medicine & performance The official magazine of the Football Medicine & Performance Association
Issue 28 Spring 2019
Feature
The Team Behind The Team
What exactly do large medical teams do to keep players in optimal physical condition
In this issue Sports Pharmacist: What the role provides Life After Football Spotlight on Substitutes FMPA Conference Awards 2019
Legal Education Recruitment Wellbeing
www.fmpa.co.uk
CONTENTS WELCOME
7
Updates
FEATURES
10
Understanding The Team Behind The Team
37
Are You Surviving or Thriving? Caroline Marlow
16
Sports Pharmacist: What The Role Provides Paul Moloney MPharm
38
Spotlight on Substitutes: What Do We Know? Samuel P. Hills Steve Barrett Mark Russell
18
Life After Football – Scott Pearce 40
FMPA Register
19
FMPA Conference 2019
29
Translating Strength Into Speed Mike McGurn
32
LightForceÂŽ Helping People to GoPerform
ABOUT
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
Design Oporto Sports www.oportosports.com
Executive Administrator Lindsay Butler admin@fmpa.co.uk
Photography PA Images, FMPA, Getty Images, FIFA via Getty Images, Jussi Eskola
Administration Assistant Amie Hodgson amie.hodgson@fmpa.co.uk
Contributors Mike McGurn, Samuel P. Hills, Steve Barrett, Mark Russell, Paul Moloney MPharm, Scott Pearce, UEFA Direct
Project Manager Angela Walton angela.walton@fmpa.co.uk Marketing/Advertising Charles Whitney 0845 004 1040
Print Media Village www.media-village.co.uk
COVER IMAGE Fulham Head of Sports Science Alastair Harris. Manchester City v Fulham - Carabao Cup - Fourth Round - Etihad Stadium Tim Goode / 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
Pitch-Side Products with a Long Standing Reputation Sports Box
Offer available. See over for details
Leukomed®
Leukomed® Control
Leukomed® Sorbact®
Leukomed® T
Leukomed® T plus
Strappal®
Cuticell® Contact
Lightplast® Pro
20% off Leukomed® dressings*
Code
Size
72380-00 72380-01 72380-02 72380-03 72380-04 72380-05 72380-06
7.2cm x 5cm 8cm x 10cm 8cm x 15cm 10cm x 20cm 10cm x 25cm 10cm x 30cm 10cm x 35cm
Pack Qty
Code
Size
1 x 50 1 x 50 1 x 50 1 x 50 1 x 50 1 x 50 1 x 50
72381-00 72381-01 72381-08 72381-14 72381-02 72381-09 72381-10
7.2cm x 5cm 8cm x 10cm 10cm x 12.5cm 10cm x 25cm 11cm x 14cm 15cm x 20cm 15cm x 25cm
72382-00 72382-01 72382-02 72382-14 72382-03 72382-04 72382-05
Leukomed®
Leukomed® T
Leukomed® T
Leukomed® Sorbact
Leukomed® T plus
Leukomed® Control
Leukomed® Sorbact®
1 x 50 1 x 50 1 x 50 1 x 50 1 x 50 1 x 50 1 x 50
Leukomed® T Plus
76199-00 76199-01 76199-03 76199-04 76199-05 76199-06 76199-07
5cm x 7.2cm 8cm x 10cm 8cm x 15cm 10cm x 20cm 10cm x 25cm 10cm x 30cm 10cm x 35cm
1 x 20 1 x 20 1 x 20 1 x 20 1 x 20 1 x 20 1 x 20
73230-00 73230-01 73230-02
5cm x 7cm 7cm x 10cm 8cm x 15cm
1 x 10 1 x 10 1 x 10
7.2cm x 5cm 8cm x 10cm 8cm x 15cm 10cm x 20cm 10cm x 25cm 10cm x 30cm 10cm x 35cm
1 x 50 1 x 50 1 x 50 1 x 50 1 x 50 1 x 50 1 x 50
10cm x 24cm 10cm x 35cm
1x5 1x5
Leukomed® Control 73230-03 73230-05
*Product packs and sizes available may vary. Offer valid from 1st April to 31st May 2019.
Available via Fit4Sport and Vivomed.
4379/219
Leukomed®
Pack Qty
feature
football medicine & performance
ARE YOU SURVIVING OR THRIVING? You do so much to help your team succeed, but by giving so much, do you actually give less? Looking after yourself is vital when supporting others, particularly when working in a demanding world such as football. Here we encourage you to honestly ask: Am I healthy? Am I thriving or just surviving? Am I looking after myself as well as I should? How Healthy Are You?
