![Page 1: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/1.jpg)
Burnout- Facts and Figures
Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRPChartered Physiotherapist
Sports Institute Northern Ireland
GAA Conference- Bundoran 13th November 2004
![Page 2: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/2.jpg)
Is There A Problem?Is There A Problem?
• How Can We Address It?• Injury Prevention- Theory• Musculoskeletal Screening• Results• Response• Example of best practice• Recommendations
![Page 3: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/3.jpg)
What is the magnitudeof the problem?
What is the magnitudeof the problem?
What are thecauses of injury?
What are thecauses of injury?
What can we doto prevent injuries?
What can we doto prevent injuries?
What can we doto prevent injuries?
What can we doto prevent injuries?
![Page 4: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/4.jpg)
Meeuwisse WH: Clin J Sports Med 4: 166-170, 1994
Internal risk factors:
• Age (maturation, aging)
• Gender• Body composition (e.g.
body weight, fat mass, BMD, anthropometry)
• Health (e.g. history of previous injury, joint instability)
• Physical fitness (e.g. muscle strength/power, maximal O2 uptake, joint ROM)
• Anatomy (e.g. alignment, intercondylar notch width)
• Skill level (e.g. sport-specific technique, postural stability)
Predisposedathlete
Risk factors for injury(distant from outcome)
Injury mechanisms(proximal to outcome)
Susceptibleathlete
Exposure to externalrisk factors:
• Human factors (e.g. team mates, opponents, referee)
• Protective equipment (e.g. helmet, shin guards)
• Sports equipment (e.g. skis)
• Environment (e.g. weather, snow & ice conditions, floor & turf type, maintenance)
INJURY
Inciting event:
• Joint motion (e.g. kinematics, joint forces & moments)
• Playing situation (e.g. skill performed)
• Training program• Match schedule
![Page 5: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/5.jpg)
What is the magnitudeof the problem?
What is the magnitudeof the problem?
What are thecauses of injury?
What are thecauses of injury?
What can we doto prevent injuries?
What can we doto prevent injuries?
CAUSES???CAUSES???
![Page 6: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/6.jpg)
Cause?
![Page 7: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/7.jpg)
Musculoskeletal Screening
• Identify predisposing factors to injury• Detect musculoskeletal impairments that may
affect performance• Identify ongoing injuries, which may or may
not be receiving treatment• Provide information to coaches on
management of ongoing injuries• Identify problems not responding to treatment • Follow up to previous screening• Put in place appropriate measures to prevent
injury and enhance performance
![Page 8: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/8.jpg)
Screening Results
• Postural Alignment• Joint Range of Motion• Flexibility• Stability/Movement Control• Previous/Current Injury
![Page 9: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/9.jpg)
Postural Alignment
• High incidence poor kyphotic posture
• Rounded shoulders
• Poor alignment
![Page 10: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/10.jpg)
![Page 11: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/11.jpg)
![Page 12: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/12.jpg)
Joint Range of Motion
• Reduced ROM hip joints
• Increase laxity shoulder joints
• Reduced ROM spinal joints especially thoracic spine
![Page 13: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/13.jpg)
![Page 14: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/14.jpg)
![Page 15: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/15.jpg)
Flexibility
• Generally poor flexibility
• Reduced hamstring range (45-600 SLR)
• Standard- 90-1200
• Tight hip flexors• Tight chest
muscles
![Page 16: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/16.jpg)
![Page 17: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/17.jpg)
![Page 18: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/18.jpg)
![Page 19: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/19.jpg)
![Page 20: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/20.jpg)
![Page 21: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/21.jpg)
Stability/Movement Control
• Provides picture of how athlete moves
• Demonstrates effects of static findings
• High incidence poor single leg movement control tests
• Poor gluteal activation• Poor shoulder stability• Poor core
![Page 22: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/22.jpg)
![Page 23: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/23.jpg)
![Page 24: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/24.jpg)
![Page 25: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/25.jpg)
![Page 26: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/26.jpg)
Examples of Functional Tests
(Video)
