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football medicine & performance The official magazine of the Football Medicine & Performance Association

Issue 26 Autumn 2018

Exclusive: Are we squeezing the life out of adductor monitoring

In this issue: Cardiac Screening Life After Football

Legal


Contents Welcome 4

Members’ News

Features 5

The Barcelona Way Damian Hughes

7

Research and Development What you should know about R&D

11

Cardiac Screening Saves Footballers’ Lives – But We Can Do More David Oxborough

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Are we Squeezing the Life out of Adductor Monitoring Gary Silk

CHIEF EXECUTIVE OFFICER The launch of the FMPA Register is the culmination of much endeavour by the FMPA team and we are delighted with the response to date and the momentum that is starting to build. The Register was largely designed as an initiative to support members who leave the game often at a time of real need, giving them a platform to showcase their experience, helping them to maintain a presence in the game and supporting their private practice ventures. The needs of these members are clearly different to members in full time posts, hence why the register was set up as a separate entity and viewed as a potential bolt- on to membership, to be used as required. Continued support for colleagues, whether currently in the game or not, is what the FMPA is all about. Our membership is hugely diverse, covering more than a dozen disciplines, with a variety of specific needs. While this can be challenging at times, our profound belief is that ALL disciplines providing health care services to players and Clubs have an important role to play and individuals therein are an invaluable part of our membership. The change of title to FMPA underpins this belief. It is in working together that we have strength as an organisation and a significant voice in the professional game.

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What do sports medicine professionals working in football need to know about sport psychology? Dr Caroline Heaney

23

The Supply of Medicines to Sports Teams Roni Lennon Bsc

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The FMPA Register

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Life After Football – Rob Swire

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A Commonly Misdiagnosed injury – Lisfranc Fracture Dislocation in a Professional Soccer Player Ashley Jones MSc Rodger Wylde BSc Richard Moss MSc

One of our main aims has always been to improve standards but there are many questions still to be addressed; areas such as governance, indemnity, safeguarding, fitness to practise and the increasing `brain drain` of skilled practitioners from the game, to name but a few. We should be very concerned that, in some areas, standards are actually falling Some of this is centred around cost saving measures at clubs who seem to think that as long as they have the minimum requirements in place, then everything is ok. Let me give one example for all to consider. If healthcare insurers determined long ago that their members (the public) can only be treated by practitioners who have a minimum of 5 years post graduate experience, why is it that `football` is happy for new graduates to treat professional players the day after graduation?

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The (Return to Play) Times, They are a Changin’ Markus Waldén Clare Ardern

While the foundations of the FMPA are firmly in place, all Medical and Performance practitioners working in professional football should recognise the role that the FMPA is playing and grasp the opportunity, not only to take the organisation forward, but to be an even louder voice in the game, raising standards to the world class level that you all deserve.

Eamonn Salmon CEO Football Medicine & Performance Association Football Medicine & Performance Association 6A Cromwell Terrace, Gisburn Road, Barrowford, Lancashire, BB9 8PT T: 0333 456 7897 E: info@fmpa.co.uk W: www.fmpa.co.uk

Chief Executive Officer

Eamonn Salmon Eamonn.salmon@fmpa.co.uk

Executive Administrator Lindsay Butler Lindsay.butler@fmpa.co.uk

COVER IMAGE

Swansea City’s Martin Olsson on the ground after picking up an injury. Richard Sellers/EMPICS Sport/PA Images Football Medicine & Performance Association. All rights reserved. The views and opinions of contributors expressed in Football Medicine & Performance are their own and not necessarily of the FMPA Members, FMPA employees or of the association. No part of this publication may be reproduced or transmitted in any form or by any means, or stored in a retrieval system without prior permission except as permitted under the Copyright Designs Patents Act 1988. Application for permission for use of copyright material shall be made to FMPA. For permissions contact admin@fmpa.co.uk.

Project Manager

Angela Walton Angela.walton@fmpa.co.uk

Design

Oporto Sports - www.oportosports.com

Marketing/Advertising

Charles Whitney - 0845 004 1040

Photography

PA Images, FMPA.

Contributors

David Oxborough, Gary Silk, Dr Caroline Heaney, Roni Lennon Bsc, Ashley Jones MSc, Rodger Wylde BSc, Richard Moss MSc, Markus Waldén, Clare Ardern, Damian Hughes.

