How To Manage Sports Injuries?

How to Manage Sports Injuries?
Adriano Vretaros
Strength and Conditioning Coach
2018
So Paulo BRAZIL
avretaros@gmail.com
What are Sports Injuries?
A sports injury can be dened as an injury

that occurs during sporting activi-ties or
exercise.
(Rolf, 2007)
Types of Sports Injuries - I
Adapted from Marujo, 2014
- Contact and Non-Contact
- Acute and Chronic
- Fatigue, muscle
- Intrinsic
imbalances, etc.
- Equipment, playing field,

- Extrinsic environment, etc.
Types of Sports Injuries - II
IMPORTANT ASPECTS:
- Athlete Level
- Type of Sport
- Location
- Biomechanical Mechanism
- Symptoms
- Clinical Tests and Exams
- Diagnosis
- Relevant Research
- Treatment
- Evaluation of Treatment
- Return to Training
- Return to Play
Professionals Involved in Management
Sports Physician
- Assessment
- Indication of
Treatment Strength and
Conditioning
Sports Coach
Physiotherapist - Specific Training
- Rehabilitation - Prevention of
Injuries
Health - End Stage of
Professionals Rehabilitation
- Physiologist - Return to Play
- Masseur
- Chiropractic
- Podiatrist
- Nutritionist
- And Other
The Scientific Staff Work
Multidisciplinary
Team
Interdisciplinary
Team
Transdisciplinary
Team
Injury Management Platforms
CORRECTIVE
Plataform
PREVENTIVE
Platform
PREDICTIVE
Platform
Corrective Platform - I
** CYCLE INJURY-CORRECTION **
Corrective Platform - II
1) URGENT When the severity of the

injury involves the athlete
CORRECTIVE IMMEDIATE clearance to
PLATFORM: reach a DEFINITIVE
SOLUTION.
When the injury to the

athlete undergoes
2) PROGRAMMED PERIODIC treatment and/or
CORRECTIVE a surgical intervention is
PLATFORM: decided in the MEDIUM or
LONG TERM.
Preventive Platform - I
SMART
TRAINING
(Boyle, 2015)
SPORTS PREVENT
PERFORMANCE INJURIES
Preventive Platform - II
EVALUATION TOOLS for Injury

Prevention:
- Functional Movement Screen

- Y-Balance Test
- Star Excursion Balance Test
- Isokinetic Evaluation
- Global Postural Assessment
- Unilateral Vertical Jump Test
- Unilateral Horizontal Jump Test
- And Other
Preventive Platform - III
Training Loads
(internal and external)
(Adapted from Gabbett, 2016)
Dose-response of loads
Weekly load
Loading Thresholds increases
(up to 10%)
Relationship Between ~ 0,6-1,3

Acute-Chronic Load
High Risk Area would be
above or equal to 1.5
Preventive Platform - IV
Training Loads
(internal and external)
(Adapted from Gabbett, 2016)
Train "strong" INJURIES

inappropriately
EFFECT
Train "strong" NATURAL
appropriate PROTECTIVE
Preventive Platform - V
ACTION PLAN
(Adapted from Parkkari, Kujala & Kannus, 2001)
VARIABLES:
- Number SET UP:
- Incidence a) Etiology
- Temporal Tendency b) Risk factors
- Consequences c) Injury Mechanisms
(deficiencies, disabilities and
costs)
Evaluate EFFECTIVENESS and Preventive

COST of Preventive Action Program
Preventive Platform - VI
RECOVERY RESOURCES:
(Bompa & Haff, 2012)
- Cryotherapy
- Compressive Clothing
- Massage
- Hydrotherapy
- Hydration
- Nutrition
- Sleep
- Etc
Predictive Platform - I
*** What is
PREDICTION? ***
Affirm With CONVICTION What

May Happen in the FUTURE "
Predictive Platform - II
Empiricists
Rationalists
Predictive Platform - III
EXPLICIT TACIT
Knowledge Knowledge
- Declarative Information
- Perceptual Skills
- Routines
- Pattern Matching
- Procedures
- Workarounds
- Protocols
- Judging (?)
- Mathematical Expressions
- Mental Models
-Others
- Insights
- And (???)
Predictive Platform - IV
MANIPULATE
GREAT RANDOMNESS
UNCERTAINTY
Predictive Platform - V
HOW TO ACT?
UNFORGETTABLE
CONTINGENCIES
THINK
DIFFERENT
MENTALITY OUTSIDE THE

