Injuries Flashcards

1
Q

HEAT EXHAUSTION
What is Heat Exhaustion?
What are Symptoms of Heat Exhaustion?

A

HEAT EXHAUSTION
Heat exhaustion is a milder form of heat-related illness that can develop after several days of exposure to high temperatures and inadequate or unbalanced replacement of fluids. Those most prone to heat exhaustion are elderly people, people with high blood pressure, and people (including kids) working or exercising in a hot environment.

Symptoms of heat exhaustion
Dehydration, fatigue, weakness, clammy skin, headache, nausea and/or vomiting, hyperventilation (rapid breathing), irritability, heavy sweating, paleness, muscle cramps, dizziness, fainting

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2
Q

What is treatment for Heat exhaustion?

A

Heat exhaustion treatment
Cooling measures that may be effective include: cool, non-alcoholic beverages, as directed by your physician, rest, cool shower, bath, or sponge bath, an air-conditioned environment, lightweight clothing

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3
Q

What is a HEAT STROKE?

A

HEAT STROKE
Heat stroke is a form of hyperthermia (abnormally elevated body temperature) with accompanying physical and neurological symptoms. Unlike heat cramps and heat exhaustion, two less-severe forms of hyperthermia, heat stroke is a true medical emergency that can be fatal if not properly and promptly treated.
The population most susceptible to heat strokes are infants, the elderly (often with associated heart diseases, lung diseases, kidney diseases, or on certain medications that make them vulnerable to heat strokes), and athletes, or outdoor workers physically exerting themselves under the sun.

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4
Q

Symptoms of heat stroke

A

Symptoms of heat stroke
Different people may have different symptoms and signs of heat stroke. But common symptoms and signs of heat stroke include: high body temperature, the absence of sweating, with hot red or flushed dry skin, rapid pulse, difficulty breathing, strange behavior, hallucinations, confusion, agitation, disorientation, seizure, coma.

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5
Q

Heat stroke treatment/prevention

A

Heat stroke treatment
TREATMENT
Victims of heat stroke must receive immediate treatment to avoid permanent organ damage. First and foremost, cool the victim. Get the victim to a shady area, remove clothing, apply cool or tepid water to the skin (for example you may spray the victim with cool water from a garden hose), fan the victim to promote sweating and evaporation, place ice packs under armpits and groins. Monitor body temperature with a thermometer and continue cooling efforts until the body temperature drops to 101-102 degrees. Always notify emergency services (911) immediately. If their arrival is delayed, they can give you further instructions for treatment of the victim.
PREVENT
The most important measures to prevent heat strokes are to avoid becoming dehydrated, and to avoid vigorous physical activities in hot and humid weather. If you have to perform physical activities in hot weather, drink plenty of fluids (such as water and Gatorade), but avoid alcohol, coffee, and tea which may lead to dehydration. Take frequent breaks to hydrate yourself. Wear hats, and light colored, and light and loose clothes.

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6
Q

INFLAMMATION

Signs and symptoms

A

INFLAMMATION
Signs and symptoms
• Increased temperature – results from increased blood flow to the injured area due to increased need for white blood cells. Do not use heat – it is like a generalized fever.
• Redness – is due to increased blood flow.
• Swelling – also due to increased blood flow.
• Pain – is often due to pressure on nerve endings from increased swelling.
• Loss of function – is caused by swelling in the area and guarding of the muscles surrounding the injury. This causes more pain.

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7
Q

Treatment for acute musculoskeletal injuries

A

RICE – rest, ice, compression and elevation
It is important to reduce swelling
Guidelines for RICE
• Rest – avoid continuing the activity that has caused the injury or will make it worse
• Ice – apply for 20-30 minutes. Put some protective layer between the ice and the skin, never apply ice to an already numb area. Then do 15 min every 2h following the injury. For general irritation, do 15 min 2 or 3 times per day
• Compression – elastic bandages can help prevent or reduce excessive swelling. The bandage should always reach from the largest muscle area below the injury to the largest muscle group above the injury.
• Elevation – gravity can help reduce swelling. Raise the injured area as high as possible while still being comfortable. Try to get it above heart level.

