Final Exam Flashcards
What are the traditional work settings for athletic trainers?
High school, College, professional team
What is strength?
Ability to generate force (how much weight you can move)
What are the non traditional work settings for athletic trainers?
Hospital/clinic, industrial/occupational, military, performing arts, physician extender, public safety, non traditional sports
What is power?
relationship between strength and time (how fast you can move heavy things)
What is endurance?
Repetitive muscular movement (how many times you can move a lighter thing)
What are isometrics? And some examples
Constant muscle length (stability)
Examples: Plank, Lunges, Squat hold
What is isotonic? And some examples
it includes an eccentric and concentric contraction
Examples: Hiking, running
What is eccentric contractions? And some examples
lengthening of the muscle
Examples: Lowering into a squat, or lowering into a bench press
What are slow twitch fibers used for? and what type are they?
(endurance) type 1
What is concentric contractions? And some examples
Shortening of the muscle
Examples: Pushing up in a bench press, Pushing up in a push up
What are fast twitch fibers used for? and what type are they?
(sprints) type 2
What is agonists?
- Muscle causing joint movement
- Biceps (elbow flexion)
What are antagonists?
- Muscle opposing the joint movement
Triceps (relax leads to flexion)
What is the overload principle?
- The goal = hypertrophy
- Muscle responds to stress
- Gradually intensity (strength overtime)
Get a 10% increase
What is periodization?
- Traditional seasons no longer exist
- Goal = achieve peak performance
This lowers injuries and overtraining
- Goal = achieve peak performance
- they play multiple sports
What is cross training?
Training with alternative activities
How long is transition phase in sports and when does it happen?
- 1-4 weeks
- This happens right after the last competition
What is the definition of flexibility?
Ability to move a joint through full ROM
What is PNF stretching?
Contracting and releasing the muscle for stretching. It uses agonist and antagonist
Why are proteins, carbs, and fats an important macronutrient?
Proteins: It repairs and adapts the muscles
Carbs: They are the main source of energy, help replace depleted glycogen levels,
Fats: are energy, increases flavor in food, slows down digestion of nutrients
What are the best electrolytes to drink after exercise?
Sodium, Chloride, Potassium
Why is eating recovery protein important? And what nutrient is best to be paired with is?
it repairs the muscle and is best paired with carbs
How much grams of protein do you need for your body weight?
1.2-2.0 grams
What percentage of calories need to be carbs?
60-70%
What percentage of calories need to be fat?
20-35%
What are the benefits of post- game nutrition?
Maximizes recovery of your body, like muscles, ligaments all of that.
What are the benefits of during-game nutrition?
It rapidly replaces depleted glycogen levels, keeps your hydration levels up as well
What are the benefits of pre-game nutrition?
It prevents hypoglycemia, settles the stomach, and fuels muscles
How can EHI be prevented?
Identify “at risk” individuals, where loos wicking clothing, do heat acclimatization to sports equipment (put it on little by little), never use rubberized suits
What are the causes of stress fractures?
You made a change too soon. essentially it is
- Abnormal stress on a normal bone
- And normal stress on abnormal bone
- abnormal muscle contractions
- repetitive stress
What is an avulsion fracture?
When an injury causes a tendon or bone breaks off a small piece of bone that it’s attached to
What is the definition of a bursa?
A fluid filled sac surrounding joints
What is the definition of a muscle?
A body tissue that constricts and does motion
What is the definition of bone?
A hard, dense, calcified tissue
What is the definition of Cartilage?
Tough flexible tissue that lines the joints and gives structure to noes, ear, pharynx
What is the definition of ligaments?
Bands of tissue that provide support to a joint. They connect bone to bone
Compare and contrast the course of healing in cartilage, ligaments, muscle
Cartilage- Cannot heal well due to the lack of blood supply (the stages)
Ligaments- heal the same way as regular tissue
Muscle- bleeding occurs, then edema forms (inflammation), then it begins to heal immediately (the stages)
How do these things in the body heal?
Ligament
Cartilage
Muscle
Cartilage
- Limited capacity to heal due to little to no blood supply
Ligament
- Similar to other vascular tissue
Muscle
- Bleeding, edema and immediately begins healing
What are examples of contractile and non-contractile tissues?
Contractile: Muscles, and Tendons
Non-contractile: Bone, joints, cartilage, Ligaments, Bursa
What does osis mean?
Without inflammation
What does itis mean?
Inflammation
What does synovitis mean?
inflammation of the sheath surrounding a tendon
What is the difference between tendinosis, tendinitis, and tenosynovitis?
Tendinosis- degeneration of tendon
Tendinitis- inflammation of a tendon
tenosynovitis- inflammation of the sheath surrounding a tendon
What are the 5 cardinal signs of inflammation?
- Heat
2, Redness - Swelling
- Pain
- loss of function
What is the order of the acute inflammatory response? (how it heals) (6 steps)
- Injury to cell
- Chemical mediators liberated (histamine, leukotrienes)
- Vascular reaction (vasoconstriction, Vasodilation, Exudate creates stasis)
- Platelets and leukocytes adhere to vascular wall
- Phagocytosis
- Clot formation
How do you check if someone is conscious or not conscious? (adult vs infant)
Adult you ask if they are okay or tap their shoulder.
For infant you tickle their foot
What is the primary survey
It is where you check the parsons level of consciousness, ABCs, severe bleeding, and shock
Define the ABC assessment
ABCs
- State of cardio-respiratory system
- Airway must be open
- Look for chest rising
- Listen for breathing sounds
- Feel for breath on cheek
- Feel for carotid pulse
- LOOK LISTEN FEEL
Take out thing in throat if you can
If someone is unconscious what injury should be assumed?
