3. Still making headlines…
• “KneeInjuriestoplistasGAAshellout€8mininsuranceclaims”
IrishIndependentFeb2014
• “Pleasestopthisabuse”
SundayWorldJan2014
• “Arehipinjuriesjustthepricewepayforastronger,faster,morepowerfulgame”
IrishTimesJan2014
• “Moynawarnsoftraininghealthrisks”
4. Groundhog Day….
• What’s the point?
Joe Brolly, Gaelic Life, 11th
January 2015
• Saving the GAA
Joe Brolly, Gaelic Life, 19th
January 2015
• Enough words, now its time for action
Joe Brolly, Gaelic Life, 26th
January 2015
• Treat the lifeblood with respect
Joe Brolly, Gaelic Life, 8th
February 2015
• Paraic Duffy says GAA to tackle
fixtures and welfare issues
Irish Times 28th
January 2015
• Its not dark yet, but it’s getting
there
Eamon Sweeney, Sunday Independent
18th
January 2015
• Earley pays price for playing through
pain
Irish News, 19th
February 2015
5. How big is the problem really?
• What is the reality?
• How has this come about?
• What can we do about it?
6. What Percentage of players in a senior inter
county squad will get injured each year?
67%
7.
8. Some players get injured more
than others
34 players = 40 injuries
1.2injuriesperplayerperseason
9. More likely to get injured during
matches or training?
Matches
15timesmorelikelytogetinjuredinmatches
Biggerthematchthemorelikelyyouaretogetinjured
10. 25% of all injuries are recurrent
injuries
Previous injury is the No. 1 risk
factor for future injury
11. What are the most common
injuries in GAA?
•Hamstrings20%
•Pelvis/hip/groin13%
•Knee11%
•Ankle10%
20. Summary
• High injury rate in GAA (2/3 of squad)
• 68% of all injuries are non-contact injuries (?preventable)
• 25% of all injuries will reoccur
• Previous injury, decreased flexibility, strength and control
can cause future injury
• Big 4 - Hamstring, groin, knee, ankle
• Potentially large number of undocumented overuse
injuries
• Some Injuries are catastrophic and having wider ranging
effect beyond sporting life
21. Why are we so injury prone?
• Previous injury, decreased flexibility, strength and
control can cause future injury
• Fixture calendar
• Decreased recovery / Overtraining / Non-
application of sports science
• Early specialisation
• Developing S&C culture
33. Implementation Stage
• Launched at 2014 conference by Mario Bizzini
(FIFA) to 400 Delegates
• SINI launch to sports medicine community (100+)
• 50 Workshops
• Rolled out to over 1000 coaches
• 4/5 workshops in each of the 9 counties
34. Website
• 54,000 hits
• Over 8000 unique users
• Viewed from 11 countries GB,
USA, Canada, Australia,
Scandinavia & Spain
45. Why are we so injury prone?
• Previous injury, decreased flexibility, strength and
control can cause future injury
• Fixture calendar
• Decreased recovery / Overtraining / Dearth of
sports science
• Early specialisation
• Developing S&C culture
46. Early Specialisation
• Cam Deformity
• Link to hip pathology, loss
of ROM & Hip/Groin pain
• Form pre PHV
• Unlikely to form after 14
• Dose related
47. Early Specialisation
• Playing 4 times a week at 12/13 increases
likelihood of hip pathology
• Relevance to elite u-14 squad
• Overlapping seasons of school, club and county
48. Why are we so injury prone?
• Previous injury, decreased flexibility, strength and
control can cause future injury
• Fixture calendar
• Decreased recovery / Overtraining / Dearth of
sports science
• Early specialisation
• Developing S&C culture
57. Why are we so injury prone?
• Previous injury, decreased flexibility, strength and
control can cause future injury
• Fixture calendar
• Decreased recovery / Overtraining / Dearth of
sports science
• Early specialisation
• Developing S&C culture
60. Summary
• High Injury Rate
• High Re-Injury Rate
• Many of these preventable
• Good evidence for group and individual injury
prevention strategies
• Fixture calendar as it stands makes it difficult to
prevent overuse injuries and overtraining
61. Key Recommendations
• Activate (www.activategaa.sini.co.uk)
• Group mobility, stability and prehab sessions
• Individual interventions for identified at risk
players
• Train smarter, optimal recovery
• Adoption of Gaelic Groin Recommendations
Major overhaul of fixture calendar
required
62. “Being against GAA player burnout is like being
against racism or for free speech. It offers us all the
chance to deliver a few pious platitudes while doing
absolutely nothing to mitigate the actual problems
involved.”
Eamonn Sweeney,
Sunday Independent
18/1/15
66. Joe is right, Enough words, now it’s time for action
Editor's Notes
Introduction
Physio for tyrone minors, lTAD role, physio at UUJ sigerson
SINI role with other sports
Still playing and coaching
Evidence and opinion from my experience in the sport
Define injury
spot the difference
http://roadcyclinguk.com/riding/training-for-results-train-hard-recover-stronger.html#77busiawAXl0SSmg.97
These next slides illustrate some of the basic training science.
The most common goal of training athletes is to provide training loads that will improve performance. The process of training will generally lead to athletes progressing through various stages such as ‘undertraining’, overreaching’ and ‘overtraining’. When prolonged, excessive training occurs concurrent with other stressors and insufficient recovery, performance decrements can result in chronic maladaptations that can lead to ‘overtraining syndrome’ (OTS) (Meeusen et al., 2014).
It’s important to note that whilst intensified training can result in a decline in performance, when tempered with appropriate periods of recovery, athletes may exhibit enhanced performance compared to baseline levels e.g. training camps often lead players to ‘functional overreaching’ which leads to temporary performance decrements that disappear after a taper period. However, when intensified training continues without appropriate rest, players can evolve into a state of extreme overreaching or ‘non-functional overreaching’ (NFO) that will lead to decrease in performance which will not resolve for several weeks or months.
Definition When prolonged, excessive training occurs concurrent with other stressors and insufficient recovery, performance decrements can result in chronic maladaptations that can lead to ‘overtraining syndrome’ (OTS) (Meeusen et al., 2014).
Chronic fatigue, feeling drained all of the time, lacking energy
Decreased ability to achieve performance goals
Lacking motivation to practice
Irritability and unwillingness to cooperate with team-mates
Reduction in strength, speed, or power
Deterioration in execution of skills
Mild soreness in the legs or “heavy legs” that does not resolve for long periods
Increased prevalence of injury
Ongoing aches/pains in muscles and joints
Loss of appetite
Elevated resting/morning heart rate
Picking up illness easily
Decreased concentration