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8
Q

1) What is a Strain?

2) How do Strains Heal?

A

MUSCLE
Muscle is elastic and capable of absorbing a lot of shock. Flexibility and strength are important for preventing injuries of muscles and joints.

1) An injury to muscle tissue is called a strain. Strains can be classified as mild, moderate or severe.
2) Strains heal with collagen, which is not elastic and is laid down in an unorganized pattern. If left unorganized the tissue is weak.

EXTRA INFO:
3) It is important to stretch the area and gradually add some resistance (load) to the injury to help the collagen tissue organize. This helps the tissue line up in the direction of the surrounding muscle fibers and increases the strength of the collagen tissue. But even if organized, it will not be as strong or flexible as the surrounding tissue.

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9
Q

Why is it important to stretch when healing strains?

A

(An injury to muscle tissue is called a strain.)

Strains heal with collagen, which is not elastic and is laid down in an unorganized pattern. If left unorganized the tissue is weak.

ANSWER:
It is important to stretch the area and gradually add some resistance (load) to the injury to help the collagen tissue organize. This helps the tissue line up in the direction of the surrounding muscle fibers and increases the strength of the collagen tissue. But even if organized, it will not be as strong or flexible as the surrounding tissue.

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10
Q

What happens when a muscle is overused?

A

Overuse Syndromes
Whenever a muscle is overused, that is, exercised past its state of conditioning, there is actual destruction of the muscle tissue and generation of lactic acid.

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11
Q

Muscle Fatigue
A) What is Muscle fatigue?
B) How is Muscle fatigue manifested?

A

Muscle Fatigue
A) Simple fatigue, with depletion of energy stores within the muscle,
B) is manifested as weakness, pain on exertion, soreness to the touch, and cramping. In many cases, this is compounded by dehydration, deficiencies of electrolytes (usually sodium and/or potassium), lack of sufficient caloric intake, or a specific injury. The sufferer has been informed by his body that it is time to rest.

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12
Q

Torn Muscle

1) How is a torn muscle recognized?
2) How can you distinguish a torn muscle from a bone injury?
3) When/How should a torn muscle be treated?
4) What the best way to prevent a a torn “pulled” muscle?

A

Torn Muscle
1) A torn muscle (“pulled” muscle) is recognized as sudden pain in a muscle group associated with a particular vigorous exertion, such as sprinting or lifting a heavy object.
Depending on the severity of the injury, there may be associated bruising, swelling, loss of mobility, and/or weakness.

2) In general, a minor muscle injury can be distinguished from a bone injury by evaluating active and passive range of motion.
3) Minor muscle injuries should be treated in the first 24 hours with immobilization, the application of cold (insulated ice packs or chemical cold packs, for example; do not apply ice directly to the skin) for 30 to 45 (I say 20-30) minutes every 2 to 3 hours, and elevation (this is RICE).

After 48 to 72 hours, the application of heat (warm water or a heating pad, not ointments) and gentle movement should be started.

If a significant injury is suspected (for example, complete tear of the biceps muscle or quadriceps muscle group), the injury should be immobilized as for a fracture and the victim transported to a physician.

4) The best way to prevent a pulled muscle is to stretch and warm up adequately. This allows the local blood flow to increase and minimizes the risk for small tears that can cause spasm, which in turn leads to decreased flexibility.

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13
Q

What is the relationship between flexibility and musculoskeletal injuries

A

Flexibility and musculoskeletal injuries

A flexible muscle is better able to absorb shock and periodic over stretching than an inflexible muscle. For someone who is less flexible than average, you should design a well-constructed flexibility program. These clients are more prone to muscle injuries, strains and ruptures.

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14
Q

Which heals faster, a tendon or a muscle. Why?

A

TENDON

Tendons have a lesser blood supply than muscle and therefor heal more slowly. They can be over stretched or torn.

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15
Q

What is Tendonitis?

A

What is Tendonitis?

