Strains And Sprains

Question 1

What are strains?

Answer 1

Muscle or tendon injury

Tearing of collagen due to over contracting/ stretching

Question 2

What increases the likelyhood of strains?

Answer 2

Two joint muscles
Eccentric contraction (deceleration phase)
Higher percentage of type 2 muscle fibres

Question 3

How do you manage strains?

Answer 3

Depends on severity/ healing times 
POLICE/PRICE?PEACE&LOVE
Mobilisation ASAP
Strength/loading
Proprioception
Endurance training
Surgery

Question 4

What are sprains?

Answer 4

Stretch and/ or tear of ligaments
Usually caused by outside force causing movement out of ROM
Most recover with conservative management

Question 5

How do you manage a sprain?

Answer 5

Dependant on severity/ healing time
POLICE/PRICE/PEACE&LOVE
Early mobilisation
Early weight bearing
Excersises
Education
Return to sport if applicable
Surgery

Question 6

How do you grade sprains and strains?

Answer 6

Grade 0 - Normal
Grade 1 - stretching/small tears
Grade 2 - larger but incomplete tears
Grade 3 - complete tear