The official magazine of the Football Medicine & Performance Association
football medicine & performance
Issue 31 Winter 2019/20
Feature
Karen Carney A Pioneer for the Womens’ Game In this issue Injuries in Football: It’s Time to Stop Chasing the Training Load Unicorn Cautious Return to Play Could Prevent Muscle Injuries FMPA Conference 2020 Neurodegenerative Disease Among Former Footballers
Legal Ţ Education Ţ Recruitment Ţ Wellbeing
www.fmpa.co.uk
CONTENTS FEATURES
08
Injury Mitigation in Team Sports. Part-2: The risk management approach Colin W. Fuller
29
What to do and When to do it? The Tricky Question of Specialisation in Youth Football Laura Finnegan
11
Injuries in Football: It’s Time to Stop Chasing the Training Load Unicorn Franco M. Impellizzeri, Aaron J. Coutts, Maurizio Fanchini, Alan McCall
33
Training the Semi-Professional Footballer Daniel Bernardin, Dylan Mernagh
36
Karen Carney A Pioneer for the Women’s Game Sean Carmody
39
Wrist Injuries in Goalkeepers Raj Bhatia, Adam Esa, Sam Haines
45
Neurodegenerative Disease Mortality Among Former Professional Soccer Players – Summary Emma Russell
49
Job Insecurity: Reducing Its Negative Effect on Your Wellbeing Caroline Marlowe
50
FMPA Register
17
ABOUT
Cautious Return to Play Could Prevent Muscle Injuries in Professional Football Håkan Bengtsson, Jan Ekstrand, Markus Waldén, Martin Hägglund
22
Generalised Joint Hypermobility – Why should it be screened for within a football setting? Adam Johnson
24
FMPA Conference 2020
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Understanding and Developing Relationships in the Modern Football Hierarchy Dr Daniel Parnell, Professor Barry Drust
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 FMPA_Official Officialfmpa fmpa_official LinkedIn: Football Medicine & Performance Association FMPA_Register FMPARegister fmpa_register Chief Executive Officer Eamonn Salmon eamonn.salmon@fmpa.co.uk
Design Oporto Sports www.oportosports.com
Executive Administrator Lindsay Butler admin@fmpa.co.uk
Photography PA Images, FMPA
Project Manager Angela Walton angela.walton@fmpa.co.uk
Contributors Colin W. Fuller, Franco M. Impellizzeri, Aaron J. Coutts, Maurizio Fanchini, Alan McCall, Håkan Bengtsson, Jan Ekstrand, Markus Waldén, Martin Hägglund, Adam Johnson, Dr Daniel Parnell, Professor Barry Drust, Laura Finnegan, Daniel Bernardin, Dylan Mernagh, Raj Bhatia, Adam Esa, Sam Haines, Emma Russell, Caroline Marlowe
Marketing/Advertising Charles Whitney 0845 004 1040
Print Media Village www.media-village.co.uk
Administration Assistant Amie Hodgson amie.hodgson@fmpa.co.uk
COVER IMAGE England’s Karen Carney during the FIFA Women’s World Cup Third Place Play-Off at the Stade de Nice, Nice. Richard Sellers/PA Wire/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
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feature
football medicine & performance
JOB INSECURITY: REDUCING ITS NEGATIVE EFFECT ON YOUR WELLBEING A 2019 FMPA Survey showed job insecurity to be the overwhelming issue that most concerns FMPA members about their working/professional environment. Stress literature suggests that job insecurity, the perceived probability and perceived severity of losing one’s job, can be as stressful as losing your job. This is because the lack of control and anticipation of not being able to meet your social and economic needs makes it difficult to live in the present and to plan for the future. Further, job insecurity and redundancy can lead you to question what you know about yourself and the world. Job insecurity is potentially, therefore, a risk to wellbeing. Indeed, large-scale across-sector surveys frequently link job insecurity with greater risk of poor health, whilst research also suggests a doubling of the risk of mental health conditions, such as depression and anxiety. Cautious application of the sport transition literature also suggests that the perceived severity of job insecurity and potential loss, and thus the risk to health, might be greater for those who have only worked within, or had a long-term career in, football. Despite this, denial or avoiding to prepare for potential job loss is both common and understandable. You might feel that any preparations would threaten your/others’ perception of your commitment, or seem pointless within football’s unpredictable environment. Alternatively, the thought of working for a different club or outside of football might be difficult. Consequently, the ‘wait and see’ strategy may be helpful if it maintains a sense of control or reduces the loss of time or energy in long-term insecurity situations. But research warns that this approach may not be so helpful in the long-term. So How Should I Cope with Job Insecurity? Everyone perceives and experiences job insecurity differently. This, the lack of research specific to football support professionals or similar employment situations, makes it difficult to give strong recommendations of what to do to reduce job insecurity stress. However, honest consideration of the following evidencedbased strategies will help you find the balance that suits your situation.
