Injury presentation Flashcards

1
Q

what is a MOI?

A

mechanism of injury - how the injury happened?

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2
Q

what are the two sources of MOI

A

trauma and overuse

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3
Q

what is acute onset of an injury?

A

sudden onset

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4
Q

what is insidious onset of an injury?

A

gradual and often of an unknown origin

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5
Q

what is the resulting injury given the following MOI: lateral force to the knee causing dorsiflexion and internal rotation of the tibia while foot is planted - tibia and fibula splay apart

A

high ankle sprain (anterior inferior talofibular ligament and posterior talofibular ligament which are both lateral)\ to become ruptured)

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6
Q

signs

A

something you see

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7
Q

symptoms

A

something athlete feels/descrievs

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8
Q

what is important for a trainer to have regarding pain management

A

reassurance

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9
Q

what psychological symptoms accompany pain?

A

fear, denial, sadness, catasrophizing, regret, shock

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10
Q

howc an we help psychologically post injury>?

A

LISTENING, reassuring with a plan supporting concerns expressed, know when to refer, educated on injury/prevention/next steps, make sure they have support, make sure their RTP is mindful and sequential, keep them apart of the team even when they are injured

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11
Q

what are some different types of skin wounds?

A

laceration, abrasions, punctures, contusions, blisters

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12
Q

what is a laceration?

A

clear cut
can go through various levels of skin

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13
Q

how are lacerations managed?

A
  1. control bleeding
  2. clean wound
  3. steri-strips
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14
Q

how do we control bleeding?

A
  1. PPE (ie gloves)
  2. Pressure - use non-sterile loose gauze, add extra layers as needed (don’t remove previous later), stretch gauze bandage
    3.elevation - above heart to decrease blood flow to area
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15
Q

how do we clean a wound?

A

soap and water, cinder suds (foam soap) applied directly to the wound to lift dirt and debree

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16
Q

what are some considerations when applying steri-steri strips

A

dry area around laceration, adhesive spray via Q tip (do not spray directly on skin) and do not introduce spray into wound, pill skin together with steri steri strips

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17
Q

When do we send for stiches?

A

sooner the better - can only be effective within 24 hours if injury
send if
unable to stop bleeding
wound is to the face
wound is across a joint

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18
Q

what is the RTP protocol for minor cuts and abraisions?

A

clean, non-stick gauze and cover roll to dry skin

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19
Q

how do we treat punctures?

A

LEAVE IT IN (to prevent further bleeding), pad around it with gauze rolls, send for medical attention

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20
Q

what is a contusion

A

bleeding under skin from blunt trauma that leads to various levels of tissue drainage

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21
Q

how to manage deep contuision?

A

no deep tissue massage, effleurage and lympth drainage (light contact like this will give releif and help get rid of muscle spasms and reflex inhibition), protective padding,
pulse setting ultrasound in clinic (not continous) - this helps in inflammatory pahse by bringing circulation to the area,
unterferential current (IFC)

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22
Q

what is a blister?

A

fluid-filled bubble caused by friction

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23
Q

how do we prevent blisters

A

skin lube over areas of friction

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24
Q

how do we treat blisters>

A

if broken, clean well
second skin - this will provvide a buffer to absorb the friction, and coverroll