Print

Media Village www.media-village.co.uk

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football medicine & performance

REGISTER WORKING FOR OUR MEMBERS THE FMPA REGISTER

F M A R E G I S T E R

F M A R E G I S T E R CLICK HERE to search for elite practitioners

ü THE PLATFORM TO SHOWCASE YOUR EXPERTISE & EXPERIENCE AT THE VERY TOP OF THE GAME ü ACCESSED BY CLUBS AND COLLEAGUES TO SOURCE PRACTITIONERS ü PUTTING YOU & YOUR PRACTICE IN REACH OF FAN BASES AND GRASSROOTS FOOTBALL

Join the Register @ www.fmpa.co.uk The Register is an additional option to membership and incurs a fee of just £10pcm For further information contact FMPA Project Manager Angela Walton T: 0333 456 7897 M. 0743 236 0789 E: angela.walton@fmpa.co.uk

www.fmpa.co.uk

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Expert LEGAL representation in employment law, medicolegal and Regulatory law AND free contract appraisal Full support on any issue from the FMPA 7 days a week Confidential access to clinical experts to discuss issues within your discipline Annual FMPA Conference & Awards with Member discounts & priority Priority MEMBER ONLY access to job listings on FMPA website Regular e-news/updates Education/CPD via quarterly edition of ”football medicine & performance” magazine delivered to your door plus on-line resources Member discounts on car leasing, insurance & more Savings on courses and events for FMPA Members Eligibility to join the FMPA Register for members moving into private practice or offering consultancy to professional football clubs Plus much more…….

”Thank you for helping me through my recent exit from my club. Martin Price’s advice was exceptional. In a situation where an 'ordinary' person was in conflict with a large organisation Martin's knowledge and execution was empowering. Being represented by someone who clearly knew more than the opponents was really supportive. I would definitely recommend the FMPA legal team for Members going forward” Fitness Coach, Premier League Club

THE NETWORK FOR MEDICINE & PERFORMANCE PRACTITIONERS IN THE PROFESSIONAL GAME

JOIN NOW www.fmpa.co.uk Tel: 0333 4567897


football medicine & performance

WATTBIKE

The Wattbike makes athletes accountable to themselves, their coaches and their teammates. The consistency and reliability of the data means that there is no hiding behind the numbers, making it the perfect tool to ensure the best team is selected for each game. For managers and coaches, structuring their team’s pre-season training correctly, and making accurate comparisons between players, makes all the difference to their prospects for the season. Football may not have come home this Summer, despite a strong performance by the England team in Russia. When the team weren’t making headlines on the pitch, Gareth Southgate’s boys were at their base in Repino – relaxing, training and recovering with the help of a fleet of Wattbikes.

Wattbike spent the pre-season helping football clubs across the league get the most from their training. Leicester City Football Club have been using the Wattbike for power development and conditioning since 2012. Mitchell Willis, LCFC strength & power coach, explains:

the Wattbikes well; how to use them, the physical qualities and the amount of feedback the performance monitors provide. We have a philosophy of ‘training = testing and testing = training’ and we continually monitor performance, so Wattbike perfectly matches this.”

“I first came across the Wattbike when I worked with the Leicester Tigers in 2009, where they were used extensively with the academy and first team squads. When I moved to Leicester City in 2012, the Wattbikes were amongst the first pieces of equipment that came to the new gym.”

The team use the bikes for power development which involves intermittent supramaximal bursts with extended recovery periods. This allows lower limb power to develop, whilst safely overloading the players using the air resistance and magnet settings. Conditioning sessions focus on longer intervals of continuous work, targeting specific energy system development.

We never considered any other bikes, I knew

Mitchell continues: “The bikes have also played

info@fmpa.co.uk

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football medicine & performance a key role with international players who have returned late to us this pre-season – we administered additional ‘off-feet- conditioning sessions using the bikes to help bring them up to speed with the rest of the squad.” On why the Wattbike has become such an essential piece of kit for Sheffield United, Lee McMahon, Head of Sport Science at Sheffield United adds:

decisions on how to condition each player for any given outcome.”

“In football, we experience a high level of exercise stress in matches and training drills. At times, the external stress can impact the continuity of the periodised training we assign to players. Off feet conditioning with the Wattbike gives us the opportunity to use continuous training, particularly in non-specific drills, whilst reducing the external impact stress on joints and muscles.”

“Players who are ‘fit’ typically look upon the prospect of a top up session with a little more dread.” says McMahon. “Having said that I think the key to using the Wattbike is educating people of its benefits. I think it becomes a revelation to each player that each session is tailored to their individual capabilities once we have undertaken the tests to generate their Wattbike profile. After this it seems players seem to enjoy the sessions a little more each time.”

Like other EFL and Premier League clubs, Sheffield United use specific programmes for every player based on their fitness test results. This means measured, repeatable training for top players with lots of data at the disposal of the coaches. “We believe in collecting as much information about each player as possible. These parameters allow us to adopt an evidence based approach to each player in which we can make measured

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info@fmpa.co.uk

It’s not just about off-feet training either. “From my experience, players in long term rehab really enjoy the Wattbike sessions. One particular player recovering from a long-term injury now values its inclusion as a primary aspect of his conditioning programme.”

Sheffield United and Leicester City are just two of the many football clubs across the UK and Europe using the Wattbike off the pitch. You can find Wattbikes at Manchester City, Bournemouth FC, Real Madrid, Bayern Munich and Olympique Lyonnais to name just a few. To find out more about how Wattbike can help you maximise your training visit www.wattbike.com


football medicine & performance

feature

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