Chapter 13: Making Participant Safety A Priority Flashcards

1
Q

Sprain

A

Tearing or overstretching of a ligament, joint capsule, and/or connective tissue. The ankle and knee are common locations for sprains.

Swelling, pain, joint instability, joint stiffness, immobility, and possible discoloration.

EMS if the person is not able to move safely.

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2
Q

Strain

A

tearing or overstretching of a muscle or tendon. Shoulders and hamstrings are common locations for strains.

Swelling, pain, local tenderness, possible discoloration, and loss of strength and ROM

EMS if person is not able to move safely.

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3
Q

Compound Fracture

A

Bone fracture resulting in an open wound.

Bony protrusion, bleeding, and possible shock.

EMS, especially if there is heavy bleeding.

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4
Q

Contusion

A

A bruise formed from an acute, traumatic blow to the body.

Soft tissue hemorrhage, hematoma, and restricted ROM

EMS, if person sustains a blow to the head or possible internal bleeding.

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5
Q

Carpal Tunnel Syndrome

A

Painful condition of the hand and fingers caused by compression of the median nerve in the wrist.

Numbness and tingling in the hands.

Stretch the wrist, fingers, and forearm. Maintain neutral wrist alignment. Avoid load bearing wrist flexion and extension. Change the angle of wrist flexion based on participant comfort.

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6
Q

Tendinitis

A

Inflammation of a tendon due to overuse.

Tenderness, localized or dispersed pain, and loss of strength.

When tendons are inflamed, allow time for rest. Avoid exercises that cause pain. Perform ROM movements at affected joints to maintain mobility.

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7
Q

Bursitis

A

Inflammation of a bursa sac near a tendon or joint.

Swelling, pain, and some loss of function.

Avoid performing one movement or activity for extended periods of time. Progress intensity and load slowly. Focus on proper posture and ROM.

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8
Q

Plantar Fascitis

A

Inflammation of the plantar surface of the foot.

Pain and tightness under the foot may worsen with weight bearing.

Avoid high-impact exercises during flare ups. Stretch the feet and toes before and after exercise. Strengthening exercises might be suggested by a physician or physical therapist.

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9
Q

Shin Splints

A

Pain or inflammation of the soft tissues along the shin bone from repetitive loading.

Bone and soft tissue tenderness and pain during and after activity.

Reduce or avoid high-impact exercises during flare ups.

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10
Q

IT Band Friction Syndrome

A

Inflammatory overuse condition in which the IT band rubs against the lateral femoral epicondyle

Pain, burning, or tightness during running, cycling, or multidirectional movements along the outside of the knee.

Avoid aggravating activities if pain is present. Focus on exercises that strengthen the hip and gluteal muscles.

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11
Q

Patellofemoral Pain Syndrome

A

Lateral deviation of the patella during knee extension that causes painful contact between the patella and femur.

Tenderness, pain, swelling, and discomfort during activity.

Avoid exercises that compress the patella against the femur.

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12
Q

Impingements

A

When a muscle, tendon, or nerve pinches between bony structures, common areas are the shoulder and the spine.

Local pain and tenderness, burning sensation, loss of ROM and mobility, and muscle weakness.

Avoid exercises that place stress or pressure on the affected area. Avoid overhead movements, which place stress on the shoulder. Recommend the participant rest the affected area.

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13
Q

Heart Attack

A

Caused by an obstruction or blockage of blood flow to the heart.

Pain in chest, arms, back ,new, or jaw. Labored or difficulty breathing, nausea, anxiety, lightheadedness, sweating, fatigue, and syncope.

Yes EMS

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14
Q

Exercise-induced brochoconstriction

A

Swelling, inflammation, or narrowing of the airways that inhibits breathing.

Irregular or labored breathing or wheezing, sweating and paleness, excessive throat clearing, coughing for no apparent reason, anxious appearance, and breathing with pursed lips.

Yes EMS if person not able to relieve the symptoms with medication and especially if breathing becomes labored or person loses consciousness.

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15
Q

Choking

A

When an object obstructs the airway.

Coughing, loss of speech, pale or blueish skin, and syncope.

Yes EMS

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16
Q

Concussion

A

Trauma-induced alteration of mental status resulting from a direct blow to the head.

Blurred vision, dizziness, drowsiness, loss of consciousness, loss of orientation, nausea, memory problems, sensitivity to noise and light, seeing stars, ringing in the ears, and vomiting.

Yes EMS if loss of consciousness occurs.

17
Q

Seizures

A

Changes in brain activity that can cause mild to severe convulsions.

Convulsions, syncope, loss of coordination, clenching of the jaw, and loss of bladder/bowel function.

Yes EMS

18
Q

Intrinsic Risk Factors: Pre Existing Injuries

A

GFI should: increase the duration of warm up/cool down. Provide regressions. Offer exercise alternatives. Participants with known conditions should receive medical clearance.

19
Q

Intrinsic Risk Factors: Body Composition that is above or below recommended levels

A

GFI should: suggest lower impact exercise, demonstrate basic movements before progressing.
If eating disorder suspected, refer to a healthcare provider.

20
Q

Intrinsic Risk Factors: Deconditioned

A

GFI should: increase duration of warm up/cool down, provide options for fewer reps/sets/exercise bouts, provide RPE recommendations, offer frequent breaks/active recovery.

21
Q

Intrinsic Risk Factors: Strength or Flexibility imbalances

A

GFI should: limit ROM used to achieve exercises, begin with dynamic flexibility movements and end with static stretches, offer props for support, help participants distinguish between pain and discomfort through supportive cueing.

22
Q

Extrinsic Risk Factors: Complexity, Intensity, Speed, and Type of Movement

A

GFI should: allow participants to master the foundational exercise before advancing to movements that demand more coordination, speed, and conditioning. Demonstrate foundational layers first and then provide advanced progressions. Perform and model beginner exercise variation.

23
Q

Extrinsic Risk Factors: # of reps and sets

A

GFI should: create a balanced class plan, avoid excessive # of reps, provide frequent breaks in core supported exercises.

24
Q

Extrinsic Risk Factors: Surface

A

GFI should: adapt class plan based on surface, perform lateral movements cautiously on uneven surfaces, no high impact on hard surfaces, provide appropriate progression when using stability tools, ensure surface is free of slip or trip hazards.

25
Q

Extrinsic Risk Factors: Footwear

A

GFI should: recommend cross training shoes for group fitness, for dance classes, shoes with lateral support and minimal tread.

26
Q

Extrinsic Risk Factors: Fatigue

A

GFI should: suggest hydration breaks, active recovery opportunities, know signs of fatigue, reduce intensity or discontinue activity.

27
Q

Extrinsic Risk Factors: Equipment

A

GFI should: use equipment properly, no homemade equipment

28
Q

Extrinsic Risk Factors: Climate/Temp

A

GFI should: recommend clothing based on environment, exercise indoors on days of extreme temps, understand contraindications of exercising in hot environments, encourage frequent fluid intake.

29
Q

Extrinsic Risk Factors: Air Quality

A

GFI should: avoid outdoor exercise on high alert days