You know a lot about health. That its more than being free from disease, more than just physical health, and that being fit does not necessarily mean that you are healthy. You probably also know that a busy schedule often dictated by others, and a job that demands putting others before yourself, can make it difficult to be as healthy as you would like. But did you know that if we take the World Health Organisation definition of health as being “a state of complete physical, mental and social well-being”, that less than 20% of the UK population would be seen as healthy, with good wellbeing, or as flourishing? So how healthy are you? Think for a second: Are you making the most of your abilities? Are you coping with the normal stresses of life? Are you working productively and effectively? Are you able to contribute to your community? Of course, we’d all like to say yes to these questions, but if you are one of the 80% in the UK who do not, then you would be classified as being without complete health. So what are the consequences of incomplete health for us, for our players, our colleagues and teams?
Complete health or flourishing provides: energy; confidence; better coping under pressure; stronger attentional focus, clearer thinking and better decision-making; greater creativity; optimism; greater empathy and more productive inter-personal relationships. All of these have clear positive effect on our ability to care for, support, and work with others. Conversely, anything less than complete
health has the potential to undermine these, whilst anything less than complete mental health has been shown to lead to worse functioning in terms of physical disease, work productivity, and psychosocial functioning. So why is wellbeing a potential concern for FMPA members?
It is reasonable to assume that all of us want to excel and contribute within our lives. But increasingly as a sport and across society there is realisation of a growing health crisis with real personal, professional and societal consequences. Mental health, in particular, is in the public eye due to; 1.
1 in 6 of the UK population experiencing a common mental health problem, e.g., anxiety or depression, in any given week.
2.
Stress being the most common workrelated risk to health and the biggest cause of long-term work-absence.
The incidence of these amongst football support professionals is unknown, but anecdotally, many are exposed to major stress-related threats, e.g., frequent and dramatic change, job instability, bullying, low work-life balance, lack of control or trust, and opposing aims and values to management. Of course we know of the physical implications of long-term stress, e.g., cardiovascular, respiratory, musculoskeletal, gastro-intestinal, endocrine and reproductive problems and increased susceptibility to infection. But within such an environment, it’s easy to see how our psychological and social wellbeing, our sense of competence, autonomy, value, contribution and community, might also start to deteriorate.
PUT ON YOUR OXYGEN MASK BEFORE HELPING OTHERS
What to do if you are concerned.
1. Reflect honestly on your health status. Admitting to ourselves that we do not have complete health is often difficult. This is made harder when your working world prioritises physical excellence, and when; you’ve always self-identified as being healthy, others reinforce that you are in good health or ‘doing well for your age’, or others rely on you to ‘hold it all together’. But you have to be aware of concerns to address them. 2. Do not be ashamed: Prioritising our wellbeing is neither selfish nor unnecessary. It’s also useful to know that some can maintain complete mental health whilst experiencing depression. Health deterioration might well be a consequence of your aiming to do your job well, but holding good health is clearly crucial for doing your job well. It might be difficult to talk to your colleagues about it, but that doesn’t mean that there is no one to talk to. 3. Consider the current personal and professional implications of your current health status. Consider how these effect what is important to you and use these as motivators. 4. Prepare to take control. Changing health behaviours is not easy and takes time. Think what you need learn, know and do to prepare. Do not change too much at once. We often feel that too much of our lives are beyond our control, but we can have more control than we realise; likewise there is the potential for more support than we realise. THE AIM OF FUTURE ARTICLES AND THE FMPA IS TO HELP!
Dr Caroline Marlow, C.Psychol., AFBPsS. HCPC Registered. Specialist in performance and wellbeing psychology. Director of L&M Consulting Ltd. Contact: Website:
www.fmpa.co.uk
enquiries@landmconsulting.co.uk www.landmconsulting.co.uk
37
feature
It is hugely rewarding to see the response and feedback from our members to our endeavors to promote their practices and the FMPA in general. Clearly the FMPA Register is continuing to grow from strength to strength. However, it is important to keep your profile at the forefront of your audience’s minds, so at a time when they are in need of your services, they know exactly where to turn. We understand how hectic your schedules are but you can have peace of mind knowing that Amie and I are continually marketing and promoting you through a variety of channels to grassroots football. We’ve been coming up with some great new ideas this week to engage this audience even more - one of them being the development of a Medicine & Performance Hub which will be hosted on the FMPA Register pages, and contain an array of information for the grassroots community. Our talks continue with various organisations to help create a greater awareness of the Register and the support our members offer and our most recent exciting news to share is the new partnership which we have secured with Manchester FA. One of the most appealing aspects of our register is that members are happy to support the initiative to `give back to the game` by offering discount on fees to grassroots players. This is widely popular and will help to cement your position as the go-to practitioner in your area. Amie and I are always here to help our members, so please get in touch if there is anything you need.
Angela Walton Project Manager
40
info@fmpa.co.uk