wk 1- questioning/documentation

Question 1

questions to ask

Answer 1

sporting activity
training load (and changes)
footwear
playing surface

Question 2

NILDOCART

Answer 2

N-nature (symptoms of pain)
I- intensity (pain scale- patient reported outcome measure)
L-location (pt to point and note anatomy and surrounding anatomy)
D- duration, how long has it been painful, has it changed over time
O- onset (acute, v chronic)
C-complicating factors (swelling, medical, weakness, numbness, instability)
A-aggravating factors (what makes the pain worse? footwear, walking, rest, running
R-relieveing factors (what makes the pain bettter? rest, ice, NSAIDs, walking)
T- treatments used what treatments have been used and what works, have you seen any other health professional

Question 2

F’s

Answer 2

• Fit (length, width, depth)
• Function: Suitability for purpose
• Fatigue: Visual inspection of wear patterns (outsole, insole) - pressure distribution, compression of midsole, check during shod gait assessment
• Features: Laces/fastening system, midsole compound, Design features

Question 3

running a consult

Answer 3

NILDOCART
sport/training load/surface/ footwear history
medical history
footwear examination
postural/functional examination
passive ROM (non weightbearing)
muscle strength testing
gait analysis- visual or dartfish/zebris (what gives pain? running, walking, shod)
palpation (uninjured and sore spot last)
special tests
neuro, vascular, derm tests
Dx and Ddx (with:
* location of injury
* tissue affected
* causative factors
* likelihood that diagnosis is correct)

SHORT TERM (likely, symptomatic relief and rest)
LONG TERM plans (likely exercise rehab program)

Question 4

acute injuries

Answer 4

single identifiable traumatic event
force applied exceeds tissue tolerance resulting in macrodamage
rapid onset of symptoms
can be an extrinsic or intrinsic cause

Question 5

stress v strain (elasticity/plastic)

Answer 5

elasticity- body tissue will return to origin shape once forces are removed
plastic- tissue deforms irreversibly

Question 6

high elastic modulus

Answer 6

tissues hard to deform

Question 7

low elastic modulus

Answer 7

tissues easy to deform

Question 8

elastic limit

Answer 8

when tissues go from an elastic state to a plastic state

Question 9

stress/ strain of tendons and ligaments

Answer 9

strain of 4% - microdamage
strain of 8-10%- plastic state
further than 8-10 is rupture

Question 10

stress / strain of bone

Answer 10

increase in load (yeild stress) until it accumulates to a large strain and causes microbreaks causing the bone to be less stiff (plastic region) or break completely

Question 11

acute responses to injury with different structures in the body

Answer 11

damaged blood vessels - bruising
inflammatory cascade- swelling
exudate - swelling
phagocytosis- removal of damaged tissue for healing
nociceptors- pain
muscle inhibition/protective spasm

Question 12

acute inflammatory phase lasts how long

Answer 12

2-3 days
unless theres still pain at rest, changes in swelling

Question 13

using anti inflammatories for acute injuries

Answer 13

inflammatory process helps heal tissue, medications arent recommended during this phase

Question 14

PEACE and LOVE

Answer 14

p-protect
e-elevate
a-avoid anti inflammatories and ice
c-compression- reduce swelling
e-educate

l-load
o-optimism
v- vasuclarisation- low impact conditioning
e- exercise for rehab

Question 15

chronic injuries

Answer 15

ongoing pain for more than 3 months
changes in pain pathway