Chapter 22 - Rehabilitation and Reconditioning
Tendons contusion
(direct)
Tendons strain
(indirect)
General role of team physician MD or DO
Provides medical care should be proficient in care of MS injuries and sport-related conditions -Participation examinations, on-field emergency care, injury and illness eval and dx, referrals to other health care professionals
General role of Physical therapist PT
Specialization in orthopedics or sports med i. Reduce pain and restore function, develop specific tx strategies or manage long-term rehab i. SCS serve in dual capacity as ATC and PT (Eval, tx, and rehab of acute injuries)
General role of Members of sports medicine team
a. educate coaches and athletes about injury risks, precautions, and txs, prevent injuries, and rehab injuries
Macrotrauma
a. specific, sudden episode of overload injury to a given tissue, resulting in disrupted tissue integrity
NM control is the ability of muscles to respond to what? in order to do what?
afferent sensory info (proprioception) -to maintain joint stability
3rd Muscle strain
i. complete, weak, painless] , rupture
Microtrauma Causes
i. training errors, suboptimal training surfaces, faulty biomechanics or technique, insufficient MC, decreased flexibility, skeletal malalignment and predisposition
Tendons rupture
(rare)
After return to sport, deficits in strength, biomechanics, and functional performance generally < than what to be considered acceptable?
10% difference side-to-side
Fibroblastic repair timing? Symptoms?
2 days - 2 mo i. Collagen fiber production (type III) ii. Decreased collagen fiber organization (transverse) iii. Decreased inflammatory cells
General role of Exercise physiologist
Assist w/design of conditioning program w/special consideration to body's metabolic response and its aid w/healing process
1st Muscle strain
[partial, strong, painful]
Microtrauma
a. (aka overuse) repeated, abnormal stress applied to tissue by cont training or training w/too little recovery -Examples: bone stress, tendinitis or tendiopathy
Inflammatory response timing? Symptoms?
a. 2-3 days -i. Pain, swelling, redness ii. Decreased collagen synthesis iii. Increased inflammatory cells
tissue healing phases
a. Inflammatory a. Fibroblastic repair a. Maturation-remodeling
need progressive therapeutic stress to optimize what?
collagen matrix formation
3rd Ligamentous sprain
complete, weak, painless,rupture
DARE? Set/rep/%?
daily adjustable progressive resistive exercise -4x 10 6 max ? a. Set 1 10 reps of 50% 1RM b. Set 2 6 reps of 75% 1RM c. Set 3 max # reps of 100% 1RM d. Set 4 based on set 3 (see chart p633)
General role of athletic trainer ATC
day-to-day care works under team physician -i. Management and prevention of injuries eval, ther ex, modalities i. Serves as administrator for sports med team and key role in communication
General role of counselor, psychiatrist, psychologist
i. Coping w/mental stress
General role of Nutritionist or registered dietician
i. Ensure proper nutrition
General role of Strength and conditioning professional CSCS
i. Strength, power, and performance enhancement i. Understand proper technique, develop reconditioning program, suggest exercises for advanced rehab and reconditioning
Maturation-remodeling timing? Symptoms?
mo - yrs i. Proper collagen fiber alignment (type I, longitudinal) Increased tissue strength 1. Note: never as strong as the tissue it's replacing
2nd Ligamentous sprain
partial, minor instability
1st Ligamentous sprain
partial, no instability
2nd Muscle strain
partial, weak, painful
Oxford? Set/rep/%?
progressing from heavy to light -3x10 -i. 10 reps of 100% 10RM ii. 10 reps of 75% 10RM iii. 10 reps of 50% 10RM
De Lorme? Set/rep/%?
progressing from light to heavy resistance -3x10 i. 10 reps of 50% 10RM ii. 10 reps of 75% 10RM iii. 10 reps of 100% 10RM
who makes final decision on athlete's return to play and prescribes meds
team physician MD or DO