Life After Football by Football Medicine & Performance Association

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

Research and Development What you should know about R&D

Cardiac Screening Saves Footballers’ Lives – But We Can Do More David Oxborough

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.

What do sports medicine professionals working in football need to know about sport psychology? Dr Caroline Heaney

The Supply of Medicines to Sports Teams Roni Lennon Bsc

The FMPA Register

Life After Football – Rob Swire

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?

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

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SO WHAT DO COLLEAGUES GET UP TO IN THE FIRST YEARS AFTER LEAVING THE GAME? WE `KICK OFF` THIS SERIES CATCHING UP WITH FORMER MANCHESTER UNITED PHYSIOTHERAPIST ROB SWIRE In what circumstances did you leave football? I had been working in football since 1990 (starting with Halifax Town FC in 1990 and at Manchester United since 1991), and as anyone working in football will know, the time involved is a huge commitment to make. After 24 years in the game I felt it was the right time to move to a gentler lifestyle. As with most areas of modern life, the working hours and administration duties in football were increasing year by year and I was always committed to do whatever the job required. So I seemed to be doing less and less physiotherapy and more and more management and travelling. It wasn’t an easy decision by any means, but as I had been in the game for such a long time I figured it was the right time for me to make the final decision. I was certainly lucky to be able to leave football when I wanted to rather than ‘unexpectedly’ as is more often the case. Additionally, I had worked with Sir Alex for such a long time and with David Gill, the Chief Executive for almost as long and they had both left the previous season. It felt like it was a turning point for the Club when they both left and it seemed it would be the right time for me to go too. Did you have any idea at the time what you might wish to do? I didn’t have any fixed plans for when I left. I was ready for a break and basically I got a dog, took up walking her every day and started doing the house and garden up. I continued with some medicolegal work I had been doing previously and that began to get busier. After a year I worked at the inaugural European Games in Azerbaijan in the summer of 2015, which was my first clinical work since leaving Man United. I really enjoyed the 3 week tournament, like a mini Olympics, and I thought I should really get back into doing something. How did you eventually find a path to go down and what are you doing now? I did a talk on medicolegal aspects of working in sport for the Injured Jockey Fund and following that, and with the help of a physiotherapist I met at the European Games, I began working at Jack Berry House – a rehabilitation centre for jockeys in

Malton, North Yorkshire. It was purpose built in 2015 and has fantastic facilities for the jockeys. I’m only there 1 day a week but I’m loving it. The jockeys are great to work with, very dedicated and tough as any sportsperson I have ever met. You get some very serious injuries when you fall off a horse jumping a fence at full speed and it’s been an eye opener to work with them. In an industry where you are not paid when you can’t ride it has quite an effect on your determination to get fit again! Did your experience in football help? Yes, a career in sports injuries has been very helpful and I feel I have been able to pass on some of my experiences over the years to help their rehabilitation. Any plans for a change of direction in the future? I’m very happy with what I’m doing now so I don’t envisage any more changes in my career – but you never know, I never thought I would work with jockeys. I’m often asked if I miss working in football, and though I had a great time, and a long time, working in the game I don’t regret leaving when I did and I don’t envisage going back. The ‘banter’ was great, but long hours, 7 days a week and 2-3 nights away from home a week I don’t miss! Any advice for former colleagues considering a change of career, or who find themselves having to? It was easier for me to leave football after 24 years than it would have been after 5, 10 or 15 years, so it`s not applicable to everyone, but when you’re head down working continuously at a club there is a tendency to think that the world revolves around that environment, particularly when there is so much media coverage around the sport. As long as you’re enjoying it that’s fine – and it can be a great life and very rewarding professionally to work with elite athletes in elite facilities. I loved my time in football. But I can assure you that there is a world outside of football and one that can be just as professionally rewarding, and there are new opportunities in sports increasing all the time. The experience gained in football would be ideal in many other situations. And your garden might be a bit tidier too!

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”Thank you for helping me through my recent exit from my club. Martin Price’s advice was exceptional. In a situation where an 'ordinary' person was in conflict with a large organisation Martin's knowledge and execution was empowering. Being represented by someone who clearly knew more than the opponents was really supportive. I would definitely recommend the FMPA legal team for Members going forward” Fitness Coach, Premier League Club

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