Tuesday, 18 September 2012

About this Blog

This Blog is designed to provide information about asthma for managers and coaches working with youth football clubs.

It describes an initiative called 'Asthma Friendly Football Clubs', which has been developed with the support of Asthma UK.

The Football Association have also been very supportive of the ideals behind this initiative, recognising that the support of children who suffer from asthma is an important component of a Junior Football Clubs welfare commitment to children.

I would like to offer my thanks to Asthma UK for their involvement and for the help they have given to date.



Dr Andrew Newton - September 2012


Monday, 17 September 2012

What is an Asthma Friendly Football Club

WHAT IS AN ASTHMA FRIENDLY FOOTBALL CLUB

For a youth football club to be considered to be an ‘Asthma Friendly Football Club’, they must have an active asthma policy in place.  This could be a stand-alone asthma policy, or it could be a medical conditions policy which includes asthma as one of its components.   The club should be able to provide evidence that they have the following minimum set of standards in place:


1.    Raising Awareness

All club coaches must be in date for First Aid training. They should have also had an awareness session on the seriousness of asthma in childhood (they must have also studied the short training film on Asthma Friendly Football Clubs). They need to understand how best to support a child with asthma in the context of the sporting environment and to know what to do in an emergency.  To promote this, the club needs to nominate an asthma champion (preferably a member of the club committee) who needs to ensure that the club and its coaches are all following the best practice described in this document.

2.    Register and Asthma Cards

The club must maintain a centralised register of children with asthma.  This should be updated from the club’s registration forms each season. (To achieve this, the annual registration form must include a question about whether the child has a diagnosis of asthma and, if so, what medications they use).  All children who are on this centralised register need to have a medical action plan completed by their parents, which should then be held by the year group coach as part of the first aid kit provision for that squad.  (Ideally, a second {photo-copy} of this plan should be kept along with the central asthma register). 


3.    Access to Inhalers

All children with asthma should be encouraged to routinely carry and administer their own inhalers as and when required.  Coaching staff should routinely remind those children that need to take prophylactic doses of reliever medication before sport to do so as part of the standardised warm-up routine. 
Children whose parents advise the club that the child is not yet able (or old enough) to self manage their own reliever inhaler, must know exactly where their reliever inhaler is stored and how to access it and, where appropriate, how to get help in using it. 
During matches and training sessions, children’s inhalers should be stored in a secure but not locked box in close proximity to the field of play.  This box should be appropriately labelled so all are aware of what its role is. (Inhalers should not be kept in the team First Aid Kit).
 
4.    Posters

The club should display posters detailing the action for coaches / first aiders to take in an asthma attack.  These need to be in prominent locations within the clubhouse and / or changing room complex.

5.    Assessment of Triggers

Coaches should be aware of the common triggers for asthma.  By knowing the children who have asthma within their squad, the coach will be better able to make appropriate judgements about the influence of triggers (and thereby act according to the perceived risk for individual children within their group).


6.    Inclusion

The club should ensure that all club activities are accessible to children with asthma. 

In year groups where rolling substitutions are permitted, any child that needs to leave the field of play because of asthma symptoms should be re-introduced into the game as soon as their symptoms have settled, providing that they feel well enough to do so and are confident to continue.

No child should ever be left on their own (or sent away from the field of play on their own) if they have needed to use an inhaller.



A word version of this can be obtained by e-mail - Please contact  asthmafriendlyfc@gmail.com

Why is there a need for this programme

Asthma is serious. Three people die each day in the UK from asthma, and thousands are hospitalised every year due to potentially life-threatening asthma attacks.

There are 1.1 million children with asthma in the UK, so it's essential that all those who work with children have a good understanding of what the condition is and what to do in an asthma attack.

Around one-third of children with asthma miss out on PE and sports about once a week because of their condition, despite the fact that most should be able to take part as long as their asthma is under control.

Asthma UK's 'Out There & Active' campaign aims to encourage children with asthma to take part in sports and physical activities by promoting understanding about exercise and asthma. The Asthma Friendly Football Club initiative is a part of that campaign.

Asthma UK

Asthma UK is the main Asthma Charity in the UK, it provides a wealth of useful information and educational materials as well as funding research and developments in the field.

The Asthma UK Website has a host of useful resources and some materials can be downloaded for free.

http://www.asthma.org.uk/


Asthma UK also have an Advice Line available 0900-1700 Monday to Friday (staffed by Specialist Nurses) ; 0800 121 6244

Asthma Friendly Football Clubs - The Video

Follow this You-Tube link to find and download the Asthma Friendly Football Clubs training video -:

http://www.youtube.com/watch?v=8dD7eUAPrlM&feature=plcp


The video was produced by 'Concert One Limited' - Many thanks to those who helped in its production.

 

Asthma and Sport

Asthma UK have published an excellent synopsis of issues relating to Asthma whilst Exercising


 

It can be downloaded at the following link


http://www.asthma.org.uk/about-asthma/living-with-asthma/exercise/managing-your-asthma-while-exercising/



The text is copied here :

Managing your asthma while exercising 

What are the symptoms to look out for when you are active?

