1. Guilford Soccer Injury Meeting Ivo Wesseling, MAT, ATC, LAT Athletic Trainer since 2003

2. Agenda Commonly seen injuries Acute management of injuries Identifying when advanced care is needed Knee injury prevention Concussion Management

3. Common Soccer Injuries Data shows between 67%-70% soccer injuries are lower extremity - ankle injuries - knee injuries - contusions - muscle strains

4. Ankle Injury Gregory Coupet ankle injury

5. Ankle

6. Knee Injury Jonathan Reis Knee Injury

7. Knee

8. Injury Differences Sprain - injury involving the ligaments - stretching/tearing - does not return to original state - swelling and bruising immediate Strain - injury involving muscles or tendons - stretching/tearing - can return to original state - swelling and bruising delayed at times

9. Acute Injury Management R.I.C.E - Rest, Ice, Compression, Elevation - 15min ice, 45min no ice (no chemical ice preferred) - NO HEAT FIRST 72hrs When to seek advanced care - Deformity (compared to the other side) - Immediate (profuse) swelling - Unable to move affected limb - Unable to bear weight - Increased pain with ice application - Uncontrollable bleeding - Out of character pain

10. Chronic Injury Management Injuries that fall under chronic - tendonitis, bursitis, “shin splints”, patellar-related pain Rest, Ice (before and after activity) Heat before activity, Ice after When to seek advanced care - No decrease in symptoms - Rest does not help

11. How ToRecognize an Injury Obvious signs: limping, awkward limb position Out-of-character behavior Collision/Contact that was severe

12. Knee Injury Prevention Programs are effective www.aclprevent.com - Santa Monica based prevention program - program takes about 15minutes

13. Concussion Public Act 10-62, "An Act Concerning Student Athletes and Concussions.'' - Anyone who has a coaching permit issued by the State Board of Education and who coaches intramural or interscholastic athletics must be trained in how to recognize and respond to head injuries and concussions. - A coach must take a student athlete out of any interscholastic or intramural game or practice if the athlete (1) shows signs of having suffered a concussion after an observed or suspected blow to the head or body or (2) is diagnosed with a concussion. The coach must keep the athlete out of any game or practice until the athlete has received written clearance to return to the game or practice from a licensed medical professional.

14. Concussion sustained Burdisso Head Injury David Villa Head Injury

15. What is a Concussion? Why is everyone talking about it? Why are they so dangerous? Are there different types of concussions? Mechanism of injury - contact to the head - head hits the ground (cervical injury)

16. Concussion Symptoms Headache Dizziness Nausea Balancing problems Disoriented behavior Sensitivity to light Loss of Consciousness

17. When to seek advanced care? Any time a concussion is suspected visit a licensed medical professional Any time there is loss of consciousness - immediate transportation to ER

18. Questions?