LAB: Sports Rehab Flashcards
S3Q1
SPORTS:
sports - what
athlete - what
sports rehab - purpose
sports
- activity needing physical exertion (effort) or skill
athlete
- proficient in sports and other exercise
sports rehab
- optimal care for athlete
SPORTS: Anatomy
joints + purpose (7)
shoulder - static vs. dynamic stabilizer (3.1), scapular stabilization muscles (2)
hip - muscles at ischial (3) + pubic rami (2), rehab
knee - ACL purpose, if instability = what (2=2), rehab
- ankle (mob sagittal), knee (stability, hip (mob multiplanar), lumbar, thoracic, scapular, GH
SHOULDER
- static: non-contractile tissue, ligament, joint
- dynamic: rotator cuff
- scapular stab: serratus ant, lower traps
HIP
- ischial tuberosity: hamstring
- pubic rami: ADD
- difficult rehab
KNEE
- ACL = prevent antlab instability
- antlat/poslat instability/strain/pull = compress posmed/antmed
- tx strained/pulled not compressed
SPORTS: Anatomy
walking vs. running, GRF peak (3)
core - purpose, ADD & gluts, lat dorsi & traps, rotator cuff
- walking: never leave ground
- running: sometimes off contact
- GRF: high at early & late float, stance phase
CORE
- keep everything intact/pulled in
- ADD & gluts = stabilize legs while walking; trendelenburg
- lat dorsi & traps = prevent winging
- rotator cuff = dynamic stability
SPORTS:
tear common where (2), dislocation (1.2), contusion common in who (1), cardiac (1)
healing time - muscle sore, strain, sprain, bone, cartilage repair, ligament graft
- tear: hamstring & biceps
- dislocation: mobile joints = shoulder, finger
- contusion: contact sports
- cardiac: endurance athletes
HEALING TIME
- muscle sore: 0-3d
- muscle strain: grade 1 (0-2d), grade 2 (4d-3m), grade 3 (3w-6m)
- ligament sprain: grade 1 (0-3d), grade 2 (3w-6m), grade 3 (5w-1y)
- bone: 5w-6m
- articular cartilage repair: 2m-2y
- ligament graft: 2m-2y
SPORTS: Drugs
analgesics - for (2), when
anti inflam - cons
anti-Htn - for, when
DM - for
analgesics
- immediate effect, pain
- acute
anti-inflammatory
- adverse effects if prolonged
anti-hypertensives
- regulate BP & HR during intense activities
DM
- inc glucose absorption & utilization = energy
SPORTS: Drugs
performance enhacing - what
anabolic steroids - for
erythropoietin & blood doping - 1=1
stimulants - for (2)
supplements - what
creatinine - what, for (2)
protein - for (2)
amino acids - for (3)
PERFORMANCE ENHANCING DRUGS (banned)
- anabolic steroids: inc muscle mass
- erythro & doping: inc RBC = endurance
- stimulants: bye fatigue hello alertness
SUPPLEMENTS (diet)
- creatinine: energy substrate for muscle contraction, delay fatigue
- protein: muscle mass, faster recovery
- amino acids: muscle conditioning, recovery, endurance
SPORTS: Subjective
women - menstruation =1=1
men - reproductive suppression d/t + use what for what, impaired bone d/t + lead to (2), energy deficiency d/t + lead to (2)
WOMEN
- mens = lax ligament = injury
MEN
- reproductive suppression: high demand = use testosterone for muscle build up
- impaired bone health: mostly focused on muscles = stress fx, shin splints
- energy deficiency: calorie used>consume = fast metabolism low nutritition
SPORTS: Subjective
PQRST, SOCRATES
cross training - what, purpose
BP & HR in athletes
- PQRST: provocative, quality, region, severity of associated sx, temporal
- SOCRATES: site, onset, character, radiation, associated, time, exacerbating, severity
cross training
- activities different from sport
- prevent athlete fatigue
BP & HR
- lower
SPORTS: Objective
agility - what, test
endurance - determinant, test + how
functional test - functional movement screening for + how many component, hop test for, 2 tests ugly evidence
AGILITY
- change direction
- T-test
ENDURANCE
- VO2max
- multistage fitness test/yoyo test: run in field then inc speed
FUNCTIONAL TEST
- functional movement screening: check potential for reinjury, 7 movement components
- hop test: standard for RTP
- upper quadrant & Y-balance = ugly evidence
SPORTS: Ax
return to play - goal (2)
staart framework - what, other name, steps (3)
return to participation, sports, performance
RETURN TO PLAY
- premorbid/pre-injury levels
STAART FRAMEWORK/RISK ASSESSMENT
- more defined
- steps: assessment of health risk (internal), of activity risk (external), of risk tolerance (how pt can overcome)
PLAN OF CARE
- participation: active but not ready, train not compete
- sports: compete but below skill, shadowing
- performance
SPORTS: Plan of Care
phases of recovery - braddom + staging + what happens + duration (3G), de lisa staging + what happens + tx (5)
BRADDOM
- acute: healing & prevention <72h
- recovery: inc activity demand, variable
- functional: return to sports, 2-4w
DE LISA
- I: pain & inflam, meds
- II: ROM, motion control
- III: strength, stability
- IV: proprioception, neuromuscular
- V: sport/task specific, return
SPORTS: Plan of Care
shockwave - for (2), cupping, theragun (2), dry needling
plyometrics - (3G)
SHOCKWAVE
- for blood flow, neurovascularitization
- cupping: stretch soft tissue = bye adhesion
- theragun: dec swelling, create vibration = relax
- dry needling: invasive; release area
PLYOMETRICS
- eccentric: pre-stretch, accumulate potential energy, stretch loading
- amortization: prepare to use energy, short pause
- concentric: potential into kinetic energy, shorterning, power
