Chapter 22: Rehabilitation and Reconditioning Flashcards
medial doctor or doctor of osteopathy who is proficient in the care of msk and sport related injuries for an organization, school, or team
-return to sport readiness
-pre participation exams
-evaluation and diagnosis
-referral to other professions
-emergency care
-medication prescription
team physician
a person responsible for the day to day physical health of the athlete that works under the team physician, certified by the NATA
athletic trainer
a person who may specialize in orthopedics or sports medicine and performs evaluation, treatment, and rehabilitation of acutely injured athletes
physical therapist
certified person by the NSCA that focuses on strength, power, and performance enhancement. plays a role in the development of reconditioning programs following injury and advanced rehabilitation exercise prescription
strength and conditioning professional
a person who has a formal background in the study of the exercise sciences and may help design a conditioning program with focus on the body’s metabolic response to exercise and the ways in which the reaction aids the healing process
exercise physiologist
a person who has a background in sports nutrition and may provide guidelines regarding proper food choices to enhance tissue recovery
nutritionist
a licensed professional with a background in sport who may provide strategies that help the injured athlete better cope with the mental stresses that come with injury
psychologist/psychiatrist/counselor
treatment is necessary or beneficial to the athlete
indication
intervention is prohibited or not recommended due to injury
contraindication
healing tissues must not be overstressed, so _______ healing tissues within appropriate tissue stress levels
overload
how can an athlete progress from one healing phase to another during the rehabilitative process?
the athlete must meet specific and objective landmarks to progress through each phase of healing (ROM, strength, or activity)
must understand the diagnosis of the injury, inform the rest of the sports medicine team about the exercises performed, and the athletes response to the exercise
strength and condition professional
healing tissue must not be overstressed, but controlled therapeutic stress is necessary for what?
collagen matrix formation
a specific and sudden overload injury to a given tissue, impacting tissue integrity
macrotrauma
damage to some bone trabeculae in a region of bone
skeletal contusion
all trabeculae in a region of bone are broken
skeletal fracture
complete displacement of joint surface
joint dislocation
partial displacement of joint surface
joint subluxation
joint trauma such as a dislocation or subluxation may result in joint _______ or ________
laxity or instability
ligament trauma that is assigned as a classification 1-3
ligament sprain
partial tear of the ligament without increased joint instability (stable)
grade 1 ligament sprain
partial tear of the ligament with minor joint instability
grade 2 ligament sprain
complete tear of the ligament with full joint instability
grade 3 ligament sprain
direct musculotendinous trauma that creates an area of excess blood and fluid accumulation surrounding the injured muscle
musculotendinous contusion
indirect musculotendinous trauma that causes tears in the muscle fiber, assigned as a degree classification 1-3
musculotendinous strain
a partial tear with strong but painful muscle activity
first degree strain
a partial tear with weak and painful muscle activity
second degree strain
a complete tear of the fiber with weak and painless muscle activity
third degree strain
overuse injury to a tissue due to repeated stress from training with inadequate recovery
microtrauma
most common overuse injury to bone often from rapid increase in training volume or training on hard surfaces
stress fracture
tendon inflammation that can become a tendinopathy if untreated
tendinitis
tissue healing phases in order
inflammation
proliferative-repair
maturation-remodeling
timeline of inflammation response phase
2 to 3 days but could last longer, dont want it to last longer than a week
timeline of fibroblastic/proliferative repair phase
day 2 to 2 months
timeline of maturation remodeling phase
month 2 to years
body’s initial reaction to injury and is necessary for normal healing to occur
inflammation
inhibits contractile tissues and can significantly limit function
edema
phase of pain, swelling, and redness due to increased blood flow and capillary permeability = edema
inflammation phase
macrophage release and debris removal
phagocytosis
release of ______ and _____ causes increased blood flow and capillary permeability causing edema
histamine and bradykinin
phase of catabolism, tissue replacement, and decreased collagen fiber organization + development of capillaries and connective tissue
fibroblastic/proliferative repair phase
type of collagen that is randomly deposited during the proliferative phase but is weaker
type III collagen