Salvatore Seddone S1011042 (ITALIAN ERASMUS STUDENT)

22 milions of people play football in all the Europe. 50-60% of sport injuries in Europe are from football. For every match there are on the everage 60 takles. In the season 2007-2008 the Italian SERIE A counted 2500 injuries. - A study project of Uefa (2006) says that in professional teams there are on average 68 injuries for season. - A study project in USA (2002) says that the 13,5% of injuries regarded knee, 11,5 hankle.
-

Injury
Contusion Muscolar
contracture stretch strain 24% 25% 10%

%
59% 36%

Wound Tendinitis Fracture Sprain

(Fifa WC 2002)

8% 3% 2% 2%

- Injures in football are most often traumatics - Injures from excessive stress are between 9% and 34% - A study project of Uefa (2006) said that in the professional teams there are on average 68 injuries for season.

Knee hyperextension and/or internal rotation may result in an ACL tear. they could be consequence of contact (takle) or consequence of this kinds of movements (most common) : Planting and cutting - foot firmly on the ground followed by the leg (and body) turning one direction or the other. Straight-knee landing - foot strikes the ground with the knee straight. One-step-stop landing with the knee hyperextended - leg abruptly stops while in an over-straightened position. Pivoting and sudden deceleration - combination of rapid slowing down and a plant and twist of the foot placing extreme rotation at the knee.

About 40% of all individuals experience is a "popping" sensation at the time of the injury, which is actually the tearing of the ligament tissue. Knee swelling within 6 hours of injury. Pain when the injured player tries to put weight on the injured leg. The knee feels unstable or seems to "give way. Positivity Lachman test. Positivity Pivot shift test. X-ray examination verification situation cartilage and bone.

Serious injury long interruption of phisical activity. Frustration; helplessness; insecurity; sadness. Bad impact on the perception that the athlete has of himself. Essential mental preparation for athlete and coach.

CONSERVATIVE TREATMENT

Knee bandage 20 days. Control edema pain (NSAIDs). Pattern of the walk recovery. ROM (Range Of Motion) recovery. Muscolar tropism recovery. Proprioceptive recovery.

SURGICAL TREATMENT

ACL reconstruction with autolog material. Essential to mobilize the knee early. Complete extensionflexion to 90 (first month). Muscolar tropism recovery. Stability of joint exercises. Muscle elasticity recovery. Portraying the player in the playground

BENEFICTS

OUTLINE TREATMENTS

Increased self esteem and mental elasticity; Reinforcement of self and abilities; Improve the ability of the pain control; Reduce the fear of re-injury;

Psychodiagnostic valutation; Positive thinking and goal setting; Proprioceptive training; Imagery rehabilitation; Self talk.

20-25% OF ALL INJURIES IN FOOTBALL ARE RE-INJURIES!

Prevention of injuries

The medical check up. Lifestyle. Quality of the trainings.

High risk of reinjury - When the lesion is not healed yet. - When the injury has healed, but still an imbalance of power. - When the lesion has healed, theres no imbalance of power, but the conditioning and the training is not enough.

Identification of risk factors: medicals Lifestyle: no disorderly life, good nutrition, hydration Quality of training: Warm up and stretching Aerobic conditioning Technical training Adequate rehabilitation and recovery times Proprioceptive training Protections Good pitch conditions Fair play

www.figc.it (18-3-2011) http://www.fisiobrain.com (18-3-2011) www.isokinetic.com (20-3-2011) www.lega-calcio.it (19-3-2011) http://it.uefa.com/trainingground/training/injuries/video/videoid=934583.html?autoplay=true www.uefa.com (19-3-2011) Baldi, R. (2010). Medicina e traumatologia dello sport , Partner Graf. Codovini, A. (1988). Gli infortuni nel calcio, prevenzione e cura, Nuova Prhomos. Gallinaro, P. (2010). Core curriculum, ortopedia e traumatologia, Hill Companies. Terreni, L. (2000). Psicologia dello sport, aspetti sociali e psicologici, valutazione e intervento, Guerini Scientifica.

Thank you!