1. Facts & Figures
Professional football
In the mine & construction sector: In football:
0.02 injuries/ 1000 hrs 25.9 injuries/ 1000 hrs

5. 1990 -2009 Athletic Factors
• Increased distances covered in ALL positions.
• Increased distances covered at high speed.
• Increased speed and power - ( higher intensity.)
• Game is played at quicker pace – (ball & player speeds.)
• Number of sprints per game in Premiership has doubled since 2002.
• Average number of high intensity activities has almost doubled since
2002.
• Change in player body-type to muscular mesomorph.
• Higher levels of body strength are now required.
• Increased resistance to injury now more apparent.
• Diet, nutritional understanding has improved significantly.
• Pre – hab sessions now incorporated.
• Recovery & regeneration strategies greatly enhanced.
• Larger player pools and nationalities / ethnicities.
• Increased number and use of substitutes.

6. Injury
prevention
Injury prediction – Interdisciplinary
Fatigue
Intrinsieke Approach (Shakthar
management
risicofactoren Donetsk)

7. Injury Mechanism
Risk factors Injury mechanism
Internal risk factors External risk factors Inciting events
Nature
Predisposed athlete
Susceptible athlete
Susceptible athlete
 Age Human factors Training program
Injured athlete
 Gender  Referee  Daily training
 Cycle
2
 Height  Team mate
 Anatomy  Opponent  Periodisation
 Health  Environment  Workload
 Physical Fitness
 Proprioception
 Weather
 Surface
.  Fatigue
 Season planning
 Maintenance  Joint motion
 Skill level
 Sports equipment  Warming up
 Flexibility
 Clothes  Unprepared
 Muscular balances
 Shoes  Prepared
 Muscular strength
 Protective equipment  Skill performance
Nurture (training)  Shin guards
 Helmet
1. Screening and detecting intrinsic risk factors
2. Monitoring workload & Managing fatigue
Bahr & Krosshaug. (2005). Injury mechanism

8. Interne factoren - Voorbestemde atleet

9. 13 december 2006
Club Brugge
Blessurepreventie
Mannaseh Ishiaku
D 24 jaar
i Datum: 05-08 – 22-8 – 23-10
Onbeschikbaar: 8 weken
a
g Diagnose:
n Ruptuur 2de graad biceps femoris
o
s
Hoe:
e
Tijdens de wedstrijd – zie beelden

10. 13 december 2006
Club Brugge
Blessurepreventie
Knie flexie Juli ’06 206 Knie extensie Juli ’06 278
(hamstrings) R (quadriceps) R
P Knie flexie Juli ’06 134 Knie extensie Juli ’06 210
r (hamstrings) L
Verschil R-L Juli ’06 72
(quadriceps) L
Verschil R-L Juli ’06 68
e Gemmidelde Juli ’06 170 Gemiddelde Juli ’06 244
d Positie in de
groep
Juli ’06 17/24 Gemiddelde groep Juli ’06 272,35
i Verschil met de
groep
Juli ’06 -18,1 Verschil met de
groep
Juli ’06 -28,4
c Knie ratio R Juli ’06 74 % Knie ratio L Juli ’06 64 %
Doelstelling knie December ‘06 Ok % Doelstelling knie December ‘06 73.6 %
t ratio R ratio L
o Verschil R-L
Verschil met de
Juli ’06
Juli ’06
10
-1 %
Gemiddelde
Gemiddelde groep
Juli ’06
Juli ’06
69
70 %
r groep
Knie eccentrisch Juli ’06 -329 Knie eccentrisch R Juli ’06 -278
e R
Verschil R-L Juli ’06 51 Gemiddelde Juli ’06 -303,5
n Verschil met de Juli ’06 -61,8 Positie in de groep Juli ’06 2/24
groep