![Page 27: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/27.jpg)
Current/Previous Injury
• High incidence of ankle and knee injuries
• High incidence hamstring injuries
• High recurrence rate
• Lack of adequate treatment and rehabilitation
![Page 28: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/28.jpg)
![Page 29: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/29.jpg)
![Page 30: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/30.jpg)
![Page 31: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/31.jpg)
![Page 32: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/32.jpg)
Summary of Findings
• Poor Posture• Decreased Thoracic Extension• Increased Laxity Shoulder Joints• Poor Flexibility:
– Hamstrings– Hip Flexors– Calves– Lumbar Spine
• Reduced Movement Control• High Incidence of Previous Injury:
– Associated With Ongoing Problems
![Page 33: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/33.jpg)
Case Study 1• 20yr old footballer• Poor kyphotic posture• History of right ankle sprains• History of right hip pathology• History of right shoulder pain• Currently complaining of left thigh pain• Poor balance and proprioception• Significantly reduced hamstring length• Unstable right shoulder• Continued to play throughout injury- still feels sore (2
years later)• Constantly feels stiff and sore• Trains 5 times per week• Regularly plays 3 games per week
![Page 34: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/34.jpg)
Case Study 2
• Screening Results:– Dislocated right shoulder– History of ankle sprains– Poor flexibility– Reduced spinal movements– Very poor posture– Leg length discrepancy– Very left side dominant– Poor single leg control
![Page 35: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/35.jpg)
Case Study 2 cont.
• Management:– 4 Months out of playing to rehab dislocated
shoulder– Concurrently worked on flexibility, control,
stability and spinal movements
• Outcome:– Returned to full training and competition– No recurrence of shoulder problems– Maintained flexibility and spinal movement– Reports that movement control has contributed
significantly to his game.
![Page 36: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/36.jpg)
Case Study 3
• Screening Results:– Very poor kyphosed posture– Reduced flexibility– Longstanding quadriceps injury for 6
months that has not improved despite treatment
– Continuing to play
![Page 37: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/37.jpg)
Case Study 3 cont.
• Management:– Cessation of playing– Treatment of injury– Advanced rehabilitation programme– Work on flexibility and control
• Outcome:– Return to playing– No further problems with quad– Improved flexibility and power generation
![Page 38: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/38.jpg)
Conclusion
• In light of the theory of injury prevention, the significant incidence of intrinsic risk factors in conjunction with numerous extrinsic factors (such as training volume and practices), the GAA squad presents as a High Risk Population
![Page 39: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/39.jpg)
How Do We Respond?
• Strategies to reduce injury risk.• Assessment of training practices:
– Content– Periodisation– Recovery
• Emphasis on:– Technique – Postural alignment– Flexibility– Stability– Adequate treatment and rehabilitation of injuries– Prehabilitation
![Page 40: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/40.jpg)
Technical training
Balancetraining
Specialdrills
Volleyball intervention study
![Page 41: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/41.jpg)
Myklebust et al. Clin J Sport Med 13: 71-78, 2003
Training program
• Three types of exercises with progression:1. Floor2. Airex balance mat3. Wobble board
• 5 weeks 2-4 x each week• Maintenance 1 x weekly
during the season
![Page 42: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/42.jpg)
Week
1W
eek
2
Week
4W
eek
5
![Page 43: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/43.jpg)
Myklebust et al. Clin J Sport Med 13: 71-78, 2003
P=0.15 vs. 98-
99
00-0100-0199-0099-0098-9998-99
P=0.06 vs. 98-
99
![Page 44: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/44.jpg)
![Page 45: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/45.jpg)
![Page 46: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/46.jpg)
![Page 47: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/47.jpg)
Recommendations
• Change training practices:– Volume*– Content– Periodisation– Recovery
• Emphasis on:– Technique – Postural alignment– Flexibility– Stability– Adequate treatment and rehabilitation of injuries– Prehabilitation
![Page 48: Burnout- Facts and Figures Dr. Philip Glasgow PhD, MRes, BSc(hons), MCSP, SRP Chartered Physiotherapist Sports Institute Northern Ireland GAA Conference-](https://reader035.vdocument.in/reader035/viewer/2022070416/56649d395503460f94a13dfe/html5/thumbnails/48.jpg)
Questions