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Overuse or Undertrained? Injuries in adolescences Chris Peterson DO TheSportsMedicineClinic.com.

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Presentation on theme: "Overuse or Undertrained? Injuries in adolescences Chris Peterson DO TheSportsMedicineClinic.com."— Presentation transcript:

1 Overuse or Undertrained? Injuries in adolescences Chris Peterson DO TheSportsMedicineClinic.com

2 Definition Repetition without Recovery Repetition without Recovery Constant Vibration Constant Vibration Malpositioning of Limbs Malpositioning of Limbs Psychological Psychological Under-Trained Under-Trained

3 The Statistics on Adolescent Injuries 30 Million kids in sports 30 Million kids in sports 1/3 of childhood injuries are d/t sports 1/3 of childhood injuries are d/t sports Athletic injuries are the most common reason for ER visits (4 th for GP) Athletic injuries are the most common reason for ER visits (4 th for GP) Football has highest rate of injury Football has highest rate of injury

4 The Statistics on Adolescent Injuries Soccer: 5.6 injuries/1000 player hours 5.6 injuries/1000 player hours Risk of injury Increases with skill level Risk of injury Increases with skill level Elite youth has highest Exposure (2 vs. 1 match/week) Exposure (2 vs. 1 match/week)Games>Practice

5 Common Throwing Injuries Youth Baseball: Injury Rates Youth Baseball: Injury Rates Increase of overall injury rate by 5% per year.

6 Population Poor Trunk Proprioception and Reflex Poor Trunk Proprioception and Reflex Postural Sway Postural Sway Trunk Displacement following Perturbation Trunk Displacement following Perturbation Weak Hamstrings Weak Hamstrings Prior Injury Prior Injury

7 Shoulder at Risk Ill-defined symptoms-ignored Ill-defined symptoms-ignored Posterior tightness or stiffness Posterior tightness or stiffness Inability to get loose Inability to get loose Tries to play through Tries to play through I rushed my warm up I rushed my warm up Multiple teams Multiple teams

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9 Overuse or Under-trained Asymmetric pathology in the shoulder and elbow is prevalent and, with overuse, can progress to disabling injury. 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 bodys inability to properly coordinate motion segments during the pitching delivery, leading to further structural damage. Joint injury occurs as a result of the bodys inability to properly coordinate motion segments during the pitching delivery, leading to further structural damage.

10 Common Throwing Injuries Traditional Thinking: Traditional Thinking: Increasing arm strength by increasing pitching (different from throwing). 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. There is little evidence to support current safety recommendations for adolescent pitchers.

12 Common Throwing Injuries Where does the velocity come from? Where does the velocity come from? Historically-50% Arm/50% Body Current-20% Arm/80% Trunk X-factor What does this mean to me? What does this mean to me? Time to change my focus!!!

13 Posture Thoracic Kyphosis=Shoulder Killer Thoracic Kyphosis=Shoulder Killer Tight Hips-Contra lateral Side Tight Hips-Contra lateral Side

14 What to expect when you are expecting. Shoulder Injuries: Shoulder Injuries: Growth Plate Changes (good and bad) Growth Plate Changes (good and bad) Internal Impingement Internal Impingement GIRD GIRD SICK Shoulder SICK Shoulder

15 Wheres the Data? Role of BMI in overuse injuries Role of BMI in overuse injuries Athletic BMI Athletic BMI Lower rate of injuries Lower rate of injuries

16 Overuse or Under-trained The athletic build population has a lower tendency to suffer overuse soft tissue injuries The athletic build population has a lower tendency to suffer overuse soft tissue injuries Commencing physical activity at a younger age may have a positive effect in preventing overuse injuries Commencing physical activity at a younger age may have a positive effect in preventing overuse injuries

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18 Preventing Throwing Injuries Recommendation: Recommendation: Maintain throwing but limit pitching Maintain throwing but limit pitching Work on entire kinetic chain Work on entire kinetic chain 3 months of active rest per year 3 months of active rest per year Throw the curveball after you shave Throw the curveball after you shave

19 Pitchers Report Card Mechanics Mechanics Functional Strength Functional Strength Pitch Count Pitch Count

20 Preventing Throwing Injuries Do not throw to warm up…….. Do not throw to warm up…….. Warm up to throw. Warm up to throw. Core Core

21 Bottom Line Biomechanics (Orthotics) Biomechanics (Orthotics) Neuromuscular Training Neuromuscular Training Prevention Programs (PEP, F-MARC-11+) Prevention Programs (PEP, F-MARC-11+) Compliance Compliance Unable to eliminate all Risk Unable to eliminate all Risk Need Full Rehab Prior to RTS Need Full Rehab Prior to RTS

22 Overuse or Under-trained Who is right? Who is right? Darwin was right. Darwin was right.

23 Overuse or Under-trained Time to look away from the pathology and work on players anatomy. Time to look away from the pathology and work on players anatomy. Prevention is now more important than ever. Prevention is now more important than ever.

24 Overuse or Under-trained Athletes are dysfunctional Athletes are dysfunctional Goal: Goal: Health Dysfunctional Athlete


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