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The Prevention of Injuries in Youth Soccer

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The Prevention of Injuries in Youth Soccer P O S I T I O N P A P E R The Prevention of Injuries in Youth Soccer Michigan Governor’s Council on Physical Fitness, Health and Sports Michigan Fitness Foundation In cooperation with The Sports Injury Advisory Group The Institute for the Study of Youth Sports at Michigan State University and Michigan Department of Community Health NOVEMBER 2003 DCH- www.michiganfitness.org ACKNOWLEDGMENTS The Governor’s Council on Physical Fitness, Health and Sports acknowledges the assistance of the following individuals in the development of this position paper. Author Eugene Brown, Ph.D., Associate Professor Institute for the Study of Youth Sports, Michigan State University Sports Injury Advisory Group Members Robert Malina, Ph.D., Chairman Department of Kinesiology, Michigan State University; American College of Sports Medicine Basketball Coaches Association of Michigan: Tom Hursey Blue Cross-Blue Shield of Michigan: Susan Loren Davidson Governor’s Council on Physical Fitness, Health and Sports: Charles Kuntzleman, Ed.D. Governor’s Council on Physical Fitness, Health and Sports: Geraldine Jackson, M.A.Ed. Governor’s Council on Physical Fitness, Health and Sports, MAHPERD: Thomas Johnson, Ph.D. Governor’s Council on Physical Fitness, Health and Sports: Richard B. Parr, Ed.D. Governor’s Council on Physical Fitness, Health and Sports: Jeff S. Pierce, D.O. Institute for Preventative Sports Medicine: David Janda, M.D. Institute for the Study of Youth Sports, Michigan State University: Vern Seefeldt, Ph.D. Institute for the Study of Youth Sports, Michigan State University: Michael A. Clark, Ph.D. Michigan Association for Health, Physical Education, Recreation and Dance: Al Craven Michigan Association for Health, Physical Education, Recreation and Dance: Doug Curry Michigan Academy of Physician Assistants: Susan Knafel, P.A.C. Michigan Association of Osteopathic Physicians and Surgeons: Kenneth Stringer, D.O. Michigan Athletic Trainers Association: Rose Snyder, A.T.C. Michigan Department of Community Health: Karen Petersmarck, Ph.D., M.P.H. Michigan Department of Community Health: Jeff Spitzley Michigan Department of Education: Elizabeth Coke Haller, M.Ed. Michigan High School Athletic Association: Gina Mazzolini Michigan Physical Therapy Association: Kent E. Timm, Ph.D., P.T. Michigan Physical Therapy Association: Peter V. Loubert, Ph.D., P.T., A.T.C. Michigan Recreation and Parks Association: Michael Conlin Michigan State University Sports Medicine: Jeffrey Kovan, D.O. Michigan State Youth Soccer Association: Tom Faro University of Michigan MedSport at the Cube: Valerie MacPherson, P.T. USA Volleyball, Michigan Subregion: Mary Jo Hardy U.S. Olympic Education Center: Kris Rowe, M.A., A.T.C. Wayne State University Bioengineering Center: Tim Walilko National Reviewers Anara Guard, Director of Information and Marketing “Join Together” Chris Hanna, M.P.H., Children’s Safety Network Doug McKeag, M.D., Indiana University School of Medicine David H. Perin, Ph.D., A.T.C., University of Virginia John Powell, Ph.D., A.T.C., Division of Kinesiology, Michigan State University Position Paper: The Prevention of Injuries in Youth Soccer Michigan Governor’s Council on Physical Fitness, Health and Sports TABLE OF CONTENTS Contents Page SUMMARY OF RECOMMENDATIONS FOR INJURY PREVENTION. 1 Preventive Measures for Preparing the Athlete . 1 Preventive Measures Related to the Soccer Environment . 3 SUMMARY OF RECOMMENDATIONS FOR LEVELS OF RESPONSIBILITY TO PREVENT SOCCER INJURIES . 6 Responsibilities of Program Administrators . 6 Responsibilities of Coaches . 7 Responsibilities of Officials . 8 Responsibilities of Medical Personnel and Coaches . 9 Responsibilities of Parents and Guardians . 9 Responsibilities of Athletes . 9 INTRODUCTION TO RECOMMENDATIONS . 9 Soccer Participation in the United States . 9 Soccer Governance Structure . 10 Risk/Benefit Ratio of Participation in Soccer. 10 EPIDEMIOLOGY OF SOCCER INJURIES. 10 The Injury Mechanism . 10 Studies of Injuries in Soccer. 11 RECOMMENDATIONS FOR INJURY PREVENTION . 15 Preparing the Athlete . 15 Pre-Participation Assessment . 15 Immunizations . 16 Exercise-Induced Asthma . 16 Physical Conditioning . 17 Nutrition. 17 Skill Development . 17 Reducing Risk for Osteoarthritis. 18 Psychological Considerations . 19 The Soccer Environment . 19 Facilities . 19 Goal Posts—Design, Padding, Anchoring . 19 Equipment, Supplies and Apparel . 20 Weather . 22 LEVELS OF RESPONSIBILITY TO PREVENT SOCCER INJURIES. 24 Responsibilities of Program Administrators. 25 Responsibilities of Coaches . 27 Responsibilities of Officials . 29 Responsibilities of Medical Personnel and Coaches. 30 Responsibilities of Parents and Guardians . 30 Responsibilities of Athletes . 31 Michigan Governor’s Council on Physical Fitness, Health and Sports The Prevention of Injuries in Youth Soccer Contents Page FIGURE I - ORGANIZATIONAL STRUCTURE OF SOCCER IN THE UNITED STATES. 32 LIST OF APPENDICES . 33 Appendix A: Exercises to Strengthen Neck Muscles . 34 Appendix B: Selected Soccer Skills for Which Maturity of the Athlete Must Be Taken into Account for Injury Prevention* . 35 Appendix C: Heat Index Temperature Chart, Showing Danger Levels of Physical Activity During Conditions of High Heat and Humidity . 36 Appendix D: Wind Chill Index, Showing How Wind Speed and Temperature Determine the Time When Frostbite Occurs . 37 Appendix E: National Standards for Athletic Coaches . 38 Appendix F: Educational Resources Available to Michigan Soccer Coaches . 39 Appendix G: Sources of Information for Officials of Soccer in Michigan . 40 Appendix H: A Comprehensive Emergency Plan, with Designated Responsibilities for Five Individuals. 41 Appendix I: Summary of Suggestions for Management of Concussion in Sports . 42 Appendix J: Suggested Contents of a First Aid Kit for Soccer Coaches . 43 Appendix K: Medical Treatment Consent Form . 44 Appendix L: Summary of Season Injuries Form . 45 Appendix M: Procedures to Minimize the Risk of Transmitting Blood-Borne Pathogens (BBPs) . 46 Appendix N: Recommended Techniques for Teaching the Skill of Heading to Young and Inexperienced Players. 47 Appendix O: Medical Health Questionnaire. 48 Appendix P: Pre-Participation Examination Form (Physical) . 52 Appendix Q: Other Resources . ..
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