Presentation on theme: "Overuse or Undertrained? Injuries in adolescences"— Presentation transcript:
1 Overuse or Undertrained? Injuries in adolescences Chris Peterson DOTheSportsMedicineClinic.com
2 Definition Repetition without Recovery Constant Vibration Malpositioning of LimbsPsychologicalUnder-Trained
3 The 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
4 The 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
5 Common Throwing Injuries Youth Baseball: Injury RatesIncrease of overall injury rate by 5% per year.
6 Population Poor Trunk Proprioception and Reflex Postural Sway Trunk Displacement following PerturbationWeak HamstringsPrior Injury
7 Shoulder at Risk Ill-defined symptoms-ignored Posterior tightness or stiffnessInability to “get loose”Tries to “play through”“I rushed my warm up”Multiple teams
9 Overuse 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.
10 Common Throwing Injuries Traditional Thinking:Increasing arm strength by increasing pitching (different from throwing).
11 Comparing Injured vs Healthy Pitchers There is little evidence to support current safety recommendations for adolescent pitchers.
12 Common 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!!!
13 Posture Thoracic Kyphosis=Shoulder Killer Tight Hips-Contra lateral Side
14 What to expect when you are expecting. Shoulder Injuries:Growth Plate Changes (good and bad)Internal ImpingementGIRDSICK Shoulder
15 Where’s the Data? Role of BMI in overuse injuries “Athletic BMI” 20-25 Lower rate of injuries
16 Overuse 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