football medicine & performance The official magazine of the Football Medicine & Performance Association
Issue 26 Autumn 2018
Exclusive: Are we squeezing the life out of adductor monitoring
In this issue: Cardiac Screening Life After Football
Legal
Contents Welcome 4
Members’ News
Features 5
The Barcelona Way Damian Hughes
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Research and Development What you should know about R&D
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Cardiac Screening Saves Footballers’ Lives – But We Can Do More David Oxborough
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Are we Squeezing the Life out of Adductor Monitoring Gary Silk
CHIEF EXECUTIVE OFFICER The launch of the FMPA Register is the culmination of much endeavour by the FMPA team and we are delighted with the response to date and the momentum that is starting to build. The Register was largely designed as an initiative to support members who leave the game often at a time of real need, giving them a platform to showcase their experience, helping them to maintain a presence in the game and supporting their private practice ventures. The needs of these members are clearly different to members in full time posts, hence why the register was set up as a separate entity and viewed as a potential bolt- on to membership, to be used as required. Continued support for colleagues, whether currently in the game or not, is what the FMPA is all about. Our membership is hugely diverse, covering more than a dozen disciplines, with a variety of specific needs. While this can be challenging at times, our profound belief is that ALL disciplines providing health care services to players and Clubs have an important role to play and individuals therein are an invaluable part of our membership. The change of title to FMPA underpins this belief. It is in working together that we have strength as an organisation and a significant voice in the professional game.
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What do sports medicine professionals working in football need to know about sport psychology? Dr Caroline Heaney
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The Supply of Medicines to Sports Teams Roni Lennon Bsc
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The FMPA Register
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Life After Football – Rob Swire
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A Commonly Misdiagnosed injury – Lisfranc Fracture Dislocation in a Professional Soccer Player Ashley Jones MSc Rodger Wylde BSc Richard Moss MSc
One of our main aims has always been to improve standards but there are many questions still to be addressed; areas such as governance, indemnity, safeguarding, fitness to practise and the increasing `brain drain` of skilled practitioners from the game, to name but a few. We should be very concerned that, in some areas, standards are actually falling Some of this is centred around cost saving measures at clubs who seem to think that as long as they have the minimum requirements in place, then everything is ok. Let me give one example for all to consider. If healthcare insurers determined long ago that their members (the public) can only be treated by practitioners who have a minimum of 5 years post graduate experience, why is it that `football` is happy for new graduates to treat professional players the day after graduation?
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The (Return to Play) Times, They are a Changin’ Markus Waldén Clare Ardern
While the foundations of the FMPA are firmly in place, all Medical and Performance practitioners working in professional football should recognise the role that the FMPA is playing and grasp the opportunity, not only to take the organisation forward, but to be an even louder voice in the game, raising standards to the world class level that you all deserve.
Eamonn Salmon CEO Football Medicine & Performance Association Football Medicine & Performance Association 6A Cromwell Terrace, Gisburn Road, Barrowford, Lancashire, BB9 8PT T: 0333 456 7897 E: info@fmpa.co.uk W: www.fmpa.co.uk
Chief Executive Officer
Eamonn Salmon Eamonn.salmon@fmpa.co.uk
Executive Administrator Lindsay Butler Lindsay.butler@fmpa.co.uk
COVER IMAGE
Swansea City’s Martin Olsson on the ground after picking up an injury. Richard Sellers/EMPICS Sport/PA Images Football Medicine & Performance Association. All rights reserved. The views and opinions of contributors expressed in Football Medicine & Performance are their own and not necessarily of the FMPA Members, FMPA employees or of the association. No part of this publication may be reproduced or transmitted in any form or by any means, or stored in a retrieval system without prior permission except as permitted under the Copyright Designs Patents Act 1988. Application for permission for use of copyright material shall be made to FMPA. For permissions contact admin@fmpa.co.uk.
Project Manager
Angela Walton Angela.walton@fmpa.co.uk
Design
Oporto Sports - www.oportosports.com
Marketing/Advertising
Charles Whitney - 0845 004 1040
Photography
PA Images, FMPA.
Contributors
David Oxborough, Gary Silk, Dr Caroline Heaney, Roni Lennon Bsc, Ashley Jones MSc, Rodger Wylde BSc, Richard Moss MSc, Markus Waldén, Clare Ardern, Damian Hughes.