Tendonitis
Sometimes the tendons become inflamed for a variety of reasons, and the action of pulling the muscle becomes irritating. If the normal smooth gliding motion of your tendon is impaired, the tendon will become inflamed and movement will become painful. This is called tendonitis, and literally means inflammation of the tendon.

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16
Q

1) What causes tendonitis?

2) What are symptoms of tendonitis?

A

1) What causes tendonitis?

The most common cause of tendonitis is overuse.
Another common cause of symptoms of tendonitis is due to age-related changes of the tendon.
Sometimes, there is an anatomical cause for tendonitis.

2) Tendonitis is almost always diagnosed on physical examination. Findings consistent with tendonitis include:
• Tenderness directly over the tendon
• Pain with movement of muscles and tendons
• Swelling of the tendon

EXTRA:
What is Tendonitis?

Tendonitis
Sometimes the tendons become inflamed for a variety of reasons, and the action of pulling the muscle becomes irritating. If the normal smooth gliding motion of your tendon is impaired, the tendon will become inflamed and movement will become painful. This is called tendonitis, and literally means inflammation of the tendon.

17
Q

Treatment of tendonitis

A

Treatment of tendonitis
Rest and protect the area, ice, anti-inflammatory medication, cortisone injections

EXTRA:
What is Tendonitis?

Tendonitis
Sometimes the tendons become inflamed for a variety of reasons, and the action of pulling the muscle becomes irritating. If the normal smooth gliding motion of your tendon is impaired, the tendon will become inflamed and movement will become painful. This is called tendonitis, and literally means inflammation of the tendon.

18
Q

SPRAINS AND STRAINS

What are 1) sprains and 2) strains?

A

1) Sprains are injuries to ligaments (which attach one bone to another) that are incurred by twisting, direct blunt trauma, or overexertion.
2) Strains are injuries to tendons (which attach muscle to bone) that are incurred by twisting, direct blunt trauma, or overexertion.

Extra:
Ligaments are non-elastic. If stretched, ligaments allow greater joint motion, requiring increased strengthening of surrounding muscle tissues. Severe sprains can result in dislocations or subluxation (partial dislocation).

19
Q

Are ligaments elastic?

What happens if you stretch a ligament?

A

Ligaments are non-elastic. If stretched, ligaments allow greater joint motion, requiring increased strengthening of surrounding muscle tissues. Severe sprains can result in dislocations or subluxation (partial dislocation).

20
Q

What are symptoms of a sprain?

A

Symptoms include pain, swelling and/or deformity, decreased range of motion secondary to pain, and bruising.

21
Q

What is the most common type of ankle sprain?

How can these sprains be prevented?

A

Ankle sprains are one of the most common sport related injuries. The most common is a sprain of the lateral ligaments due to inversion. These sprains can be prevented by strengthening the peroneal (peroneus longus and brevis – lateral lower leg) muscles, proper footwear, ankle bracing and the use of proprioceptive training.

Proprioceptive training may be rope skipping, or standing on the injured ankle to maintain balance. Proprioception is the reception of stimuli produced within the body – it gives a body part a sense of where it is in space.

22
Q

BONE

What are stress fractures?
Where do they mostly happen?

A

Bone is the only tissue that repairs itself with exactly the same type of tissue.

Stress fractures or complete breaks can occur from different activities. Stress fractures are commonly seen in the lower extremities. Most common sites are lower one third of the medial tibia and the third, fourth and fifth metatarsals of the foot.

Stress fractures are the result of excessive stress on the bone that causes the outer lining of the bone, the periosteum, to crack. This can be very painful. Stop activity - refer to physician.

23
Q

Carpal tunnel syndrome
What is it?

What are symptoms?

In what type of work is this common?

What are treatments?

A

Carpal tunnel syndrome is a painful progressive condition caused by compression of a key nerve in the wrist. It occurs when the median nerve, which runs from the forearm into the hand, becomes pressed or squeezed at the wrist.

