STOP Sports InjuriesI helped to moderate a STOP Sports Injuries tweetchat April 10, 2013. This month we decided to focus on soccer injuries and injury prevention. The post below is a summary of that discussion.

For those of you unfamiliar with tweetchats, people answer questions posed by the moderator and comment on other tweets using the hashtag specified – in this case #SportsSafety. It often starts slowly, but it can become difficult to follow when many people get involved and respond to many different questions and comments. This month’s chat was especially lively with tweets from great minds all over the world!

If you enjoy fast-paced discussions about important sports medicine, healthcare, and social media topics, join us for future #SportsSafety tweetchats. We usually hold these chats on the second Wednesday of each month. The next #SportsSafety tweetchat will take place on Wednesday, June 12 at 9 PM ET.

STOP Sports Injuries ‏@SportsSafety
About ready for tonight’s #SportsSafety chat. Let us know you are here to talk soccer injury prevention!

STOP Sports Injuries ‏@SportsSafety
Before we get going this eve, we want to once again welcome @DrDavidGeier from @MUSChealth on the chat. #SportsSafety

STOP Sports Injuries ‏@SportsSafety
Tonight will follow the Q1, A1, Q2, A2 format. Feel free to share your thoughts on any question! And remember the #SportsSafety tag!

STOP Sports Injuries ‏@SportsSafety
Let’s get things started with Q1: What injuries do you see most frequently on the soccer field? #SportsSafety

Soccer player stretching with athletic trainerBobby Weisenberger ‏@BWW_ATC
@SportsSafety I’m here. #sportssafety

Dr. David Geier ‏@DrDavidGeier
@SportsSafety Hi everyone! Good to be back. Excited to talk soccer injuries! #SportsSafety

Aaron Gray, M.D. ‏@MizzouSportsDoc
@SportsSafety A1: I most often see ankle sprains, concussions, MCL sprains, ACL tears, heat illness #sportssafety

Bobby Weisenberger ‏@BWW_ATC
@SportsSafety This season I have had several Hamstring and Groin strains, along with a couple of concussions. #sportssafety

STOP Sports Injuries ‏@SportsSafety
@BWW_ATC Welcome again! #SportsSafety

Dr. David Geier ‏@DrDavidGeier
A1: I see knee & ankle injuries (ACLs, sprains, fxs) most often. We’ve had many concussions on our HS & pro soccer teams too. #SportsSafety

STOP Sports Injuries ‏@SportsSafety
RT @BWW_ATC This season I have had several Hamstring and Groin strains, along with a couple of concussions. #sportssafety

Dr. Ray Solano ‏@DrRaySolano
@SportsSafety A1: ankle & knee sprains common. Recently seen #concussions #SportsSafety

STOP Sports Injuries ‏@SportsSafety
RT @DrRaySolano A1: ankle & knee sprains common. Recently seen #concussions #SportsSafety

Dr. David Geier ‏@DrDavidGeier
@BWW_ATC @SportsSafety Seems like I see fewer hamstring/groin injuries in HS players than pros. Wonder if true nationwide #SportsSafety

Dr. David Geier ‏@DrDavidGeier
@MizzouSportsDoc @SportsSafety Aaron, heat illness during games or preseason training? #SportsSafety

Ryan Whelton, DPT ‏@TampaBackPain
@SportsSafety #SportsSafety I am in Ryan Whelton DPT

STOP Sports Injuries ‏@SportsSafety
@TampaBackPain Welcome! #SportsSafety

Aaron Gray, M.D. ‏@MizzouSportsDoc
@DrDavidGeier I see it in both. Full spectrum from heat exhaustion to heat stroke. Hot & humid early season increases risk #sportssafety

Ryan Whelton, DPT ‏@TampaBackPain
I have seen an influx of ACLs in Tampa #SportsSafety

Bobby Weisenberger ‏@BWW_ATC
@MizzouSportsDoc @DrDavidGeier At what level of players are you working with? #Sportssafety

Dr. David Geier ‏@DrDavidGeier
@BWW_ATC @SportsSafety I’ll look it up. Problem is data would on those injuries in HS v pros would come from different studies #SportsSafety