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25
with cuts, lacerations, abraisions, etc (skin wounds) when do you seek medical attention?
when you are unable to control bleeding when wound is dirty and can't clean it wound is deep/puncture is deep object is still impaled changes in sensation around injury site -says that nerve has been affected wound is from animal/human bit wound is from rusty object
26
how does cartilage and meniscus heal?
limited capacity to heal, they need little/no direct blood supply
27
how does a ligament heal
repair phase: collagen/connective tissue fibers are layed down randomly scar is formed takes months byt eventually collagen fibers align in response to joint stress/strain
28
how do skeletal muscle heal?
regernation of new myofibers in the muscle is minimal (focus is on healing injured ones) generally follows process of random collagen aligment and developing strength in response to stress/steain
29
how do nerves heal?
regeneration (takes long time, heals abour 3-4mm a day) PNC nerves regenerate better than CNS nerves
30
hemostatis
process that stops bleeding (ie blood clot)
31
inflammation
vascular and cellular response for tissue healing
32
repair and regeneration
formation of granulation tissues (new connective tissue)
33
remodeling
strengthening tissues along lines of tension
34
what are the stages of wound healing?
1. inflammation (4-6 days) - this brings circulation to the area to prevent healing, when it is prolonged it can lead to chronic conditions 2. proliferation/repair and regeneration (4-24 days) 3. Remodeling - regeneration of the matrix of collagen fibers (21 days - 2 years)
35
what are some S&S (signs and symptoms) of inflammation?
redness, swelling, heat, pain, loss of function (RH PLS)
36
what is happening during the inflammatory response
vasodilation of blood vessels, white blood cells (neutrophils and macrophages) fight infection, break down and clean up damaged tissue to start the healing process there is decrease collagen synthesis and an increased number of inflammatory cells
37
what is happening during repair and regeneration (proliferation)
collagen is laid down in a disorganized matrix, revascularization brings O2 and nutrients, edges of wound draw closer
38
what happens during remodeling?
Wolff's law - collagen reorganizes itself along lines of stress and tissues increase in tensile strength
39
what are the 5 stages of bone healing?
hematoma formation cellular proliferation (cells grow and divide) Callus formation (soft callus - not strong and very re breakable) Ossification (hard callus) Remodeling
40
what are the aims of treatment for the inflammatory phase (days 1-5)
reduce inflammation, reduce pain, reduce swelling, reduce activity, protect athlete, educate athlete
41
what are the aims of treatment during the demolition phase (day 3-15)
reduce SP Increase ROM, Flex, Strength, Proprioception, and CVF reduce residual swelling via lymphatic drainage and IFC Reduce residual pain Increase ROM Increase flexibility Increase strength via controlled isometric contraction Increase proprioception Prevent 2nd complications Increase cardiovascular fitness Educate athelete
42
What are the aims of the healing phase (day 10 - 8 weeks)
increase circulation ROM flexibility Strength CV Proprioception and decreased pain/muscle spasm
43
what are the longterm goals of treatment
preventing scar adhesions ensure full ROM, strength at lesion site, maintaining/+ overall flexibility, psychological readiness, optimal biomechanics, correct training habits,main/+ proprioception, protect injury site, educate
44
what are the guidelines for RTP?
full ROM, 80% strength, able to perform demands of sport, psychological readiness
45
when do we use heat?
healing phase and beyond, relaxation, promote flexibility
46
when do we not use heat
INFLAMMATION PHASE
47
what is tissue's response to heat?
increase in circulation, inflammation, metabolism, edema/swelling and decreased pain and spasm
48
what are some examples of moist heat application?
hydrocollator packs, hot wet towel wrapped with a dry towel
49
can an ultrasound be used for heat in a pulsed setting?
NO! ultrasounds can be used as a source of heat but only in a continuous setting
50
what is the difference between an infrared and a traditional sauna
infrared saunas heat your skin/body directly traditional heats the air around you
51
when do we not use heat as a form of treatment?
inflamed tissues/immediately post-injury, bleeding disorders, blood clots, impaired sensation, metal implants, infection, open wounds,
52
what is the tissue response to cold?
decrease inflammatory response, edema and swelling, pain, circulation, hematoma formation, muscle spasm, tissue metabolism, enzymatic activity, extensibility
53
what are some contraindications to cryotherapy
urticaria (hives/rash from cold), clotting disorders, over superficial nerves, altered skin sensation, complex regional pain syndrome, and raynauds phenomenon
54
when do we use massage?
tight muscles (this will increase ability to extend and decrease pain) injured muscles (inflammatory phase only effleurage and lymph drainage to decrease pain and swelling and in the healing phase deeper forms of message to increase circulation and promote healing) to increase circulation
55
when do we not massage?
during acute inflammation (just effleurage and drainage), contusions (just effleurage and drainage) acute spasms around another injury over open wounds or skin reactions when patient feels altered sensation possible blood clots bleeding disorders over varicose veins (swollen and twisted veins_, Deep vein thrombosis (deep burning calf pain), cancer, bleeding disorders, diabetes
56
what are the 4 main principles of massage therapy
General - specific - general (this warms up the body) Superficial (pressure)- deep - superficial Proximal - distal -proximal (proximal = begin closer to the centre, this helps move oxygenated blood toward extremities and push deoxygenated blood back to heart) - this allows you to work with circulation Peripheral - central -peripheral (injury = central)
57
what are the 3 most important things to do before applying treatment?
1. clear contraindications 2. expose area being treated 3. Ask permission before you do anything
58
what is urticaria
hives/rash from cold
59
what is raynauds phenomenon
decreased blood flow to dingers/toes due to vasospasms in the area
60
what is the acronym for cold treatment?
Cold Burn Ache Numb (stop here)
61
what massage technique enhances drainage and stimulates lymphatics
terminus technique
62
when is petrissage massage used?
both before play and after play (it can be a general tissue warmup and help circulation, relieve knots/muscle spams, and imporve muscular function)
63
when is stripping massage used?
after play
64
what is stripping massage?
weight and pressure towardsd heart
65
when is pressure point massage used?
after play
66
what is pressure point massage?
pushing for about 15 seconds to elonagage muscle or release knot
67
what is petrissage?
spreading muscle belly across its fibers, hands pushinf and pulling to create friction and seperate msucle fibers