur Sport- und Prventivmedizin, Universitt des Saarlandes, Saarbrucken, Deutschland) Doc. Dr. Ji Chomiak (Department of Orthopaedics, 1st Faculty of Medicine, Charles University and Hospital, Prague, Czech Republic) Prof. Dr. Tim Hewett (The Ohio State University Wexner Medical Center, Ohio, United States) M. Sc. Nicolas Mathieu (Bereich Physiotherapie Fachhochschule Westschweiz, Leukerbad, Schweiz) M. Sc. Ralf Roth (Departement fur Sport, Bewegung und Gesundheit Universitt Basel, Schweiz) .

Obsah vod 4 Obsah a organizace . . . 4 Dosaen dal rovn . 4 Organizace na hiti . 5 Cvien 1: Cvien v bhu strny . 7 Cvien 2: Bruslask skoky . 10 Cvien 3: Stoj na jedn noze 14 Cvien 4: Podpor lemo . 18 Cvien 5: Skoky na jedn noze 22 Cvien 6: Spiderman (pavou mu) 26 Cvien 7: Pdy - Kotoul do strany. . 30

Program testovn v sezn 2014/2015 v: 1) vcarsko 2) esk Republika 3) Nmecko 4) Nizozemsko

Vdy: A) Intervenn skupina (trninky s programem FIFA 11+ dti) B) Kontroln skupina (trninky dle zvyklost )

Seznam klub ve studii 2014/2015

Bohemians 1905 Sokolov Nedakonice

Brno Zbrojovka umperk TJ Male Roudn

slav Trutnov Beroun Cesk Lev

Hradec Krlov st n.L. Fotbalov akademie

Jablonec Vykov Slavia P

Karlovy Vary Znojmo FC Tempo Praha

Karvin Krom SK Bysttice n.Pertnem

Koln Nchod

Liberec OKD Star Msto

Mlad Boleslav FC Boskovice

Olomouc Sigma FC SVRATKA BRNO

Pardubice Ivance

Slavia Praha Hluk

loha trenr mldee zapojench do studie Incidence a prevence raz

- Pesn evidence vech zrann, kter vedou k absenci v trninku a zpasech - Pesn evidence potu minut trnink/zpas (statistika zrann se pepotv na 1000 hod.) - Zaazen FIFA11+dti do trninku dsledn VALIDN INFORMACE (Statistika) pomohou vyhodnotit innost programu prevence zrann Kontakt: jiri.chomiak@yahoo.com Zdravotn problmy hr: objednn na 266082984

mailto:jiri.chomiak@yahoo.com

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