Presentation on theme: "Overuse or Undertrained? Injuries in adolescences"— Presentation transcript:
1Overuse or Undertrained? Injuries in adolescences Chris Peterson DOTheSportsMedicineClinic.com
2Definition Repetition without Recovery Constant Vibration Malpositioning of LimbsPsychologicalUnder-Trained
3The Statistics on Adolescent Injuries 30 Million kids in sports1/3 of childhood injuries are d/t sportsAthletic injuries are the most common reason for ER visits (4th for GP)Football has highest rate of injury
4The Statistics on Adolescent Injuries Soccer:5.6 injuries/1000 player hoursRisk of injury Increases with skill levelElite youth has highestExposure (2 vs. 1 match/week)Games>Practice
5Common Throwing Injuries Youth Baseball: Injury RatesIncrease of overall injury rate by 5% per year.
6Population Poor Trunk Proprioception and Reflex Postural Sway Trunk Displacement following PerturbationWeak HamstringsPrior Injury
7Shoulder at Risk Ill-defined symptoms-ignored Posterior tightness or stiffnessInability to “get loose”Tries to “play through”“I rushed my warm up”Multiple teams
9Overuse or Under-trained Asymmetric pathology in the shoulder and elbow is prevalent and, with overuse, can progress to disabling injury.Joint injury occurs as a result of the body’s inability to properly coordinate motion segments during the pitching delivery, leading to further structural damage.
10Common Throwing Injuries Traditional Thinking:Increasing arm strength by increasing pitching (different from throwing).
11Comparing Injured vs Healthy Pitchers There is little evidence to support current safety recommendations for adolescent pitchers.
12Common Throwing Injuries Where does the velocity come from?Historically-50% Arm/50% BodyCurrent-20% Arm/80% Trunk“X-factor”What does this mean to me?Time to change my focus!!!
13Posture Thoracic Kyphosis=Shoulder Killer Tight Hips-Contra lateral Side
14What to expect when you are expecting. Shoulder Injuries:Growth Plate Changes (good and bad)Internal ImpingementGIRDSICK Shoulder
15Where’s the Data? Role of BMI in overuse injuries “Athletic BMI” 20-25 Lower rate of injuries
16Overuse or Under-trained The athletic build population has a lower tendency to suffer overuse soft tissue injuriesCommencing physical activity at a younger age may have a positive effect in preventing overuse injuries