Lluís  Til    Sports  Medicine  &  Orthopedics  FCBarcelona  

Olympic  Training  Center  (CAR)  Consorci  Sanitari  de  Terrassa  (CST)  

Football  Club  Barcelona  Injury  Study  

1.  IntroducFon      why  

2.  ObjecFve      what  

3. Method        how  

4.  Results  

5.  Conclusions  

6. Messages  

1. IntroducFon      

•  To   know  what   are   the  most   common   and   the  most   serious  injuries  that  our  athletes  suffer  is  the  first  step  to  improve  our  medical  resources  to  treat  and  prevent  them  

•  In  view  of  the  frequency  of  injury,  the  resulFng  costs  and  not  least  the  personal  suffering  of  the  injured  players,  we  are  focused  in  sports  injury  study  

•  FCBarcelona  wants  to  share  its  experience  to  improve  the  athletes  health    

2012-2013 CENSUS SUMMARY

 

 

Sports Sections Athletes Staff TOTAL people CATEGORIES TEAMS  ATHLETICS   210   7   217   18   18    BASKETBALL   170   37   207   14   16    WHEELCHAIR  BASKETBALL   13   4   17   1   1    BASEBALL   107   16   123   6   7    FOOTBALL   283   42   325   12   17    Female  FOOTBALL   75   17   92   4   4    FUTSAL   146   36   182   6   12    HANDBALL   80   27   107   3   5    ICE  HOCKEY   130   7   137   6   6    FIELD  HOCKEY   95   10   105   6   6    ROLLER  HOCKEY   36   15   51   4   5    FIGURE  SKATING  &  ICE  DANCE   79   7   86   8   7    RUGBY   206   20   226   7   8  VOLLEYBALL   59   9   68   4   4  Female  VOLLEYBALL   24   -­‐   24   2   2  

14     1713   254   1967   101   118  

More  than  4,000  matches  a  year.  

 

 

FINANCIAL  DATA:                                            

 2012/2013  BUDGET    6,8200,000  Euros    1.5%  total    

 90%  Expenditures  for  services  and  salaries  

                     HUMAN  RESOURCES  

   Structural  

                             20    Physicians                            Sports  medicine,  Orthopedics,  Cardiology,    

                             26  Physiotherapists  -­‐  Qualified  nurses  Physiotherapy,  Nursing,  Osteopathy,  RecuperaFon  

                             Chiropodist  1  

                             Youth  football  physiotherapists  (matches)  16/20  

   SERVICES  

         HR  –  Match  days  at  Camp  Nou      17/30    

                               HR  –  Weekend  coverage    20/25  matches  

 

As  we  work  in  an  internal  and  external  network:          trainers,  coaches,  external  health  providers…

2.  ObjecFves    

•  To  quanFfy  workload  

•  To  compare  the  injury  incidence  with  others  databases  

•  To  know  wich  are  the  most  common  and  most  severe  injuries  for  each  sport  and  age  

•  Quality  control    

It  will  allow  us  to  develop  appropiate  prevenFon  programs  

 

 

• 1713  athletes  we  take  care.    

• 20  Physicians  ad  26  physiotherapist  who  work  as  a  Service,  sharing  experiences,  protocols  ,…  

• Working  in  a  network  is  the  easier  way    for  us  • In  each  team  • In  the  sports  medicine  group  • With  external  colleagues,  friends  and  insFtuFons  from  everywhere  

• The  FCB  interest  in  sports  medicine    

• Excellent  sport  Fme  

To  improve  the  knowledge  in  sports  medicine  is  the  only  

opFon  

3.  Methods    Shared  external  databases  

–  Standarized  collecFon  data  method  

–  The  UCL  study  allows  to  compare  the  injury  epidemiology  between  similar  elite  teams  and  it  shows  how  has  been  the  evoluFon  along  the  seasons  at  each  team  

–  Different  medical  staffs  maybe  record  the  data  with  some  differences  between  them  

3.  Methods    

Shared  external  databases  

–  The  less  injuries  the  team  has  got,  more  opFons  it  has  to  get  a  good  ressult  

 

