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KNES 372 > Lecture 5 - Treatment, Rehabilitation, and RTS > Flashcards

Lecture 5 - Treatment, Rehabilitation, and RTS Flashcards

1
Q

What are the elements of diagnosis?

A
  • History
  • Physical examination
  • Imaging
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2
Q

In terms of diagnosis, what are some parts of the history element?

A
  • age, sex
  • details of injury
  • training history
  • diet
  • injury history
  • general health
  • work/leisure activities
  • other predisposing factors
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3
Q

In terms of diagnosing, what are some parts of the physical examination element?

A
  • inspection
  • palpation
    -ROM testing
  • ligament testing
  • Strength testing
  • Neural testing
  • Spinal examination
  • Biomechanical examination
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4
Q

What are the 3 stages of treatment and rehab?

A
  1. Acute
  2. Rehab
  3. Training: Sport specific
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5
Q

What do we do in the acute stage for acute vs. overuse injuries?

A

Acute: PEACE/PRICE/POLICE (no ice)

Overuse:
- partial unloading
- loading pattern must be altered
- no protection, no elevation, yes pain meds
- Compression - right time, right place, yes ice

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6
Q

What are the goals of the rehabilitation stage?

A
  • monitor pain and swelling
  • Ensure normal ROM
  • Ensure normal strength
  • Ensure Normal neuromuscular function
  • ensure normal aerobic capacity
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7
Q

What is alternative training?

A

maintaining generals strength and endurance, but does not use injured area

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8
Q

What is specific training?

A

Training that affects injured structures

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9
Q

Why is NMT important during rehab?

A
  • painful conditions may result in reflex inhibitions, which can lead to change in movement patterns and unfavourable loading which increases the risk of injury
  • acute ligament injuries may also result in reduced joint position sense and coordination which increases risk of re-injury
  • need NMT for proprioceptive training and progressive strength training
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10
Q

What are some other therapies for treatment and rehab?

A
  • Manual treatments (massage, dry needling etc.)
  • Taping/bracing
  • electrophysical agents (therapeutic ultrasound)
  • medication (NSAIDS, corticosteroids)
  • dietary supplements (vitamin D)
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11
Q

What are the goals of the training stage?

A
  • gradual transition from controlled rehab exercises to sport specific training
  • function and sport specific testing
    85-90% of original strength is regained before being allowed to compete again
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12
Q

What should RTS process be according to?

A

To the sport, the participant, and the level of participation

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12
Q

What are the 3 elements of the RTS continuum?

A
  1. return to participation
  2. return to sport
  3. return to performance
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12
Q

What 2 tests should be tested to asses and athletes readiness to RTS?

A
  1. closed open skills (controlled skills like single leg jumps)
  2. Open skills (reactive element to execute motor task, react to something than direction change)
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12
Q

What tests should we do to asses acute knee injuries for RTS?

A

direction change and reactive agility tests

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13
Q

What tests should we do to asses acute hamstring injuries for RTS?

A
  • symmetrical hopping performance
  • sport specific functional field testing
  • sprints
  • ballistic hamstring test
  • minimal ROM and/or strength deficits
14
Q

What tests should we do to asses groin injuries for RTS?

A

hip adduction strength

15
Q

What tests should we do to asses achilles tendon injuries for RTS?

A

Tendinopathy: pain should not be greater than 5/10 during activity and pain should subside by next morning

Tendon rupture: no milestone based criteria

16
Q

What tests should we do to asses shoulder injuries for RTS?

A
  • look for 10% increased rotator cuff strength in dominant throwing side
  • internal/external ratios from 65% to 100%
  • functional tests not fully explored
17
Q

What is the most common groin injuriy?

A

Adductor-related

18
Q

What guideline is used for chronic groin pain?

A

Holmich Exercise Program

19
Q

What guideline is sued for Acute groin injury?

A

progressive groin exercise

20
Q

What is considered chronic groin pain?

A

pain for more than 2 months

21
Q

What are the 2 modules of the Holmich Exercise program?

A

Module 1: Isometric exercises
- isometric and dynamic exercises to reactivate adductor

Module 2: Isotonic
- heavier resistance training, balance, coordination

22
Q

What is not allowed during the Homich Exercise program?

A

Stretching of the adductor muscle (jogging is allowed after 6 weeks)

23
Q

What is included the the exercise program for acute groin injury?

A

Strength training and balance
(9 groin exercises)

24
Q

What are the high risk sports for adductor-related groin injury and what are the risk factors?

A

Sport: hockey, floorball, soccer
Factors: rapid direction changes

25
Q

What are the 3 milestone of RTS?

A
  1. Clinically pain free
  2. Controlled sports training
  3. Full team training (RTS)

KNES 372 (14 decks)

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