injury prevention Flashcards

1
Q

what percentage of all injuries sustained by middle and high school students during sports are overuse injuries

A

50%

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2
Q

how many children 14 and younger are treated for sports injuries each yar

A

more than 3.5 mil

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3
Q

why prevention

A

increased competition
more participation
results in a rise in sports injuries

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4
Q

preventable

A

over use
non contact

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5
Q

un preventable

A

contact
accidents

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6
Q

primary prevention

A

screening
prophylaxis
reduces risk

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7
Q

seconday prevention

A

decrease duration severity and sequele
previous injury is the biggest risk factor

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8
Q

tertiary prevention

A

limit disability
promote function

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9
Q

primary prevention for ankle sprain

A

balance and NM control

tape and brace

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10
Q

what shouldnt be done for ankle sprain prevention

A

ankle strength - hip is better correlated

DF ROM

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11
Q

ACL tear prevention

A

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

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12
Q

hamstring primary prevention

A

strengthening, nordic HS most effective over 50% reduction

tape/SPICA/sleeves- have no evidence

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13
Q

concussion primary prevention

A

protective equipement - no effect of interevention

education - reduced risks

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14
Q

shoulder primary prevention

A

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

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15
Q

secondary prevention general principles

A

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

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16
Q

secondary prevention ankle sprain

A

bracing more efffective than tape

exercise based secondary prevention

restore DF ROM

17
Q

secondary prevention 2nd ACL tear

A

not a lot of evidence

acl sports program

18
Q

tertiary prevention knee OA

A

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

19
Q
A