Liga   Liga   Liga   Liga   Liga  Cup   Cup  

1   1  3  6   1  0  0  0   2  

3.  Methods    Interal  database  (GEM)  

–  5  seasons  2008/09  to  2012/13  –  Less   homogenous   in   sports,     more  

consistent  in  collecFon  data  

–  Players:  4260:  •  682  (16.0  %)      football  

•  3578  (84.0  %)      no  football  

–  Age:  17  y.o  

•  OSICS    1st  &  2nd  leler  •  Same  injury  definiFon  (Fme  loss)    

   

   

4.  Medical  assistance  per  athlete  per  year  

   

4.  Results  by  month    

   

4.  Medical  assistance  per  athlete  per  year  

   

Anual  rate  of  medical  assistance  0.79  /  player  *  year  (0-­‐16)  

Anual  rate  of  sport  injury  (Fme  loss)0.39  /  player  *  year  (0-­‐8)  

Medical  assistance  per  athlete*year  38.4  %  (3711/9670)  

Sports  injury  per  athlete*year    26.6  %  (2569/9670)  

4.  Medical  assistance  per  athlete  per  year  

   

4.  Sports  injury  per  athlete  per  year  

4.  Sports  injury  per  athlete  per  year  

   

4.  Sports  injury  per  athlete  per  year  

   

4.  Sport  injury  per  athlete  per  year  

   

   

4.  Sports  injury  per  athlete  per  year  (sports)  

   

4.  Medical  assistance  and  Sports  injury  per  athlete  per  year  

   

4.  Medical  assistance  and  Sports  injury  per  athlete  per  year  in  some  sports  

   

4.  Severity  of  injury  and  age    

   

4.  Severity  of  injury  and  month  

4.  Severity  of  injury  and  sport  

   B  

F  H  

 R  FF  

F  H  

F  

4.  Severity  of  injury  and  sport  

   B  

F  H  

 R  FF  

F  H  

F  

4.  Site  of  sports  injury    

4.  Site  of  sports  injury  &  age    

4.  Site  of  sports  injury  &  age    

4.  Site  of  sports  injury  &  season  

4.  Site  of  sports  injury  &  sport  

4.  Site  of  sports  injury  &  sport  

4.  Site  of  sports  injury  &  severity  

4.  Type  of  sports  injury    

4.  Type  of  sports  injury  &  age    

4.  Type  of  sports  injury  &  season  

4.  Site  of  sports  injury  &  sport  

4.  Type  of  sports  injury  &  severity  

5.  Conclusions    

•  Our  athletes  are  so  young  17  y.o  (  8-­‐42)  

•  Every   athlete   in   FCB   has   a   rate   of  Medical   assistance   0,79   /season  and  a  rate  of  sports  injury  with  Fme  loss  0,39  /season  

•  The   injury   are   distributed   during   the   year   with   a   bimodal  distribuFon  (like  many  illness)  

•  The  data  are  so  constant  and  consistent  last  5  seasons  

•  The  rates  are  diferents  between  ages  and  sports  

5.  Conclusions    

•  The  older  athletes  have  more  Fme  loss  injuries  

•  Basket   &   handball   have   less   severe   injuries   (>28d)   than  football,  it  could  be  due  than  the  players  can  return  faster  to  play  because  the  changes  in  compeFFon  are  unlimited  

•  The  most  frequent  sites  are  Thigh,  knee  and  ankle  

•  The  most  frequent  types  are  muscles,  joint  and  tendon  

•  The  apophysiFs  appear  in  young  football  players  

•  The  types  and  the  sites  of  the  injury  show  different  tendencies  in  each  sport  

5.  Message    

•  The  injury  incidence  is  constant  in  FCBarcelona  •  Our   interest   areas   are  Thigh  muscles,   knee,   ankle,  patellar   and  Achilles  

tendon  •  To   improve   our   data   we   need   to   collect   the   exposure   to   train   and  

compeFFon  •  We   must   conFnue   analyzing   data   to   understand   some   links   between  

injuries  •  More  deeper  analysis  of  risk  factors  are  been  done  in  some  teams  (  u-­‐19  

and  Female  football  teams)  

Lluis  Til    Mauricio  Monaco  Ramon  Canal  Bruno  Montoro  

Football  Club  Barcelona  Injury  Study