Symptoms usually start gradually, with pain, weakness, or numbness in the hand and wrist, radiating up the arm. As symptoms worsen, people might feel tingling during the day, and decreased grip strength may make it difficult to form a fist, grasp small objects, or perform other manual tasks.

In some cases no direct cause of the syndrome can be identified. Most likely the disorder is due to a congenital predisposition - the carpal tunnel is simply smaller in some people than in others.

However, the risk of developing carpal tunnel syndrome is especially common in those performing assembly line work.

Treatment may include the use of splints or braces, anti-inflammatory medications, cortisone injections or surgery.

24
Q

What is Impingement syndrome?

A

Impingement syndrome – occurs when the rotator cuff tendons rub against the acromion.

Usually, there is enough room between the acromion and the rotator cuff so that the tendons slide easily underneath the acromion as the arm is raised. But each time you raise your arm, there is a bit of rubbing or pinching on the tendons and the bursa. This rubbing or pinching action is called impingement.

25
Q

What are symptoms of impingement syndrome?

A

Symptoms

Impingement syndrome causes generalized shoulder aches in the condition’s early stages. It also causes pain when raising the arm out to the side or in front of the body. Most patients complain that the pain makes it difficult for them to sleep, especially when they roll onto the affected shoulder.
A reliable sign of impingement syndrome is a sharp pain when you try to reach into your back pocket. As the condition worsens, the discomfort increases. The joint may become stiffer. Sometimes a catching sensation is felt when you lower your arm. Weakness and inability to raise the arm may indicate that the rotator cuff tendons are actually torn.
Treat with rest, ice packs, and anti-inflammatory medications, followed by stretching and strengthening exercises.

EXTRA:
WHAT IS IMPINGEMENT?
mpingement syndrome – occurs when the rotator cuff tendons rub against the acromion.

Usually, there is enough room between the acromion and the rotator cuff so that the tendons slide easily underneath the acromion as the arm is raised. But each time you raise your arm, there is a bit of rubbing or pinching on the tendons and the bursa. This rubbing or pinching action is called impingement.

26
Q

ACL INJURY

1) What special considerations do you need to take for ACL injured clients?
2) What is the role of the ACL normally?

A

ACL INJURY
1) ACL (anterior cruciate ligament) injuries are the most dreaded of the knee injuries. You should be in contact with the client’s ortho surgeon to determine limitations of activity. You may have to work on their upper body and cardio for a while and incorporate lower body slowly. Information about anterior cruciate ligament injuries

2) The anterior cruciate ligament is the primary restraint to forward motion of the tibia.
The ACL prevents the tibia from sliding too far forward.

The ACL also contributes stability to other movements at the joint including the angulation and rotation at the knee joint. The ACL performs these functions by attaching to the femur on one end, and to the tibia on the other.

27
Q

What are the other major ligaments of the knee?

A

The other major ligaments of the knee are the posterior cruciate ligament (PCL), and the medial and lateral collateral ligaments (MCL and LCL, respectively).

28
Q

What happens with an ACL injury?

What do patients complain often about?

A

When an ACL injury occurs, the knee becomes less stable. The ACL injury is a problem because this instability can make sudden, pivoting movements difficult.
When the knee is unstable, patients often complain of a sensation that the knee will ‘give out’ from under them. An ACL injury makes patients more prone to developing arthritis and meniscus tears.

Athletes often have particular difficulty once they have sustained an ACL injury.

29
Q

Which sports require a functioning ACL?

A

Many sports require a functioning ACL to perform common maneuvers such as cutting, pivoting, and sudden turns. These sports include, but are not limited to: football, soccer, basketball, skiing, gymnastics, hockey, wrestling, lacrosse, rugby.

ACL injuries can strike anyone, but there are certainly some individuals more prone to ACL injury. Sports listed (football, soccer, basketball, skiing, gymnastics, hockey, wrestling, lacrosse, rugby ) can cause high forces to be placed on the ACL. Participants in these sports are especially prone to ACL injury.

30
Q

MENISCUS TEAR

What is it?