CURVE
Predictive Platform - IV
VI
THREE THEORIES:
3) Logarithmic
1) Heuristic
Engineering
Methodology
2) Black Swan
Logic
Predictive Platform - VII
HEURISTIC METHODOLOGY
(Gingerenzer & Gaissmaier, 2011)
"Serve to Discover"
FASTER You IGNORE Some of

Decision Making the Information
There Are NO RIGID

RULES of Direction to
Discoveries WITHOUT
Seek Solutions Statistical Calculations of
a Higher Level of
Complexity
INTUITIVE FILTER
for Analysis ECOLOGICAL
RATIONALITY
Predictive Platform - VIII
HEURISTIC Focused on the

Sporting Environment
(Adapted from Jovanovic, 2017)
ASSURANCE RISK
Predictable
Knowledge
Results
UNCERTAINTY
Unpredictable
Results
Predictive Platform - IX
BLACK SWAN LOGIC

(Adapted from Taleb, 2015)
CAUSAL
ANTI- CHAINS
KNOWLEDGE
Forecast
ERRORS of RANDOM
Magnitude Often EVENTS
NOT SCALED
Predictive Platform - X
BLACK SWAN LOGIC
(Adapted from Taleb, 2015)
DECREASE the
Probability of Surprises:
1) Illusion of the 3) Overvaluation

Understanding of Factual
Information
2) Retrospective
Distortion
Predictive Platform - XI
THOUGHT:
(Taleb, 2015)
Non-linear ILLOGICAL
SPECULATIONS Real-life
Problems
Predictive Platform - XII
LOGARITHMIC ENGINEERING:
PREDICTION ARTIFICIAL
MODEL INTELLIGENCE
(Douetteau, 2017) (Cruz, 2010)
Decision Tree Neural Networks

Linear Regression
Random Forest
Logistic Regression
Gradient Boosting
Predictive Platform - XIII
LOGARITHMIC ENGINEERING:
POLYNOMIAL CURVES
TABLE (R = 0.53)
(Blanch & Gabbett, 2016)
Create a SPECIFIC logarithmic

BY SPORT
RECURRENCE of the same injury
NEW INJURY UNKNOWN RISK

Predictive Platform - XIV
JUNCTION OF THREE THEORIES
Heuristic
Methodology
+ Logarithmic
Engineering + Black Swan
Logic
Complexity
MULTIFACTORIAL
Predictive Platform - XV
1) Heuristic 2) Logarithmic
Methodology Engineering
3) Black Swan
Logic
FORMULATE
Hypotheses
and
Probabilities
PREDICT Sports
Injuries
Sports Injury Management
CORRECTIVE PREVENTIVE PREDITIVE

Platform Plataform Platform
Secondary PRIMARY Primary Resource

and/or Tertiary Resource COMPLEMENTARY
Resource to the preventive
platform
Only employed in Try to solve possible Speculate through

typical emergency variables in a way conventional and
situations or specific that prevents the unconventional
cases such as onset and information and to
congenital injuries, recurrence of the anticipate situations
etc. injury. randomly.

How To Manage Sports Injuries?

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How To Manage Sports Injuries?

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How to Manage Sports Injuries?

A sports injury can be dened as an injury

Adapted from Marujo, 2014

- Contact and Non-Contact

- Acute and Chronic

- Equipment, playing field,

1) URGENT When the severity of the

When the injury to the

EVALUATION TOOLS for Injury

- Functional Movement Screen

Relationship Between ~ 0,6-1,3

Train "strong" INJURIES

Evaluate EFFECTIVENESS and Preventive

Affirm With CONVICTION What

MENTALITY OUTSIDE THE

FASTER You IGNORE Some of

There Are NO RIGID

HEURISTIC Focused on the

BLACK SWAN LOGIC

1) Illusion of the 3) Overvaluation

Decision Tree Neural Networks

Create a SPECIFIC logarithmic

RECURRENCE of the same injury

NEW INJURY UNKNOWN RISK

JUNCTION OF THREE THEORIES

CORRECTIVE PREVENTIVE PREDITIVE

Secondary PRIMARY Primary Resource

Only employed in Try to solve possible Speculate through

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