1) Sports Medicine of the Lower Extremity Flashcards

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1
Q

Sports medicine definition

A
  • A multifaceted, multidisciplinary approach to the diagnosis and management of athletic injuries which employs relative rest, alternative activity and rehabilitation with emphasis on the preservation of form and function
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2
Q

Relative rest

A
  • Reduce the duration and/or frequency and/or a particular facet of the athletes athletic activity
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3
Q

Alternative activity

A
  • When cessation of the athletes activity is necessary, an alternative activity must be suggested
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4
Q

Sports medicine team

A
  • Athletic Trainer
  • Physicians
  • Massage / neuromuscular therapist
  • Adjuncts
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5
Q

Sports medicine adjuncts

A
  • Chiropractic
  • Physical therapy
  • Prosthetics
  • Accupuncture
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6
Q

Injury protocol

A
  • Phys therapy / rehab.
  • Emergency room
  • Team physician
  • Specialist
  • Health center
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7
Q

History of previous sports injury

A
  • Ankle sprain – complete rehabilitation ?
  • Stress fracture – appropriate immobilization ?
  • Recurrent stress fracture – bone density ?
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8
Q

Training regimen / equipment and changes

A
  • Training regimen
  • Increase in mileage
  • Speed work
  • Hill running
  • Increased frequency
  • Timing change
  • Inc. / dec. stretching
  • Slow running ?
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9
Q

Alternative activities

A
  • Aerobic dance
  • Stairmaster
  • Cycling
  • Swimming
  • Weight training
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10
Q

Sport compatibility

A
  • Running: swim / cycle / weight training
  • Aerobic dance: swim / cycle
  • Cycling: run / aerobic dance / swim
  • Rollerblade: run /aerobic dance / swim
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11
Q

Nutrition

A
  • Hydration
  • Electrolytes
  • Vitamins
  • Carbohydrates / fats / proteins: three meals a day !
  • Timing (meals – workout schedule)
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12
Q

Factors influencing bone density

A
  • Nutrition
  • Hormones
  • Genetics
  • Body weight
  • Exercise
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13
Q

Female athlete triad

A
  • Eating disorder
  • Dysmenorrhea
  • Osteopenia
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14
Q

Shoes

A
  • Sport specific
  • High quality (> $ 75.00)
  • Mileage (replace every 200 – 400 miles)
  • Biomechanical correctiveness
  • Racing flats / training gear
  • Changes
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15
Q

Training surface

A
  • Changes
  • Firmness / shock absorption
  • Terrain
  • Adhesiveness
  • Which side of the road
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16
Q

Acute injury

A
  • Mechanism ?
  • Ability to bear weight initially ?
  • Audible “pop”/ resulting deformity ?
  • Initial treatment ?
  • History of similar injury ?
17
Q

Athletic injury types (%)

A
  • 60 % Overuse

- 40 % traumatic

18
Q

Physical examination of the athlete

A
  • Vascular
  • Neurological
  • Dermatologic
  • Orthopaedic
  • Biomechanical
  • Gait analysis
19
Q

Athletic injury etiologies

A
  • Traumatic
  • Inflammatory
  • Vascular
  • Neuromuscular
  • Congenital
  • Neoplastic
  • Biomechanical
  • Psychosomatic
  • Infectious
20
Q

Non-weight bearing biomechanical evaluation components

A
  • Hip range of motion
  • Hamstring flexibility
  • Knee position
  • Tibial torsion (malleolar position)
  • Ankle joint range of motion
  • Midtarsal joint evaluation
  • First ray range of motion
  • First metatarsal phalangeal joint motion
21
Q

Weight-bearing biomechanical evaluation components

A
  • Resting calcaneal stance position (RCSP)
  • Neutral calcaneal stance position (NCSP)
  • Frontal plane tibial position
  • Limb – length evaluation
  • In – sport motion (gait) analysis
22
Q

Increased external hip rotation correlates with

A
  • Femoral / tibial stress fractures
23
Q

Equinus correlates with

A
  • Achilles tendinopathy
  • Tibial stress fractures / shin splints
  • Pronatory symptoms
24
Q

Cavus foot correlates with

A
  • Stress fractures

- Lateral ankle instability

25
Q

Increased subtalar joint range of motion correlates with

A
  • Pronatory symptoms

- Lateral ankle instability

26
Q

Muscular weakness correlates with

A
  • Lateral ankle instability
  • Tendinopathy
  • Tibial shin splints / stress fractures