overuse injuries and tendinopathy Flashcards
what is the difference between acute and overuse injuries
acute = sudden onset, identifiable situation
overuse = gradual onset without identifiable situation
how do overuse injuries occur
results from a period of inappropriate tissue loading
excessive mag or volume of load
insufficient recovery between bouts of loading
what are the different overuse injuries
repetitive sudden onset (usually stress fracture)
repetitive gradual onset
what is the best injury definition when trying to determine overuse injury burden
all complaints
makes sure that we’re capturing the total extent of the problem
how do we measure the all complaints definition
OSTRC questionnaire
most common way to categorise injury severity because time loss is unlikely to apply
what are the OSTRC questions
1 - participation
2 - modified training / competition
3 - performance
4 - symptoms
what are some intrinsic and extrinsic risk factors for overuse injuries
intrinsic = age, maturation status, previous injury, sex, body comp, genetics, psyc characteristics, technique
extrinsic = training errors, surfaces, shoes, equipment, environmental conditions
what are some prevention strategies for overuse injuries
optimal training load and recovery
pre season and in season fitness training program
identify at risk athletes
education
strengthening programs
what are the mechanisms of tendinopathy
repetitive overloading leading to microtraumas
due to training load or inadequate recovery
who gets patellar tendinopathy
athletes 15-30 (post pubertal)
men
jumping pivoting and running sports
what is the difference in pain between patellar tendinopathy and patellofemoral pain
tendinopathy = focal pain, load related, does not spread
patellofemoral = diffuse pain, load related, can spread with mvmt
what is pain like in achilles tendinopathy
report morning stiffness or pain when they move (esp during squatting)
pain can be midportion or insertional
what are the stages of tendinopathy
reactive = structural changes and thickening of the stressed tendon area
tendon disrepair = worsening tendon pathology, tendon structure becomes disorganised
degenerative tendinopathy = chronic stage, very difficult to reverse if at all
all occur with excessive load
what are the intrinsic and extrinsic RF for tendinopathy
intrinsic = male, older, type II diabetes, history of tendon pain, biomech RF
extrinsic = overload, deconditioning, biomech change, change in equipment or environment
how to manage tendinopathy
education
training load monitoring and managing
pain monitoring
exercise based progressive rehab program
what are prevention strategies for tendinopathy
recovery rest days
avoid complete rest
slow moderate isotonic / isometric loads may improve recovery
year round strength training
preseason screening
monitors training load
education
