Atheltic Injuries Flashcards
Bio mechanical principles of injury- loading
Under load a tissue experiences deformation
Deformation can be visualized through deformation curve
Elastic region (low, small)
Capacity of a tissue to return it its original shape after removal of load
Elastic limit (deformation)
Plastic region begins
Tissue no longer processes elastic properties
Plastic region
Permanent tissue deformation (does not return to its original shape)
Resulting in failure (sprains= ligaments)
Ultimate failure
Macro or complete failure ( torn ligament)
Tissue becomes completely unresponsive to loads
Tissue responses to training loads
Training load = < elastic limit
Macro failure = building new tissue
Positive training effect
Training load+ > elastic limit
Permanent failure
Injury
Forces acting on tissue
Tension: pulling up and down
Compression: pushing in from bottom and top
Bending
Shear: pushing right and left
Torsion: twisting
Injury treatment
Received by patient from a health care professional
Promotes healing
Improves quality of injured tissues
Allows quicker return to activity
Want scar tissues to align so you still have range of motion
Injury rehabilitation
Therapists restoration of inured tissue + patent is participation
-individualized for each perosn
Healing phases
Inflammatory response phase : 2-4 days
Fibroblastic repair phase: hours- 6 weeks
Maturation-remodeling phase: 3 weeks- years
Inflammatory response phase ( what to do/signs)
Inflammation begins at time of injury
Signs
-redness
-swelling
-pain
-increased temperature
-loss of function
Protect
Rest
Cryotherapy (reduces swelling, pain and spasms
Compression- decreased swelling
Elevation - decreases swelling
Fibroelastic repair phase
Repair and scar formation
Granulation tissue fills the gap
Collagen fibres are deposited by fibroblasts
Rehab specific exercises - restore ROM
Manual massage therapy and ultrasound - break down scar tissue
Protective taping and bracing
Maturation-remodeling phase
Remodeling or realigning of scar tissue
More aggressive stretching and strength ting - organizes the scar tissue along th lines of tensile stress
Include sport specific skills and activities
Pain
Natures way of telling us something is wrong
One of the best indicators to stop play
Problem with ignoring pain
Masking with medications and continued pain can lead to
-pushing injured tissue closer to yield-level point
-addiction
-gastrointestinal complications
Soft tissue injuries (examples)
Contusions
Strains and sprains
Dislocations
Fractures
Concussions
Growth plate
Contusions
Bruise
Compressing force crushes tissue
Discolouration and swelling; bleeding underneath skin
PRICE treatment
Myositis ossificans
Abnormal bone formation in severe contusion
Life-threatening if the tissue involved is a vital organ