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football medicine & performance
DAMIAN HUGHES Last year Manchester City seemed to be light years ahead of the Premier League pack. Can they emulate that success or even improve upon it this season? Professor Damian Hughes, an expert in winning cultures has spent the past three years studying coach Pep Guardiola’s methods. Here he gives an assessment of the man considered by many to be the greatest coach for a generation. In the decade since his largely unheralded appointment to the Nou Camp hotseat, Pep Guardiola has not only raised the bar in respect to football management, he has shifted the goalposts, taking the netting with him. It was early summer 2008 when a 37 year-old, with just one year of reserve team managerial experience under his belt, took the reins of his beloved FC Barcelona, a club he had served with distinction as its midfield playmaker.
that had been prevalent when Johan Cruyff - his mentor - had been at the helm. He took inspiration from Cruyff’s teachings but had his very own interpretation of what doing things the Barcelona Way actually meant. It was centred around three trademark behaviours: humility, hard work and putting the team above your self interest. Guardiola did this several ways but it was his ruthless treatment of the club’s then star triumvirate of Deco, Ronaldinho and Samuel Eto’o which signalled the dawning on a brilliant new era. In his first press conference, he announced the end of the trio’s Nou Camp careers with the first two leaving soon afterwards and Eto’o departing 12 months later. This allowed Guardiola to build the club around Andres Iniesta, Xavi Hernandez, Lionel Messi and Gerard Pique - all products of its La Masia academy.
Despite his celebrated status, many of Barcelona’s notoriously discerning cules were distinctly underwhelmed by the appointment, as were some sections of the Spanish media - his appointment was relegated to page 13 of the El Pais newspaper.
As someone who has worked with a variety of elite sports teams and blue chip companies, I always seek to impress upon management the importance of culture. The results bear this out. Research suggests that culture can have as much as 22 per cent impact on performance. Guardiola’s current boss, Ferran Soriano emphasised this point, “Culture is a crucial ingredient in all organisations” and is especially crucial at football clubs. Guardiola stepped out of the shadows of coaching Barcelona B for a season to re-instil a culture
Although success hasn’t been instantaneous at City - his debut season in Manchester was his first without a trophy as a coach - what we witnessed last term suggests that he has nailed the commitment culture. As is the way that they play - with all Guardiola’s teams, possession is law. In away league games alone last year, the City record breakers boasted an incredible average of 82 per cent, meaning they will win most matches by passing - last season nearly 9 out of 10 City passes were accurate. “Without the ball there is no pass, without the ball there is no control, with no control the fewer opportunities you have to score” were words written by a 24-year-old Guardiola in 1995.
In short, Guardiola’s appointment as successor to the much maligned Frank Rijkaard, was seen as a huge risk, so what happened in that first incredible season as a senior manager that has led him to become the undisputed king of football coaches? What he did first was to focus on the culture of the club he knew better than most; how people are expected to behave. Txiki Begiristain, who is City’s director of football and fulfilled the same role at Barcelona, explained to me, Guardiola’s message has always been clear: “Your talent will get you as far as the dressing room. How you behave determines if you will stay there.”
the Etihad are obvious - he quickly dispensed with Hart and Nasri and allowed an ageing Toure to drift to the fringes of the first team, whilst allowing the humble de Bruyne, quick witted Silva and the selfless Fernandinho to emerge as key figures within the dressing room. When his team scores, note how the scorer will always seek to point and acknowledge the role of the person who created the chance. It is a small, but telling example of how he is ridding the culture of egotists and instilling a sense of the team coming first..
It is worth remembering that he stuck firm to his tried and tested principles during that first season of huge transition in the North West of England and simply refused to countenance a different approach. “I don’t change,” he remarked at one press conference. “If they don’t like it, I leave.” He sets an example that all have to fit in or they can head for the exit.
These were his cultural architects, the ones who would role model the trademark behaviours. His long serving assistant Manel Estiarte was charged with observing these behaviours at all times. He would watch the reaction of players sat on the substitutes bench. Those who didn’t react to the game’s ebb and flow were deemed to be sulking and were swiftly told to FIFO: Fit in or Find a Way Out. The rest is history and Guardiola led his brilliant charges to the treble in his first season, becoming the youngest Champions’ League winning coach in the process. The parallels with what he did at
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Warren Buffett, the world’s best known investor, advises businesses to apply a simple criterion when appointing a leader. “They must possess intelligence, energy and integrity. If they only have intelligence and energy, don’t touch them!” It is the third quality - integrity - the courage to stay true to their ideals which makes the difference. Pep Guardiola exemplifies this final quality. He seeks to convert English football to his way, the Barcelona Way. Damian has worked with many sports teams including most recently the Scottish Rugby Union team. He has written several books, including the acclaimed How To Think Like Sir Alex Ferguson. His latest book, The Barcelona Way, is released this week and is published by Macmillan.
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