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Reality Check: Is your job really under threat? Gain information and give honest consideration to the probability of job loss, and the severity of specific life consequences. Be Career Aware: Remember; careers rarely progress upwards in a linear fashion, progression often requires change, and every change can be a crisis, a relief and/or a positive. Expect your career to take a series of steps, some forward - small and large, some backwards, some within your control, others not. Regardless of the reasons and direction of travel, consider each step and role as an opportunity to gain and enjoy new experiences, and to develop new personal and professional skills. If you’ve got a career dream, keep working on it. Develop Competency. Know about the latest professional skills and what’s in demand. Keep your skill base up-to-date and take on new responsibilities. Don’t underestimate the benefit of developing strong, transferable personal skills, e.g., time management, social skills, coping. Also, broaden your understanding of what other jobs and careers are available both in and out of football, and how your skills can be applied. Know and Be Confident in Who You Are: Know what makes you you; your personal beliefs and values. E.g., is it important that you have integrity, work hard, be positive? Ensure that you live by your values. Let them underpin your confidence, guide your decisions, help you face new challenges. Others will notice and value you for it. Further, if you have gone straight from playing into a support career, exploring other roles and social settings can help this process and provide a broader sense of self and identity. Grow Your Network: Optimise and use those who can provide advice, and listening, emotional and logistical support. Address Specific Redundancy Concerns. E.g.; if you are worried about financial consequences, seek financial advice and manage your current funds wisely. If you have a partner/family, discuss concerns that may affect them, with them.
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Are you in a position of knowledge or control over the employment of others? If so, do what you can to promote their sense of security. Most specifically, prioritise open communication and work to maintain their trust. This might not solve their job insecurity, but it will help reduce the psychological health risk. If Made Redundant … This life change can bring many daunting, challenging, (maybe positive), anticipated and unanticipated consequences. ~
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Use Networks: If you have set good impressions and nurtured your network, let people know you are available and ask if they can help. Moving Forward: Aim to come to terms with what’s happened. Negative thoughts and feelings of being sacked or negative situations endured whilst in post can dominate and prevent you from moving on effectively. Gain Support: Emotions associated with grief are often experienced, i.e., denial, anger, bargaining and depression. Don’t ignore or be embarrassed by them. Instead, acknowledge and work through them appropriately with friends, trusted colleagues or professional services. Restory: Look for the positives in what happened. If possible, accept. Develop a story that you can live with and move on. FMPA Support: Remember, full members who have exited a club can access a range of support including immediate advice, and legal, networking and marketing support.
Remember: Careers progress in various ways. Appropriate preparation helps you; be resilient, enjoy and work optimally in your current post, and face any changes with confidence.
N.B. Previous ‘Football Medicine and Performance’ articles will help with the above, i.e., ‘How to Thrive with a Little Help from My Friends’ (Issue 29, Summer 2019) and ‘Getting Back in the Driving Seat’ (Issue 30, Autumn 2019).
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feature
football medicine & performance
REGISTER “The quicker way to access practitioners” Our marketing team are constantly looking at ways in which the FMPA Register can be quickly accessible to the end user. On the back of this we have created a video which gives users a step by step guide on how to download the FMPA Register Menu page and save it to the home screen on their device. This will give instant access to practitioners listed on the FMPA Register with just one click on the App! Whether you are a practitioner working in private practice, available for professional consultancy to football clubs or seeking employment. It has never been easier to be sourced!
The FMPA Register is different to any other directory around. Our team actively market each practitioner to their specified audience.
STEP 1
We are in the process of informing grassroots clubs, players, colleagues and professional football clubs about this quick and simple process to download to the App to their home screen. They will have access to practitioners at their fingertips!
Add to your home screen
The FMPA Register - supporting you to ensure you are quickly and easily accessed.
Visit fmpa.co.uk/fmpa-register STEP 2 STEP 3
You’re ready to start accessing skilled practitioners from within professional football on the FMPA Register! DOWNLOAD OUR APP TODAY!
Anglea Walton Angela Walton Project Manager
PC
PROFESSIONAL CONSULTANCY TO FOOTBALL CLUBS When your club is in need of a consultant, search an extensive list of experienced practitioners and contact them directly on the FMPA Register. www.fmpa.co.uk/fmpa-register
Not yet created a listing on the FMPA Register? Scan the QR code
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Search for a practitioner on the FMPA Register Scan the QR code
info@fmpa.co.uk