11. Top 10 Sport Sciences, IF 2.5

12. Injury prevention screening
Screening intrinsic risk factors
• Functional screening
•Adapted FMS
• Flexibility
• Anthropometric
• Girth measurements
• Functional strength tests
• Physical tests
• Jump tests

13. Injury Prediction Algorithm
1. Screen Intrinsic risk factors
2. Analyse workload
3. Monitor players
 Individual risk profile
 Most susceptible body zones
 Develop appropriate
prevention programs

14. Individual
risk profile
• Compare 2 or more
moments in time
• Injury sensitive zones
• Evolution through adapted
program
• Quality control

15. Injury Mechanism
Risk factors Injury mechanism
Internal risk factors External risk factors Inciting events
Nature
Predisposed athlete
Susceptible athlete
Susceptible athlete
 Age Human factors Training program
Injured athlete
 Gender  Referee  Daily training
 Cycle
2
 Height  Team mate
 Anatomy  Opponent  Periodisation
 Health  Environment  Workload
 Physical Fitness
 Proprioception
 Weather
 Surface
.  Fatigue
 Season planning
 Maintenance  Joint motion
 Skill level
 Sports equipment  Warming up
 Flexibility
 Clothes  Unprepared
 Muscular balances
 Shoes  Prepared
 Muscular strength
 Protective equipment  Skill performance
Nurture (training)  Shin guards
 Helmet
1. Screening and detecting intrinsic risk factors
2. Monitoring workload & Managing fatigue
Bahr & Krosshaug. (2005). Injury mechanism

16. Externe factoren - Vatbare atleet

17. Injury Mechanism
Risk factors Injury mechanism
Internal risk factors External risk factors Inciting events
Nature
Predisposed athlete
Susceptible athlete
Susceptible athlete
 Age Human factors Training program
Injured athlete
 Gender  Referee  Daily training
 Cycle
2
 Height  Team mate
 Anatomy  Opponent  Periodisation
 Health  Environment  Workload
 Physical Fitness
 Proprioception
 Weather
 Surface
.  Fatigue
 Season planning
 Maintenance  Joint motion
 Skill level
 Sports equipment  Warming up
 Flexibility
 Clothes  Unprepared
 Muscular balances
 Shoes  Prepared
 Muscular strength
 Protective equipment  Skill performance
Nurture (training)  Shin guards
 Helmet
1. Screening and detecting intrinsic risk factors
2. Monitoring workload & Managing fatigue
Bahr & Krosshaug. (2005). Injury mechanism

18. Influence V4mmol on the injury risk / Hamstrings

19. Resultaten
1e helft Ru 2e helft
st

20. Conceptueel model overuse
Wanneer een muskuloskeletale
structuur onderhevig is aan een
100%
aan intensiteit/omvang
combinatie dat kort bij de
Injury Treshold blessuregrens ligt, maar er tcoh
onder, zal er een positieve
remodelatie van deze structuur
ontstaan.
Injury zone
50%
Training – overuse injury
Training
Non-Injury zone
0%
60min 120min 180min
Omvang

21. Overbelastingszone

23. Thigh Posterior R
 Validation

24. Injury
prevention
Interdisciplinary
Fatigue
Injury prediction Approach (Shakthar
management
Donetsk)

25. Onderzoeksopzet 2
The influence of medical attention injuries on
future time loss injuries
Steven Probst
Prof. Dr. Werner Helsen
Jan Van Winckel

26. Resultaten

27. Diagnosis form
1 1. Select player & set prognosis
2. Diagnosis: Select type of injury
2
3. Select structure and side
3
4. Add extra information about
the injury mechanism
4
5. Was medical imaging used?
5 6. Upload file/ add scan report or
rehab and write extra
6 information about diagnosis
7. Share diagnosis form with
other users by email
7

29. • 18 European Top
teams
• Case: Team
working with
TopSportsLab
• Analysis injuries &
benchmarking with
other teams
• Evolution incidence
over 9 seasons

30. Number of training & matches
missed due to injuries