srvll safety lecture 2019€¦ · basic first aid tips use gloves if uncertain, do not move injured...
TRANSCRIPT
SRVLL Safety Lecture2019
Introduction
Who I am.
What is our goal?
Basic Safety
Common Injuries
Risk Factors
Prevention
Coaches
Fatigue assessment?
Players outside commitments.
When the Doc says Labrum,
I hear, “#@&%#*”.
Performance ≠ Prevention?
The Basics
General Recommendations
Be aware of flying bats and balls Batting helmets
Bat control
Balls being thrown
Coaches/Parents: Know CPR and how to use AED
Field Check
Roster inventory
Action plan: Diabetics, Asthmatics, Allergies
Unhealed injuries
Basic First Aid Tips
Use gloves
If uncertain, do not move injured player Move other players, notify parents
If in doubt, dial 911
If any possibility of head injury-must remove and no return until cleared by MD.
Any limp, change in throwing, no return until cleared by MD
Tooth injuries: Dentist---Dislodged tooth in milk.
Bites
Eye injuries: Immediate ER evaluation
Injury Reporting
What to report:
Any person receiving Medical
Treatment.
Copy and complete injury report
form from binder.
When to report:
Within 48hrs.
How to report:
Email: [email protected]
Concussion
Coaches Mandated Training: CDC, HEADS UP to Youth Sports: Online Training. Print Certificate of Completion.
Symptoms Headache
Nausea
Dizziness
Light
Memory
Confusion
Noise
Slowed Reaction
Drowsiness
Loss of Balance
Vomiting
Vision
Concussion
Coaches see Confusion
Dazed
LOC
Behavior Changes
Clumsy Movement
Personality Changes
Poor recall
Concussion
24 hour rule No Activity
Light aerobic exercise
Sport specific exercise
Non contact
Contact
Return to play
Heat Illness
WHY?
Symptoms Chills
Dark Urine
Dizzyness
Dry Mouth
Headaches
Thirst
Weakness
Heat Illness
Prevention Acclimation
Fluid replacement
Clothing
Hydration 16 oz 1hr prior
4 oz every 20 min during
Hydrate to thirst level after
Treatment Shade
Cold towels
Hydration
Medical Attention
Anatomy
Shoulder Anatomy
Shoulder Anatomy
Shoulder Anatomy
Shoulder Anatomy
Shoulder Anatomy
Shoulder Anatomy
Elbow Anatomy
Elbow Anatomy
Elbow Anatomy
Elbow Anatomy
Elbow Anatomy
Biomechanics
Pitching Biomechanics
Kinetic chain
Phases
Varus Torque at elbow of 65Nm
Internal Rotation Torque at shoulder 67Nm
IR Velocity 7000˚/S
Functional Strength and Flexibility
Angular Velocities for Mark Prior
-2000
-1000
0
1000
2000
3000
0.2 0.25 0.3 0.35 0.4 0.45 0.5 0.55 0.6
Time (s)
vel (
deg
/s)
Trunk Vel
Pelvis Vel
IR Vel
Comparison of Elite Professional Golfer and Elite Professional Pitcher
0.95 1.00 1.05 1.10 1.15 1.20 1.25 1.30 1.35
Time (s)
Hips
Shoulders
Arm
Ball Release
SLOW DOWN!!!!
You can only accelerate as fast as you can decelerate.
Elbow pain in young throwers
Look for the subtle signs: ”shaking” of the arm between pitches
Less interest in throwing
Throws going higher than usual
Loss of accuracy
Finger point test
Loss of extension
Elbow pain in young throwers
Inside elbow pain Irritation of growth plate
Strain of flexor/pronator muscles
Stretching of ulnar nerve
Ulnar collateral ligament tears
Outside of the elbow pain Radial head/Capitellum injury
Extensor/Supinator muscle injury
Olecranon impaction syndrome
Overuse injury
Rapid acceleration Intensity
Duration
Frequency
Premature return
Poor technique
Overuse injury
Treatment Cut back
Easy/hard
Proper technique
Proper warm-up/cool down
Ice
Anti-inflammatory
No pain, no gain
Do not increase more than 10%/week
Baseball Evaluation
Functional Evaluation
Functional Evaluation
Functional Evaluation
Functional Evaluation
Functional Evaluation
Functional Evaluation
Cases
Risk Factors
Risk Factors For Injury
Pitching while fatigued
Throwing too many innings
*Too many pitches in an inning*
Not taking enough time off from baseball yearly
Too many pitches or not enough rest
Pitching on consecutive days
Excessive throwing when not pitching
Pitching with injuries to other body regions
Curveballs and sliders at a young age
Showcases
Radar guns
Risk Factors For Injury
When can kids throw a curveball
USA Baseball says age 14
Biomechanics
True curveball risk may be talent
Teach the change up
What’s New 2018?
“BASEBALL PLAYERS PROHIBITED FROM THROWING AFTER OVERUSE INJURY HAD GREATER RETURN-TO-PLAY RATE”- Journal of Shoulder and Elbow Surgery PROHIBITED THROWING VS LIMITED THROWING
“FASTBALLS YIELDED GREATER TORQUE VS OTHER THROWS AMONG HIGH SCHOOL, COLLEGIATE PITCHERS”-Journal of Arthroscopy
Prevention
Health and Performance Equation
Biomechanics
+
Functional Strength and Flexibility
+
Pitch Totals
=
Health and Performance
Functional Strength and Flexibility
Foundation Fitness Work for Stability, Mobility, Flexibility and a Balanced Body
Joint Integrity Work for Repetitive Movement Durability
Machine Work for Speed and Power
Free Weight Work for Speed and Power
Overloading and
Underloading Implement
Training Work for Velocity
Summary
Prevention of youth arm injuries is a key public health issue.
The proliferation of competitive opportunities is a double edged sword.
Teaching proper mechanics and training is essential.
Education and adherence to USA baseball recommendations is essential.
Sport specific conditioning at an early age will help your child.
Prehab-Rehab will train the muscles/joints properly and prevent injuries.
PROTECT YOUR TALENT
Thank You
Pitch Smart Program
Age Pitch Count 0 Days 1 Day 2 Days 3 Days 4 Days
7-8 50 1-20 21-35 36-50 N/A N/A
9-10 75 1-20 21-35 36-50 51-65 66+
11-12 85 1-20 21-35 36-50 51-65 66+
13-14 95 1-20 21-35 36-50 51-65 66+
15-16 95 1-30 31-45 46-60 61-75 76+
17-18 105 1-30 31-45 46-60 61-75 76+