Treatment, Rehabilitation & RTS Flashcards
Important history in diagnosis
Age, sex, details of injury, training history, diet, injury history, general health, work/leisure activities, other predisposing factors
Elements of physical examination
Inspection, palpation, Rom testing, ligament testing, strength testing, neural testing, spinal examination, biomechanics examination
Purpose of neural testing
Assess nerve mobility, nerve sensitivity, and differentiate sources of pain (msk-vs-neural)
Key components of neural testing
Questions/ inspection, reflex/sensory/motor testing, neural tension tests
Key components of spinal examination
Questions/inspection, posture analysis, Rom testing, neural testing, functional assessment
Key components of biomechanics examination
- Proper loading technique, limb alignment
- knee lift test (stabilize), single leg squat (knees bend inward incorrect)
X-rays (radiography) is useful for…
Analyzing bone structure
CT (computed tomography) is most useful for…
Soft tissue, small bone, complex fractures
Ultrasounds (US) are most useful for…
Looking at internal organs, muscles, swelling
MRI (magnetic resonance imaging) is most useful for…
Detailed imaging of the structure of joints, muscles, brain, internal organs
Three stages of rehabilitation/treatment
1) acute
2) rehab
3) training
Acute injury-vs-overuse injury methods during acute stage
- acute (PEACE/PRICE/POLICE)
- overuse (partial unloading of injured structure and alternated loading pattern)
Path of rehabilitation stage
- monitor pain and swelling
- ensure normal ROM
- ensure normal strength
- ensure normal neuromuscular function
- ensure normal aerobic capacity
Alternative training
Training area other than affected, maintaining general strength and endurance (swimming, anti-gravity walking)
Specific training
Affects injured structures, highly repetitive, consistent, monitored
What 2 factors increase risk of reinjury (without neuromuscular training)
1) changes in movement patterns (pain)
2) reduced joint position sense (acute ligament injuries)
Other possible therapies during rehab stage
Manual (massage, vacuum cupping), taping/bracing, ultrasound therapy, medication (NSAID’s, corticosteriods), dietary supplements,
What percentage of original strength is necessary for RTS?
85-90%
What transitions occur in the training stage?
- Controlled rehab to sport specific training
- functional sport testing
Closed skills
Controlled movements
Open skills
Reactive elements to movement
Holmich exercise program
Exercise therapy for chronic groin pain
Progressive groin exercise program
Intended for treatment of acute groin injuries
Components of holmich exercise program
-Isometric/dynamic exercises
-Heavier resistance training
- jogging after 6 weeks
- No stretching of adductor muscles!!!
Components of progressive groin exercise program
- 9 groin exercises
- alternate days 3 times a week
- no groin pain