When you exercise it's normal for your heart to beat faster and your breathing to be quicker. If you're doing vigorous activity you'll feel out of breath, hot and sweaty.
Make sure you can tell the difference between feeling out of breath through exercising, which is normal, and the symptoms of asthma. Then you can stop and take your reliever if you need to. Ask your doctor or nurse about what symptoms to look out for.
Remember, exercise won't harm your lungs. When you feel short of breath, it's a sign that your body is working harder. If you control your breathing you'll be able to keep going for longer.
When exercising it's normal if:
  • you're breathing faster and harder
  • your heart is beating faster
  • you're feeling hot and sweaty
  • you're looking flushed.
Stop exercising if you:
  • start coughing/wheezing
  • are gasping for air/very short of breath/can't get enough air
  • feel tightness in the chest
  • have trouble speaking in short sentences
  • younger children may complain that their chest or tummy hurts.
You're having an asthma attack if any of these happen:
  • your reliever inhaler doesn't help
  • your symptoms are getting worse (cough, breathlessness, wheeze or tight chest)
  • you're too breathless to speak
  • cyanosis (a blue tinge on the skin or lips). This is a sign of lack of oxygen in the blood and means you need urgent medical attention.


Click here for information on what to do in an asthma attack

 

If exercise triggers your asthma

Exercise can be a trigger for asthma. This can happen to anybody with asthma: children or adults, people who play sports or elite athletes.

 

How does exercise trigger asthma?

It's not known exactly how exercise triggers asthma. When people exercise they breathe faster. This makes it more difficult for the nose and upper airways to warm up and add moisture to the air breathed in, so the air is drier and colder than usual. It's thought that this cold, dry air in the airways triggers the symptoms of asthma.

 

Managing exercise-triggered asthma

Asthma shouldn't stop you doing any type of exercise as long as you:
  • see your doctor regularly
  • keep your asthma well controlled
  • take the right medicine
  • slowly build up the amount of exercise you do and the level of intensity, starting with gentle exercise before trying more vigorous activities.
Factors that may trigger asthma when exercising include:
  • continuous physical activity
  • long distance and cross country running (as this often talks place outside in cold air and without breaks)
  • high intensity exercise
  • low physical fitness
  • cold, dry air
  • recent respiratory infection
  • some adventure sports or outdoor activities may bring on asthma symptoms. This is more likely to be related to emotional or environmental factors associated with the activity, e.g. excitement, anxiety, stress, weather, pollen count, altitude.
  • fitness tests
  • dusty equipment
  • chlorine in swimming pools.

 

Activities less likely to trigger asthma

Activities that require short bursts of energy alternated with slower paced exercise are less likely to trigger asthma. These include:
  • team games such as football, hockey, netball and volleyball
  • badminton or table tennis, as they are slower than tennis or squash
  • field games, like cricket or rounders
  • swimming, as the warm humid air is less likely to trigger asthma, but chlorine used in pools or cold pools may be a trigger for some people
  • yoga, Pilates or t'ai chi, provide a workout for both your body and mind. Postures are performed in harmony with breathing techniques. Some people find that breathing techniques are helpful for their asthma. However, don't stop taking your normal asthma medicines unless your doctor or asthma nurse advises you to.
  • low-moderate intensity exercise, e.g. walking, cycling, yoga.

 

Asthma that only comes on with exercise

Some people find that they have symptoms of asthma only when they exercise and not at any other time. This is unusual and affects only a small number of people. It is sometimes called exercise-induced asthma.

 

What would the symptoms be?

The symptoms are the same and include coughing, wheezing, chest tightness and difficulty in breathing. Symptoms usually begin after exercise and worsen about 15 minutes after exercise stops.
If you think you have asthma that comes on only when you exercise let your GP or asthma nurse know. To help you manage your asthma they may ask you to record some peak flow readings during and after exercise.
Asthma brought on by exercise is still treated the same, usually with preventer and reliever inhalers. The good news is that many top athletes have asthma and are still able to complete at a very high level.



This is a further factfile which was produced on the topic :







Asthma UK's  'Out There and Active Campaign' has produced this advice for the families of children with Asthma.

Tips to help children with Asthma exercise safely

  1. Make sure your child's teacher/instructor/coach knows they have asthma

  2. Increase your child's fitness levels gradually

  3. Always ensure that your child has their reliever inhaler with them when they exercise

  4. If exercise triggers your child's asthma ensure they use their reliever inhaler immediately before warm up

  5. Ensure a good warm up before sport  (and a warm down after as well)

  6. Try to avoid your child coming in contact with things that trigger their asthma

  7. If you child has asthma symptoms when they exercise, they should stop, take their reliever inhaler and wait five minutes before starting again

  8. If you child uses a preventer medicine, they should take it as prescribed by your doctor or nurse


 

Asthma Champions - Who / How / Why

Youth Football Clubs are all run by volunteers (mostly parents) who give up a lot of their valuable time to allow children to participate in sport.

Inevitably club committees have a large range of issues to consider, ranging from subscriptions and sponsorship through to fixture lists and training schedules.

Because the welfare of children within a youth club is so vitally important, all  Football Association Youth Football Clubs have to have a Welfare Officer who is a member of the Club Committee (and who's job it is to ensure that Welfare Issues are not overlooked).

Matters relating to the health of children within the club (whilst they are involved in club activities e.g. Matches and Training)  are part of the Welfare Officers responsibility.

As described in the Asthma Friendly Football Clubs document; "What is an Asthma Friendly Football Club" ..

The club needs to nominate an Asthma Champion (preferably a member of the club committee) who needs to ensure that the club and its coaches are all following best practise

Club Welfare Officers may well be happy to take on the role of being the Asthma Champion, equally there may another person within the Club Committee who is more suited to this role (perhaps a health care worker or a parent who has a child with asthma within the club).

The Asthma Friendly Football Clubs - Asthma Policy gives more details on this topic  (this can be found elsewhere on this blog).