injury prevention Flashcards
what percentage of all injuries sustained by middle and high school students during sports are overuse injuries
50%
how many children 14 and younger are treated for sports injuries each yar
more than 3.5 mil
why prevention
increased competition
more participation
results in a rise in sports injuries
preventable
over use
non contact
un preventable
contact
accidents
primary prevention
screening
prophylaxis
reduces risk
seconday prevention
decrease duration severity and sequele
previous injury is the biggest risk factor
tertiary prevention
limit disability
promote function
primary prevention for ankle sprain
balance and NM control
tape and brace
what shouldnt be done for ankle sprain prevention
ankle strength - hip is better correlated
DF ROM
ACL tear prevention
evidence based
- proximal control ex
- quad strength
- plyometrics
- start in preseason and continue
- compliance is key
- balance program evidence is limited for preventing knee injuries
braces do not PREVENT ACL
hamstring primary prevention
strengthening, nordic HS most effective over 50% reduction
tape/SPICA/sleeves- have no evidence
concussion primary prevention
protective equipement - no effect of interevention
education - reduced risks
shoulder primary prevention
not commonly found due to specialized use of UE in sport
swimming - flexibilit, MT and IR weakness, core at risk
training loads
throwes
- ROM, strength, pithc count/velocity
secondary prevention general principles
Restore symmetry: ROM, Strength, NM Control
Uninvolved limb is our best measure of their normal
Mitigate any/all factors that may have caused the injury in the first place
Mitigate known impairments following the injury/surgery (e.x. proprioception)
Time after surgery is important for biology but does not guarantee impairment resolution
Primary risk factors are not necessarily secondary risk factors
secondary prevention ankle sprain
bracing more efffective than tape
exercise based secondary prevention
restore DF ROM
secondary prevention 2nd ACL tear
not a lot of evidence
acl sports program
tertiary prevention knee OA
Limited evidence due to lack of understanding of pathophys
Evidence for non-specific treatment
Weight management:
9-76% reduction in pain following gastric bypass (McGoey 1990)
Pain scores reduced, functional scores improve (Abu-Abeid 2005)
Improved joint space associated with weight loss (Abu-Abeid 2005)
OA rates high in less active people
Female sex, lower educational levels, obesity, and poor muscular strength are associated with symptomatic disease and subsequent disabilit
Weight Loss
Physically Active (prevent weight gain)
Strength
Limit joint loading (biomechanics) at least in PTOA