STOP Sports Injuries ‏@SportsSafety
Continuing w/ Q2: Are certain players/positions injured more often or more prone to injuries (at least in your experience)? #SportsSafety

Dr. David Geier ‏@DrDavidGeier
@TampaBackPain Any particular age group for those ACLs? Male or female players? Curious #SportsSafety

Dr. David Geier ‏@DrDavidGeier
A2: Even though our pro team is a men’s team, I see many more soccer injuries among female athletes. #SportsSafety

Bobby Weisenberger ‏@BWW_ATC
@SportsSafety Midfielders seem to take the most abuse. I am tracking my team this season to see which Pos/injury most common #Sportssafety

STOP Sports Injuries ‏@SportsSafety
@BWW_ATC Interesting…how have you been tracking? #SportsSafety

Ryan Whelton, DPT ‏@TampaBackPain
Males, college The biggest obstacle I see that maybe you can shed some light on is all the highly publicized short rehabs. #SportsSafety

Bobby Weisenberger ‏@BWW_ATC
@SportsSafety Tracking minutes lost through 19 games. Forwards 90 mins lost, Midfield 3745 mins, Def 1170 mins, and GK 0. #Sportssafety

Ryan Whelton, DPT ‏@TampaBackPain
Pts look at me like I am holding them back. I try explain to then i need to follow the ortho protocol #SportsSafety

Bobby Weisenberger ‏@BWW_ATC
@SportsSafety Spreadsheets tracking by player and Pos. How many mins lost based on possible 90 min games. #Sportssafety

Dr. David Geier ‏@DrDavidGeier
Only 1 pro team but interesting RT @BWW_ATC Tracking minutes lost after19 gms. Forwards 90 mins, Midfield 3745, Def 1170, GK 0 #Sportssafety

Aaron Gray, M.D. ‏@MizzouSportsDoc
@DrRobertSimcsak studies have shown that most head injuries and concussions in soccer are from player to player contact #sportssafety

ACL knee brace soccerDr. David Geier ‏@DrDavidGeier
@RonMasone Definitely. Higher risk for concussions and ACLs #SportsSafety

STOP Sports Injuries @SportsSafety
Switching gears to prevention. Q3: What kinds of things can players do before the season to help prevent injuries? During?

Dr. David Geier ‏@DrDavidGeier
@MizzouSportsDoc @DrRobertSimcsak Hitting the ground too. Data on significance of repetitive heading equivocal #SportsSafety

Bobby Weisenberger ‏@BWW_ATC
@MizzouSportsDoc @DrRobertSimcsak Definitely been my experience. See the occasional GK vs Post. #Sportssafety

Bobby Weisenberger ‏@BWW_ATC
@SportsSafety Overall fitness is key. We also put some returning players on hamstring and Hip/Pelvis strengthening programs #sportssafety

Dr. David Geier ‏@DrDavidGeier
@SportsSafety A3: Maintain cardio fitness levels, strength training. Also take time off from soccer to rest lower extremities. #SportsSafety

STOP Sports Injuries ‏@SportsSafety
#SportsSafety RT ‏@TampaBackPain I recommend Yoga, Pilates along with offseason workouts.

STOP Sports Injuries ‏@SportsSafety
#SportsSafety RT ‏@RonMasone A good pre-season conditioning program is essential for injury prevention.

Kirsten Schrader ‏@SchraderKirsten
@BWW_ATC @SportsSafety #SportsSafety do you think you could utilize your stats on minutes to determine injury trends per position and treat?

