C22 Flashcards
Injury prevention
Health professionals (PT AT sport specific coaches sport biomechanics)
- flexibility
-str
-endurance
-sport technique
-balance
Injury
-many definitions
-overuse injuries result micro tramua
What is a microtrauma
Repetitive stress without adequate rest recovery
Tendinitis
Inflammation of tendon or tendon sheath
Tendonosis
Degeneration of tendon sheath
Strain
Graded local inflammation doesn’t affect integrity
Sprain
Loss of a tissue integrity can be based on the numerical scale local at least high: severe functioning loss
Intrinsic injuries
Super suitability of athlete to respond to avoid injury
Extrinsic injuries
Identifiable outside source
Three phases of tissue healing
Inflammation phase
proliferation repair phase maturation/remodeling phase
How do you health professionals determine the appropriate treatment of exercise?
On the type of tissue and severity of tissue or tissue healing phase
Inflammatory phase
Immediate and up to 6 days
Protective/promote tissue healing
prevent further injury reduction in swelling
is a baseline of signs and symptoms
EXCESSIVE INFLAMMATION
Swelling
Heat
Altered func
Redness
Pain
Repair phase
3–20 days after injury, repair phase starts,
up to six weeks,
scar formation,
excessive scarring hinders tissue repair
Remodeling phase
Last stage of healing
Continues after a year
Goal: recovers a pre-injury function or regain full strength
Refer to activity phase
Most anticipated phase
Bring back ADLs
Examples of intrinsic. Injury
Overuse
muscle imbalance
Examples of extrinsic injuries
External force
Falls
accidents
collision in sport
Contusion
Contusions effects of muscle bone and cartilages
Bruising
Grade one scale mild pain grade 3 scale not severe herniation or hernia third of bruising Bone is possible
What does research say about muscular imbalances
Certainpatterns of muscular development creates muscular imbalance
What is muscular imbalances?
Changes of length and strength of one muscle can cause disuse atrophy or excessive range of motion in dominant muscle
Physical therapist
Physical therapist services for impaired functional limitations and addresses risk factors and works to regain independence
Athletic trainers
Immediate care prevention rehab reconditioning/organize/administration
Sport practices/games
Strength conditioning professional
Prescribes for Pacific exercises reduces risk of injuries common to sport improve rule from rehab program to full participation
PRICE is
Clinical treatment to
Prevent further injury
Decrease swelling and pain
Establish baseline measurements of signs and symptoms
Protection-assistive devices split swing brace
Rest
Ice/cryotherapy decrease tissue temp
Compression
Elevation-Decrease hydrostatic pressure
Repair Phase uses what kind of therapy and and increases what kind of tolerance
Thermotherapy safe once swelling subsides
found in inflammation phase
increases circulation prior to exercise decreases circulation after exercise
Continues to decrease inflammation maintenance of range of motion
What are the goals of treatment during repair phase
It continued decrease Inflammation
Maintenance range of motion
Improve strength and function
Create exercise tolerance for faster healing
Modility and manual therapy in repair phase
Thermotherapy
Passive ROM and joint mobilization to further decrease pain and increase ROM
2 clinical testings and return to activity phase
Subjective and objective testing
What are the key components of interval sport return program
Warm up:raise temp and bloodflow
alteration of program schedule: recover and find out body tolerance to muscle group
conditioning:difficulty to get injured
Restricted joint back to normal
graded intensity
Proper biomechanics and evaluation of biomechanics: after surgery or injury and has muscle imbalance (defecits) ROM and proproception
-cooldown or after care: completed same day as interval sport return program
What is the interval sport program
Rehabilitation program to bring Athlete back to sport by increasing increments of volume and graded intensity
What is the interval sport program
Rehabilitation program to bring Ashley back to sport by increasing increments of volume and graded intensity
Cool down or after care goals:
Often oindependen
Restores muscle balances, ROM, fatigue resistance, and proproception
Specific instructions about duration and intensity of exercises to athlete
-post session stretching and icing
Describe knee
Synovial joint 🟰 knee
Has to be at tibofemoral and patellofemoral articulations
For ligaments in anterior and posterior posterior cruciate ligament
medial and lateral collateral ligament
Describe knee injury
Meniscus most often injured
absorb shock
lubrication
stability
Describe knee rehab injury
Quadriceps and hamstrings exercises total leg exercises
properoreceptive exercises
these exercises will restore balance between knee flexion extension and strength and are important rehab goals for knee injuries
2:3 ratio of knee flexion and extension is desirable
Patellofemoral pain syndrome
symptom is anterior knee pain
Patilla increases the force cability occur quadricep muscle
Patellar compression syndromes
Patella instability biomechanical dysfunction trauma overuse -itis
Patiller pain syndrome. Rehab
Quadriceps strengthening to fix strength and flexibility and imbalances in lower body
Orthotic devices taping and bracing. Hold hold ligaments in place while it’s healing
Stretching the lateral reticulum
Exercises pain-free range of motion emphasize quadriceps/VMO strengthening core and total leg strengthening
Gain full ROM
Repair muscle strength and propropcetion
Anterior cruciate ligament injury with a torn ACL
Surgical reconstruction treatment of choice
Goals of ACL reconstruction
Restore stability
Excecises of knee flexion extension and strength
Lateral exercises
proprioceptive exercises
closed and open kinetic chain excercises
Closed-always emphasis compression on knee joints
Open-never leg extension
Shoulder/glenohumeral joint
Most mobile joint
Deltoid rotator cuff force couple
Force couple means cut combo of muscle force acting across a joint causing rotational movement around an axis
Scapulohumeral rhythm
Scapulohumeral rhythm forever 2° of the shoulder joint motion 1° of scapulothoracic motion
Flexibility
Reduce tight hamstrings paraspinal or hip flexors can position the pelvis in too much flexion or extension
Injury or degration
What are the spine what are the anterior and posterior muscles
Ant muscles: rectus abdominus muscles ext and int and
transverse muscles stabilize the spine!
Post muscles: errector spinae muscles
Shoulder impingement
Mechanical compression of rotator cuff between humeral head and. Acrominon
Disability of shoulder
REHAB of back
Optimize distribution of muscle focus on neutral spine position. To optimize muscle force equal long spinal segments
Keep heavy objects either close or further away from the body
Close
What are resistive exercises for the glenohumeral joint
Scapular plane position
blackburn position
How to reduce the risk of a back injury
Strengthen core stabilization muscles result in increased muscular control in efficiency
Function of spine
Dissipates weight-bearing forces
coupling patterns
Spines individual segments has limited freedom or motion but together they make a primary movement called
Lumbar pelvic rhythm
Sharing or emotion of the paraspinal and hip extensors in the act bending forawrd to touch toes
Lumbar pelvic rhythm
Sharing or emotion of the paraspinal and hip extensors in the act bending forawrd to touch toes
Core exercises
Push-up with feet or hands on a ball benchpress with back on ball, and supported at the hips
reverse it out with your wall trunk rotation while standing or sitting on a ball
opposite arm and leg in quadrup
Prone isometric abdominal bridging with the feet on a ball lunges with trunk rotation
side lying plank with you no lateral row
Core exercises
Ball trunk rotation and plank
Push-up with feet or hands on a ball benchpress with back on ball, and supported at the hips
reverse it out with your wall trunk rotation while standing or sitting on a ball
opposite arm and leg in quadrup
Prone isometric abdominal bridging with the feet on a ball lunges with trunk rotation
side lying plank with you no lateral row
