Sports Injury Clinics who needs them

1
Sports Injury Clinics who needs them?

• Dr John A. MacLeanMedical DirectorThe National
  Stadium Sports Medicine Centre Hampden Park,
  GlasgowGP, 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

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• 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.
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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 allMeans

• Injury for all

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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.

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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 AE attendance's 2000 - 10

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What expertise is available within a clinic?

• 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

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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

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Cardiovascular Screening

• Why?
• Case Histories
• How?
• Questionnaire
• Medical Examination
• Cardiac Echo

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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

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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

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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

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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????

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Sports First Aid

• Current level of provision
• What is the ideal?
• What should we do?
• Best practice v recommendation v compulsion

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Sports Medicine Treatment

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

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• 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.

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• The centre is multi-activity and our aim and
  ethos is to encourage all levels of sport and
  exercise participants to use the Centres
  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

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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.

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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.

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• Are Sports Injury Clinics important?

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Why bother whats in it for us?

• Prevention Cardiovascular and injury prevention
  screening.
• Sports First Aid.
• Injury treatment and rehabilitation.
• Further input specialised advice and
  rehabilitation.

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Why bother whats 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 dont include adequate standards of First Aid
  and Injury Treatment and rehabilitation.