Dr. David Geier ‏@DrDavidGeier
@awmright @MizzouSportsDoc Fair amount of meniscal injuries. Some isolated, some as combined injuries #SportsSafety

Bobby Weisenberger ‏@BWW_ATC
@SchraderKirsten @SportsSafety Thats my plan. Trying to see POS most injured and most common injury.Then find ways to prevent #sportssafety

Ryan Whelton, DPT ‏@TampaBackPain
Anyone putting athletes on ACL tear prevention programs? Any success with it? #SportsSafety

Alasdair Dempsey ‏@ARDempsey
A3: Many good neuromuscular programs out there. If you include plyometrics and balance good start #SportsSafety #SportsSafety

STOP Sports Injuries ‏@SportsSafety
@BWW_ATC @SchraderKirsten Would definitely be interested in hearing more about your results. #SportsSafety

Soccer painSTOP Sports Injuries ‏@SportsSafety
Via @TampaBackPain – anyone ACL injury prevention programs for athletes, and if so any success? #SportsSafety

Alasdair Dempsey ‏@ARDempsey
FIFA11+ works so long as you do it. Bonus is ready made with lots of free resources #SportsSafety

Kirsten Schrader ‏@SchraderKirsten
@SportsSafety @BWW_ATC Me too! #Sportssafety

Alasdair Dempsey ‏@ARDempsey
@TampaBackPain Plenty in the literature that work. Coaches and athletes just don’t do them! #SportsSafety

STOP Sports Injuries ‏@SportsSafety
@ARDempsey We could definitely use a blog post to inform more of our audience about the FIFA11+ program. #SportsSafety

Bobby Weisenberger ‏@BWW_ATC
@SportsSafety @SchraderKirsten Season runs to Sept so should have a lot a data to go through.Hope it helps with future seasons #sportssafety

STOP Sports Injuries ‏@SportsSafety
Lots of good tweets tonight, folks! We will switch gears here but feel free to have at anything discussed up to now! #SportsSafety

STOP Sports Injuries ‏@SportsSafety
Q4: Specific rules/regulations that concern you in soccer? Anything that you think should be changed for the youngest players? #SportsSafety

Theron Enns, ATC ‏@soccersportsmed
@SportsSafety @ARDempsey There is also the PEP program from Santa Monica Ortho/Dr. Mandelbaum (US Soccer, LA Galaxy MD) #SportsSafety

Nash ‏@hydrocore
@SportsSafety Re: Q4, Does anyone think minutes played should be tracked, similar to pitch counts to decrease injuries? #sportssafety

Dr. David Geier ‏@DrDavidGeier
A4: Ideally soccer players would play in only 1 game per week. Pro injury rates shown to be higher with more than 1 game/week #SportsSafety

Alasdair Dempsey ‏@ARDempsey
@TampaBackPain true across the world. I think the trick is to convice the coaches but not tell parents injury prevention #SportsSafety

Dr. David Geier ‏@DrDavidGeier
@hydrocore @SportsSafety Fantastic idea. Don’t know if it has or is being done. #SportsSafety

Alasdair Dempsey ‏@ARDempsey
@soccersportsmed A number of good programs out there. Upside for FIFA11+ is it targets multiple lower limb injuries #SportsSafety

STOP Sports Injuries ‏@SportsSafety
RT ‏@hydrocore Re: Q4, Does anyone think minutes played should be tracked, similar to pitch counts to decrease injuries? #sportssafety

Alasdair Dempsey ‏@ARDempsey
@soccersportsmed I think programs targeting multiple injuries the future – particular if can incorporate performance skills #SportsSafety

Bobby Weisenberger ‏@BWW_ATC
@DrDavidGeier Fixture congestion is an issue this time of year for Pro teams with US Open Cup starting. Extra games and travel #Sportssafety

Nash ‏@hydrocore
@DrDavidGeier @SportsSafety right now, I see kids playing up to 4 games in a weekend! #sportssafety

WESLEY E BROWN SR ‏@WESLEYBROWNSR
#SportsSafety
Plyo along with strength training following progressive load help build soccer players safely

Dr. David Geier ‏@DrDavidGeier
Great point RT @ARDempsey Programs targeting multiple injuries the future – particular if can incorporate performance skills #SportsSafety

Bobby Weisenberger ‏@BWW_ATC
@SportsSafety @hydrocore We loosely track mins played and will rest players when we can. #sportssafety

WESLEY E BROWN SR ‏@WESLEYBROWNSR
#SportsSafety
As trainer we most work the core/balance
Legs and ankles
Shoulder injury prevention
Functional movements and training

