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
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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
26
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
KAREN CARNEY A PIONEER FOR THE WOMEN’S GAME FEATURE / SEAN CARMODY
football medicine & performance
On a rain-soaked afternoon in October 2008, Karen Carney collected her kit and took herself down to the park near her family’s home in Birmingham. Fallen leaves crunched against the ball as she glided between the invisible opposition, occasionally needing to play beyond dogs who had strayed from their owners’ leashes. This wasn’t the behaviour of some obsessive adolescent intent on earning a shot at the big time, at achieving farfetched dreams. By the time Karen took to her local park she was 21, had scored eight goals for England and won the quadruple with Arsenal. Her time studying sport science at Loughborough had given her the knowledge to design those solo sessions and prepare her for her next adventure. The ‘all-in’ mentality which has defined Carney’s life to date led her to set her sights on America, and the opportunity to become a full-time professional footballer; “I had been interviewing for office-based jobs, but it’s not what I wanted to do. I had the support of my parents. They said give football a go for 6 months, and if it didn’t work out, well at least I tried”. It did work out though, and Carney went on to play for the Chicago Red Stars thirty-eight times before returning to Birmingham City in 2011. Eyes and Ears “I’ve gone on the record and said I’ve suffered with depression – quite bad, destructive behaviours. I was really fortunate that I was able to get the right help at the right time.” -
Karen Carney, speaking at a charity event in October 2019.
Professional sport is a cruel, unforgiving environment. The transient highs of trophy wins and supporter adulation are quickly punctured by injury and the mundanity of long-term rehab. Karen admits she was “stuck in a rut” towards the end of her time in Chicago. Injury had stalled her progress, and conflict between club and country on how best to manage the injury left her feeling isolated. These feelings in a foreign country, away from family and friends, can precede trying times for footballers and Karen was not immune. Her experiences as an injured player exposed her to some of the best care in football. It was not complex science or extensive knowledge that impressed upon Carney, but the human aspect of rehabilitation. She recalls one particular physio who made a significant impact on her and supported her through one of the most difficult times of her career; “What he did for me wasn’t from any book. He took the time to get to know me, showed that he cared. It was all eyes and ears”.
Edge “I’ve maxed out in every area. I’ve gone for every percentage gain I could be to be the best that I can be. It’s just time.” Long before The Game Changers came along and propelled ‘veganism’ into the athletic vernacular, Karen Carney had begun to adhere to a strictly plant-based diet. Prolonged periods out with injury and a sense that her career was approaching its twilight years led her to research methods that would allow her to maintain an edge over other footballers; “The hardest thing is to get to the top and then stay there. As you get older, you see younger players coming through the ranks, and you try different things to enhance, or even preserve, what you have”. This resembles the mindset of other elite performers such as Tom Brady and Serena Williams who adopted vegan diets later on in their highly successful careers. This studious approach to health and performance stemmed from academic experiences gained during her career. Following her undergraduate degree, Karen went on to complete a masters where her dissertation focussed on the influence of a coach on match day; “A coach only really has a small number of opportunities to influence performance on the day of a match, either through their substitutions or how they communicate during team talks. Who coaches the coaches? For the study we videoed the coach giving team talks, then they sought to improve their contributions by using reflective practice”. The longevity and success of Carney’s career is a living example of Professor David Lavallee’s research which suggests that studying may boost athletic performance, and prolong playing careers; “It made me feel more rounded as a person, that football was not my only identity, which helps when it comes to retirement”.
“We have the option of some players going to training early to practice: we call it individual development plans .. There was only one player that went in early yesterday, and that was Karen Carney. A player that was two days away from kicking her last ball still went down to the pitch early to practice before everyone else got there. That’s not something you can teach. That is something that you’re born with and that’s within you.” -
England Head Coach Phil Neville speaking about Karen Carney before her last ever game for England
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Her approach to recovery also set her apart from her peers. As women’s football veered towards professionalism, Karen, a self-confessed introvert found herself looking to take on more media opportunities to allow her to re-invest in her career. She purchased full-body recovery systems with the thought that “if I could train well during the day, and recover well in the evening, well then I could go on and make World Cup squads”. Before her final season in football, an individual intensive warmweather training camp in Dubai made a pleasant change from her solo sessions in Birmingham’s local parks, but the steeliness and determination from her younger years remained unchanged. Transition “It's worrying when you come out of professional sport. It's all you've ever known and all you've ever done. You have to get used to not going into the training ground and being peppered by people every single minute of every single day. It's quite daunting.” -
Karen Carney commenting on her retirement.
Bobby Barnes, a former professional footballer now working with The PFA, spoke at the recent FIFPro Conference about the reality check that retiring from football brings; “I didn’t even know how to register with a GP”. Four months into her retirement, Carney admits to similar dismay about the “outside world” and not being able to enjoy the access to services that she had as a professional footballer. Nevertheless, she has a sense of excitement for what the future may bring, and is enjoying getting stuck into interests away from football alongside her work in punditry. Vegan cookery lessons and a half-marathon have stoked the flames of her inquisitive and competitive nature for now, but will there come a time when she needs to re-immerse herself deeply in the sport? Not for the time being, her journey in football gave her a lifetime of rewards and memories, but its all-consuming nature gives her pause for thought when it comes to a career in coaching. Karen Carney was capped 144 times for England, a feat that is likely to be surpassed by few. Her career is extraordinary in modern sporting terms; from the amateur days, travelling two hours each way to train with Arsenal while studying for a degree, to competing in a home Olympics, she has been instrumental in bringing the women’s game to where it is today. Young girls can dream of becoming footballers because of Karen Carney.
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feature
football medicine & performance
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