Transcript Are Sports Injury Clinics important?
Slide 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
Slide 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
Slide 3
Are Sports Injury
Clinics important?
Slide 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.
Slide 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.
Slide 6
Sport for all
Means
Injury for all
Slide 7
How well do existing services
manage sports injuries?
•
•
•
•
Facilities
Waiting times
Follow-up
Continuity of care
Slide 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.
Slide 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.
Slide 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%
Slide 11
What expertise is available within a clinic?
1.
2.
3.
4.
5.
6.
7.
8.
9.
Medical Examination : Screening and Pre-Season
General Medical Conditions
Diagnosis and Management of Injuries
Fitness Assessment and Training Schedules
Special Groups and Conditions
Sports Nutrition and Fluid Balance
First Aid Facilities at Venue and First Aid Training
Sports Psychology
Drugs in Sport
Slide 12
General medical conditions
Cardiovascular Disease
Sudden death
Hypertension
“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
Slide 13
Cardiovascular Screening
• Why?
– Case Histories
• How?
– Questionnaire
– Medical Examination
– Cardiac Echo
Slide 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
Slide 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
Slide 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
Slide 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????
Slide 18
Sports First Aid
• Current level of
provision
• What is the ideal?
• What should we do?
– Best practice v
recommendation v
compulsion
Slide 19
Sports Medicine Treatment
G.P.
N.H.S. Referral:
Orthopaedic Surgeon
Physiotherapy
Sports Council Clinics
Private Sector
The National Stadium Sports Medicine Centre
Slide 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.
Slide 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
Slide 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.
Slide 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.
Slide 24
Are Sports Injury
Clinics important?
Slide 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.
Slide 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.
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
Slide 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
Slide 3
Are Sports Injury
Clinics important?
Slide 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.
Slide 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.
Slide 6
Sport for all
Means
Injury for all
Slide 7
How well do existing services
manage sports injuries?
•
•
•
•
Facilities
Waiting times
Follow-up
Continuity of care
Slide 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.
Slide 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.
Slide 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%
Slide 11
What expertise is available within a clinic?
1.
2.
3.
4.
5.
6.
7.
8.
9.
Medical Examination : Screening and Pre-Season
General Medical Conditions
Diagnosis and Management of Injuries
Fitness Assessment and Training Schedules
Special Groups and Conditions
Sports Nutrition and Fluid Balance
First Aid Facilities at Venue and First Aid Training
Sports Psychology
Drugs in Sport
Slide 12
General medical conditions
Cardiovascular Disease
Sudden death
Hypertension
“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
Slide 13
Cardiovascular Screening
• Why?
– Case Histories
• How?
– Questionnaire
– Medical Examination
– Cardiac Echo
Slide 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
Slide 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
Slide 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
Slide 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????
Slide 18
Sports First Aid
• Current level of
provision
• What is the ideal?
• What should we do?
– Best practice v
recommendation v
compulsion
Slide 19
Sports Medicine Treatment
G.P.
N.H.S. Referral:
Orthopaedic Surgeon
Physiotherapy
Sports Council Clinics
Private Sector
The National Stadium Sports Medicine Centre
Slide 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.
Slide 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
Slide 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.
Slide 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.
Slide 24
Are Sports Injury
Clinics important?
Slide 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.
Slide 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.