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C h a p t e r 7 Managing Soccer Injuries and Athlete Health No loss of balance should occur. You can check coordination by having the athlete alternate placing the index finger on the tip of the nose from a position in which the arms are outstretched. Pupils should be equal in size and react symmetrically to light. The athlete should have no headache, ringing in the ears, or nausea. Mental status may be checked by asking the athlete to add serial sevens. Or, ask other pertinent questions about the person (mother’s first name), place (location of game), and time (day, date). Don’t allow an athlete to return to practice unless the athlete is asymptomatic, able to exhibit normal technique, has normal speed and coordination on the sideline, and is mentally focused. A concussion can be potential life-threatening injury. If in doubt, always err on the side of caution. FACIAL INJURIES Facial injuries usually occur as a result of improper heading technique or blunt trauma such as collision with another player’s head. The majority of Soccer facial injuries involve the nose and eye. Nasal Injuries Nosebleeds may be the most common facial injury in athletics. The nosebleed is usually caused by a direct blow. Usually the nosebleed presents a minor problem, stopping spontaneously after a short time. If bleeding persists, a cold compress should be applied to the nose along with direct pressure. A sterile packing may be inserted into the nostril. Care should be taken to make sure that the packing protrudes sufficiently from the nostril to facilitate its removal. After bleeding ceases the sterile packing should be removed. The athlete should not blow his or her nose for two hours after injury. If bleeding does not stop with the above measures, refer to a physician. Eye Injuries Although the eye is well-protected anatomically by the bony structure of the face and the eyelid, eye injuries do occur. Foreign bodies are the most frequent insult to the eye. No attempt should be made to rub an object out of the eye or to remove it with one’s fingers. The athlete should attempt to wash the object out of the eye with sterile water, or saline, and an eye cup. The vast majority of foreign bodies may be removed successfully in this manner. If you are unable to remove the foreign body and pain persists, the eye should be covered with a sterile dressing and the athlete brought to a physician. Because of the presence of a foreign body and the potential for 212
C h a p t e r 7 Managing Soccer Injuries and Athlete Health s serious damage, the athlete should be instructed to close the other eye to decrease eye movement. It may be necessary to cover both eyes. Eye Contusions Although well-protected, the eye may be bruised during athletic activity. The severity of injury ranges from mild contusions to serious injuries such as orbital fractures. Fortunately, most contusions are mild. Capillary bleeding into the tissues that surround the eye cause swelling and may result in the classic black eye. Signs of more serious injury are bleeding into the tissues of the eye, faulty vision, or an inability to move the eye normally. A cold compress should be applied intermittently to minor eye contusions. Serious injuries should be covered with a sterile dressing and referred to a physician. The athlete should refrain from blowing his or her nose which can cause increased bleeding. CERVICAL SPINE INJURIES Fortunately, severe cervical spine injuries are rare in Soccer. The vast majority of cervical injuries fall into the category of minor sprains and strains. These minor injuries are treated in the manner previously described. Injuries that may be considered severe are intervertebral disk ruptures, fractures and subluxations of the cervical vertebrae. The symptoms of serious cervical injury may include point tenderness, pain on movement of the neck, fear of moving the head and neck, deformity, numbness or tingling (parasthesia) of one or more extremities, muscle spasm, and weakness or paralysis of the extremities. If the athlete exhibits any of these symptoms, the injury should be considered a medical emergency, and medical personnel should be summoned. If the athlete is unconscious, you must maintain pulse and respiration until emergency medical help arrives. Whether conscious or unconscious, the athlete should not be moved. The athlete should be kept quiet in the fallen position until emergency medical personnel arrive. HEAT RELATED INJURIES Playing in the Heat During competition, Soccer players normally have a core body temperature of 102– 104 degrees Fahrenheit. Cell death takes place when the body temperature exceeds 108 213
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LA84 FOUNDATION SOCCER COACHING MAN
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T a b l e o f Co n t e n t s Soccer
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C h a p t e r 1 A Philosophy for Co
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C h a p t e r 5 Teaching Soccer Str
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