A
MENISCUS TEAR (torn cartilage)
Cartilage tear = meniscus tear.  Arthritis or wear of cartilage = articular cartilage.
31
Q

What are the two most common causes of meniscus tear?

What is the most common mechanism of a traumatic meniscus tear?

What does one experience with a meniscus tear? What complaints?

What are the most common symptoms of a meniscus tear?

A

MENISCUS TEAR = (torn cartilage)

The two most common causes of a meniscus tear are due to traumatic injury (often seen in athletes) and degenerative processes (seen in older patients who have more brittle cartilage).

The most common mechanism of a traumatic meniscus tear occurs when the knee joint is bent and the knee is then twisted.
It is not uncommon for the meniscus tear to occur along with injuries to the anterior cruciate ligament (ACL) and the medial collateral ligament (MCL)-these three problems occurring together are known as the “unhappy triad,” which is seen in sports such as football when the player is hit on the outside of the knee.

EXTRA:
Individuals who experience a meniscus tear usually experience pain and swelling as their primary symptoms. Another common complaint is joint locking, or the inability to completely straighten the joint. This is due to a piece of the torn cartilage physically impinging the joint mechanism of the knee.
The most common symptoms of a meniscus tear are: knee pain, swelling, tenderness, poping or clicking within the knee, limited motion of the knee joint

32
Q

What does one experience with a meniscus tear? What complaints?

What are the most common symptoms of a meniscus tear?

A

MENISCUS TEAR = (torn cartilage)

Individuals who experience a meniscus tear usually experience pain and swelling as their primary symptoms. Another common complaint is joint locking, or the inability to completely straighten the joint. This is due to a piece of the torn cartilage physically impinging the joint mechanism of the knee.
The most common symptoms of a meniscus tear are: knee pain, swelling, tenderness, poping or clicking within the knee, limited motion of the knee joint

EXTRA:

The two most common causes of a meniscus tear are due to traumatic injury (often seen in athletes) and degenerative processes (seen in older patients who have more brittle cartilage).

The most common mechanism of a traumatic meniscus tear occurs when the knee joint is bent and the knee is then twisted.
It is not uncommon for the meniscus tear to occur along with injuries to the anterior cruciate ligament (ACL) and the medial collateral ligament (MCL)-these three problems occurring together are known as the “unhappy triad,” which is seen in sports such as football when the player is hit on the outside of the knee.

33
Q

CHONDROMALACIA

1) What is it?
2) What is caused by?
3) What kind of training should you do for chondromalacia? Why?

A

CHONDROMALACIA

1) The patellofemoral joint, or knee cap joint, is a common site of pain. Aka runner’s knee or jumper’s knee.
2) It is generally caused by two things: decreased hamstring and calf flexibility, or improper tracking of the kneecap in the femoral groove.
3) You will need to work on flexibility and probably find a sub for leg extension exercises. It is important to include some eccentric training of the quads.

The knee cap is under constant eccentric stress during activities like running and jumping. The quads are constantly absorbing shock and decelerating the leg. If the muscles are not trained eccentrically , they will fatigue earlier, which can lead to other muscles compensating and then imbalances.

34
Q

CHONDROMALACIA
Patellofemoral pain syndrome

How can you relieve it?

A

Patellofemoral pain syndrome can be relieved by avoiding activities that make symptoms worse.
• Avoid sitting or kneeling in the bent-knee position for long periods of time.
• Adjust a bicycle or exercise bike so that the resistance is not too great and the seat is at an appropriate height. The rider should be able to spin the pedals of an exercise bike without shifting weight from side to side, and the legs should not be fully extended at the lowest part of the pedal stroke.
• Avoid bent-knee exercises, such as squats, deep knee bends, or 90-degree leg extensions.

Other methods to relieve pain include:
• Taking nonprescription anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen sodium, to decrease swelling, stiffness, and pain.
• Ice and rest.
• Physical therapy exercises. Exercises may include stretching to increase flexibility and decrease tightness around the knee, and straight-leg raises and other exercises to strengthen the quadriceps muscle.
• Taping or using a brace to stabilize the kneecap.
• Surgery.