Managing Injuries

Question 0

Brachial plexus injury

Answer 0

RTP once symptoms have resolved(if no neuro. Symptoms)
May need strengthening program
Protective equipment

Question 1

Cervical whiplash

Answer 1

Physician eval. To rule out other trauma
Soft neck collar
PIER
NSAIDS and analgesics
Heat/ cold and massage therapy, gentle stretches

Question 2

Spondylolysis

Answer 2

Boston brace
Rest- no activity
Strengthen core with neutral spine

Question 3

Thoracic outlet symptom

Answer 3

Heat/ ice
Massage therapy
Neck stretches
Proper posture and postural exercises

Question 4

SI joint sprain

Answer 4

Ice, stretch, massage, manual therapy, SI belt, strengthening hip and core muscles, cortisone injections

Question 5

AC joint sprain

Answer 5

PIER, sling, refer to MD to rule out possible fracture and degree of sprain
Rehab: joint ROM, stability, strength

Question 6

Glenohumeral dislocation

Answer 6

Refer to MD for reduction
PIER, sling
Once cleared for return to exercise, rehab focused on restoring strength, stability, and ROM
Protective brace for RTP

Question 7

Rotator cuff tear

Answer 7

Pier
Correct mechanics, muscle imbalances
Stretching, maintain/ improve rom
Focus on proper posture, increased scapular stabilization 
Strengthening 
May require surgery

Question 8

Shoulder bursitis

Answer 8

Pier- ice helps minimize inflammatory process
Nsaids
Correct mechanics

Question 9

Shoulder impingement syndrome

Answer 9

Flexibility program
Rest from activity to allow irritation and inflammation to decrease
Strength- start rehab of RC below 90 degrees and progress to overhead
PIER - ice assists with inflammation

Question 10

Clavicular fracture

Answer 10

Sling- up to 8 weeks
X Rays
Once cleared begin rehab program- strength, ROM
Possible surgery

Question 11

Fracture of humerus

Answer 11

Splint immediately
Treat for shock
Sling
Refer to MD for x Rays and further management- eg: cast
RTP after 2-6 months
Once cleared, ROM and strengthening surrounding shoulder

Question 12

Groin strain

Answer 12

PIER, flexibility
Strengthening
Protect the area- hip spica bandage

Question 13

Greater trochanteric bursitis

Answer 13

PIER, protect from further injury, stretches, strengthening

Question 14

Hip pointer

Answer 14

PIER
Rule out fracture
Rest from sport
Protect from further damage with protective pad

Question 15

Quad contusion

Answer 15

Knee placed in flexion with ice pack to prevent muscle shortening, adds compression. Ice helps hemorrhage. Crutches for grades 2-4
Elastic bandage for compression
Pain free ROM exercises, gentle isometric strengthening and stretching
Protective padding over thigh

Question 16

Quad muscle strain

Answer 16

PIER
Crutches
Gentle ROM
Pressure with neoprene sleeve

Question 17

ACL injuries

Answer 17

PIER
Crutches
Brace
Refer to MD

Question 18

Meniscal tears

Answer 18

PIER
Strength- quads, hams
Balance exercises
Stationary bike
Surgical interventions

Question 19

Patellar subluxation or dislocation

Answer 19

Splint the joint above and below
Refer to rule out fracture
Rehab: strengthen vastus medialis and adductors
Brace

Question 20

Patellar tendonitis

Answer 20

Find the cause- mechanics, movement pattern
Improve flexibility
Strengthen quads (eccentrics), glutes, core
PIER
Cho pad strap

Question 21

DCAP BLS

Answer 21

Deformities 
Contusions
Abrasions
Penetration
Burns
Lacerations 
Swelling