zranění u dětí 7-12 let v -...
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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
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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!!
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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
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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
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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
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Injuries in Training/Matches
Training 101 (57%)
Match 76 (43%)
Training 57%
Match 43%
Trainingh/match -all injuries
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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
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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
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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
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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
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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
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Comparison Group 9/10 vs. 11/12
Match/Training
Training 58%
Match 42%
11/12
Training 50%
Match 50%
9/10
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Comparison Group 9/10 vs. 11/12
Injury acute 69%
Injury Overuse 31%
Ijury Circumstances
Injury Overuse 39%
Injury Acute 61%
Injury circumstances
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Comparison Group 9/10 vs. 11/12
Contact 69%
Non-contact 31%
Injury Mechamism
Injury-contact 43%
Injury-non contact 57%
Injury mechanism
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Comparison Group 9/10 vs. 11/12
Mild 30%
Moderate 41%
Severe 29%
Injury severity
Mild 19%
Moderate 38%
Severe 43%
Injury severity
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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
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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
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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)
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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
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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%)
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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)
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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
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FIFA 11+ Dti Program rozcvien pro prevenci raz pi fotbale u dt Manul pro trenry
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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) .
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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 )
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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
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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: [email protected] Zdravotn problmy hr: objednn na 266082984
mailto:[email protected]
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