Cervical spine injury
How do you know if the bleeding is - Venous, Capillary, and Arterial?
- Venous (dark red continuous flow)
- Capillary (reddish seeps from tissue)
- Arterial (bright red, flows in spurts)
What happens when you are in shock?
Decreased blood to circulatory system (decreases oxygen through the body)
What is valgus?
Is medial stress
What is varus?
It is lateral stress
What are the sunshine ligaments of the ankle? (the lateral side) (3)
- Anterior talofibular ligament
- Posterior talofibular ligament
- Calcaneofibular ligament
What type of ROM does the ankle joint can do?
- dorsiflexion
- Plantarflexion
- inversion
-Eversion
What are the deltoid (medial) ligaments of ankle? (medial side) (4)
- posterior tibiofibular ligament
- Tibiocalcaneal ligament
- Anterior tibiotalar ligament
- Tibionavicular ligament
What type of ROM does the foot do?
-inversion
- eversion
- supination
- pronation
- dorsiflexion
- plantarflexion
What type of ROM does the toes do?
- Flexion
- extension
- abduction
- adduction
What causes a talus fracture?
Severe inversion/dorsiflexion of the foot.
Or inversion/plantarflexion with tibial external rotation
What causes a calcaneus fracture?
Fall or jump from height
What is a jones fracture? And what is the cause?
A fracture of the metatarsal bones.
Caused by inversion, plantar flexion, direct force, or repetitive trauma.
What is Retrocalcaneal bursitis (pump bump)?
Inflammation of bursal beneath achilles tendon
What is Tarsal tunnel syndrome? What does it cause?
Any condition that effects the tibialis posterior, flexor hallucis longus, flexor digitorum, tibial nerve, tibial artery, tibial vein.
It causes pain and paresthesia
What is morton’s toe? What can it cause?
Abnormal short 1st metatarsal bone.
It can cause a stress fracture to develop
What is the cause of toe sprains?
By kicking non yielding objects
What is plantar fasciitis?
It is increased tension and stress on fascia (bottom of foot)
What are the signs and symptoms of plantar fasciitis?
Pain in anterior medial heel, along medial arch, increased pain in morning, looses after a few steps
What are phalangeal factures caused by?
Stubbing toe, being stepped on, kicking non yielding objects
What are great toe hyperextension? And the cause?
It causes hyperextension leading to 1st metatarsophalangeal sprain.
Also known as turf toe
What causes hammer toe?
Flexion contracture in PIP joint
What causes mallet toe?
Flexion contracture of DIP joint
What causes claw toe?
Flexion contracture of DIP joint
Hyperextension at MP joint
What are the causes of subungual hematoma?
Direct pressure on toenail, dropping object on toe, kicking another object
What are the causes of lateral ankle sprains?
forced inversion, and plantar flexion
What are the signs and symptoms of lateral ankle sprains?
Depends on degree of sprains
Which ankle sprain is more common. Lateral or medial?
Lateral
What are the causes of medial ankle sprains? And complications
Eversion force
Complications: ligament impingement, may cause fibular fracture
What is the cause of the syndesmotic ankle sprain?
Forced eversion and dorsiflexion
or forced plantarflexion and inversion
What is a syndesmotic ankle sprain?
Where it tears the tibiofibular syndesmosis and the anterior/ posterior tibiofibular ligaments
What are sign and symptoms of tibia fibula fractures?
- pain
- swelling
- discoloration
- deformity
What are the causes of medial tibial stress syndrome (shin splints)?
- Repetitive micro trauma
- weak/tight muscles
- improper footwear
- training errors
What are the signs and symptoms of stress fractures?
- Pain with activity
- point tenderness
What are the sign and symptoms of medial tibial stress syndrome (shin splints)?
Diffuse pain
What are the causes of compartment syndrome?
Injury or excessive exercise.
What are the signs and symptoms of compartment syndrome?
- deep aching pain
- tightness excessive swelling
- weakness with foot and toe extension
- shiny skin
What are the causes of achilles tendonitits?
Tendon overload
- heel-cord tightness
What are the sign and symptoms of achilles tendonitits?
Generalized pain and stiffness, may become thickened
What are the causes of achilles tendon rupture?
Sudden stop and go
- forceful plantar flexion with knee in full extension
What type of ROM does the knee do?
- flexion
- extension
- internal rotation
- external rotation
- extensor mechanism
Signs and symptoms of achilles tendon rupture
- Gun shot
- sudden snap
What are the causes and sign and symptoms of MCL sprain?
Causes: Valgus force (outside of knee)
Signs and symptoms: Pain along medial aspect, instability, edema, possible lateral meniscus injury
What are the causes and signs and symptoms for a LCL sprain?
Causes: varus force
Signs and symptoms: Pain and swelling over LCL
What are the causes and sign and symptoms of a PCL sprain?
Causes: Fall on bent knee or dashboard injury or tibial external rotation
Signs and symptoms: feel a pop in popliteal area, tenderness, mild swelling
What are the causes and signs and symptoms of a meniscus tear?
Causes: Rotation while weight bearing (torsional and valgus or varus forces
Signs and symptoms: Edema, joint line pain, loss of motion, pain with squatting
What are the causes and signs and symptoms of a ACL sprain?
Causes: Deceleration with foot planted (valgus force + tibial internal rotation)
Signs and symptoms: Hear a pop, instability, pain in knee