STOP Sports Injuries ‏@SportsSafety
#SportsSafety RT ‏@DrRobertSimcsak I have to say the biggest problem I face with my team is field conditions there should be a standard

Alasdair Dempsey ‏@ARDempsey
@hydrocore @soccersportsmed @SportsSafety Programs should be designed to be run by local coaches. Can be done #sportssafety

Bobby Weisenberger ‏@BWW_ATC
@hydrocore @DrDavidGeier @SportsSafety Tournaments are a problem at the younger levels, multiple games a day over several days #sportssafety

Alasdair Dempsey ‏@ARDempsey
@WESLEYBROWNSR have to be careful with strength training on its own. Can reduce muscle co-contraction increasing injury risk #SportsSafety

Kirsten Schrader ‏@SchraderKirsten
@BWW_ATC @DrDavidGeier #SportsSafety Any thoughts on nutrition when on road and it’s role in recovery and performance?

WESLEY E BROWN SR ‏@WESLEYBROWNSR
#SportsSafety
I spend many workouts on bosu balls
Stability balls
With soccer players along with Olympic lifts

WESLEY E BROWN SR ‏@WESLEYBROWNSR
#SportsSafety
Working close with therapists helps sport training build and rehab athletes better
Communication is key!!

STOP Sports Injuries ‏@SportsSafety
As we wind down the hour (keep tweeting!) a reminder that we are back June 12th at 9 PM ET for another #SportsSafety chat. Topics welcome!

Bobby Weisenberger ‏@BWW_ATC
@SchraderKirsten @DrDavidGeier Bad nutrition can negativity affect performance. We try to select healthy places to stop. #sportssafety

STOP Sports Injuries ‏@SportsSafety
#SportsSafety RT @DaveLagow overall fitness is key. In addition, key to address flexibility issues and muscular imbalances

Bobby Weisenberger ‏@BWW_ATC
@SchraderKirsten @DrDavidGeier We also have set team meals with set menus to offer players healthy foods on game day #Sportssafety

Teddy McCann ‏@McCannSports
@SportsSafety could you please give your thoughts on sports massage therapy…pre/post event #SportsSafety

STOP Sports Injuries ‏@SportsSafety
Great stuff again tonight, everyone! Thanks again for joining us on these #SportsSafety chats.

Nash ‏@hydrocore
@SchraderKirsten @BWW_ATC @DrDavidGeier I think its vital to recovery and performance for sure!! #sportssafety

Theron Enns, ATC ‏@soccersportsmed
@BWW_ATC @DrDavidGeier We just finished 3 games in 8 days in 3 time zones. 8 games in May. Fixture congestion is a problem. #SportsSafety

Teddy McCann ‏@McCannSports
@bww_atc @sportssafety forgot #SportsSafety

Bobby Weisenberger ‏@BWW_ATC
@soccersportsmed @DrDavidGeier We have similar schedule coming up. 4 in 12 days Charlotte, Houston, Portland, Charleston #Sportssafety

Jon Herting ‏@JonHerting
Put this on ur calendar. @HOODATIZ33 @mhuggard MT “@SportsSafety: a reminder that we r back June 12th at 9 PM 4 another #SportsSafety chat.”

Candy Norman ‏@norman_candy
@BWW_ATC @DrDavidGeier USL schedule is a killer for nutrition and injuries. Feels like it makes our job 100 times harder #sportssafety

Nikita Komarov ‏@northwayhealth
#SportsSafety Everything from OSD and Severs in the younger teams, to LBP and strains around the LPH complex in the older boys

Social media iconsMatthew Madrid ‏@Affiliated_PT
“@SportsSafety: We could definitely use a blog post to inform more of our audience about the FIFA11+ program. #SportsSafety”

Matthew Madrid ‏@Affiliated_PT
A number of good programs out there. Upside for FIFA11+ is it targets multiple lower limb injuries #SportsSafety

Remember to join us for the #SportsSafety tweetchats! If you are interested, follow me on Twitter and follow STOP Sports Injuries as well!