Sports med (midterm)

Lower Extremity Injuries

- 10 squats - walk forward & backwards - Running/ Running figure 8 (looking for limping & balance)

The Rehabilitation Team

- Physician - Athletic Trainer (ATC) - Strength & conditioning specialist - Family - Teammates: sympathy, encouragement, make person still feel valuable to team - Patient: participation, motivation

Back or Trunk Injuries

- bending from the waist (ex: touching toes) - Bending at waist while trainer applies pressure to back - push-ups, squats (looking at form)

Upper Extremity Injuries

- push-ups - arm circles - catching objects (looking for ROM)

Safety Guidelines for Rehab

1. Monitor any type of increased pain 2. Advise the need to regain strength by building up slowly 3. Review the limitation of daily activities 4. Make sure the patient understands how to perform exercises at home

3 types of artificial enchancements that athletes may be tempted to try

1. diuretics & laxatives 2. steroids 3. herbal extracts to illegal drugs

5 General assessment procedures

1. write down complete history of incident, whats injuries, where it occurred (complete history) 2. Look at the injury & compare injured side to the uninjuried side 3. Explain to athlete what is being looked at, felt & take into consideration any abnormalities the athlete claims to have had before injury happened 4. palpate the injury & check for deformities 5. Ask if the injuried player can feel the area being palpated & if there is any numbness, unusual sensations, or feelings of weakness & if both side of the body feel the same

3 situations in which you should immediately refer an athlete to a physicians

1. you feel uncomfortable about the symptoms of injury 2. you believe the athletes condition is not improving at the expected rate 3. you believe the athlete is not coping well psychology with disability produced by injury

Phase 1

Control inflammation, pain, swelling

T/F Reassurance is the most response during the bargaining stage

False, Denial

T/F Athletic trainers should offer athletes a prognosis

False, Physicians

T/F Once the athletes is cleared to return to play there is a no need to closely observe them any more than the other athletes

False, a

Athletes may make you feel _________ about taking them out of the game or even practice

Gulity

Internal Organs: restrict practice

Physician

Internal Organs: return to play

Physician

Phase 111

Remodel- retrain muscles to function in normal capacity

Phase 11

Repair by increasing strength ROM and decreasing pain

T/F Mental status can significantly impact general behavior and athletic performance

True

Plateau

a period in the process of rehabilitation in which no significant can't improvement or progress is shown

As an athletic trainer, your decisions regarding return to play should focus on:

a. the athlete's physical condition b. the athlete's psychological/ mental

Proactive

acting in advance to avoid or manage an anticipated difficulty

As an athletic trainer, you are the athletes __________

advocate

When bargaining fails the athlete will return to the _________ stage

anger

Assessment of strength in lower extremities includes an athlete's ability to perform _________________________

at least 10 squats

Follow up procedures: Watch For

athlete who tries to "shake off" the pain. They may not know the severity.

Soft Tissue-mild (1st degree):remove from play

athletic trainer

Soft Tissue-mild (1st degree):restrict practice

athletic trainer

Soft Tissue-mild (1st degree):return to play

athletic trainer

Head or Spine: remove from play

athletic trainer, contact EMS

Internal Organs: remove from play

athletic trainer, contact EMS

Bargaining

attempting to make a deal with an authority figure in an attempt to change the outcome of a situation

Rehab Environment: Patient's Comfort

bright, clean organized, feel important, upbeat music

(GAP) 5. ask

can you feel the area being palpated, any numbness, unusual sensations

Follow up procedures: look for

changes in the athletes movement

Rehab Environment: Staff Conduct

cheerful, professional dress, good communication

Rehab Environment: Patient's Safety

clean, well-ventilated organized

Acceptance

coming to terms with the outcome of one's prognosis

(GAP) 1. write down

complete history of the incident

(GAP) 4. palpate the injury to feel for

deformities

Follow up procedures

do NOT return an athlete to play against your better judgement

Depression

extreme feelings of sadness or hopelessness

Rehab Environment: Patient's Needs

facility must meet needs

Anger

frustration, bitterness, or hostility

Major injuries to the ________, _________, or _______ require a physicians written permission before an athlete can return to play

head, spine, or internal organs

(GAP) 2. look at the

injury & compare it to the uninjuried side

Head or Spine: restrict practice

physician

Head or Spine: return to play

physician

Soft Tissue- severe (3rd degree): restrict practice

physician

Soft Tissue- severe (3rd degree): return to play

physician

Soft Tissue- moderate (2nd degree):remove from play

physician, athletic trainer

Soft Tissue- moderate (2nd degree):restrict practice

physician, athletic trainer

Soft Tissue- moderate (2nd degree):return to play

physician, athletic trainer

Soft Tissue- severe (3rd degree): remove from play

physician, athletic trainer

Denial

refusal to believe that which is true or real

If the athletic trainer is not sure how to properly assess a physical injury or psychological issue, he/she should __________________________

send the athlete to a physician

Follow up procedures: Know

the athlete & how they react to injury and pain

Pain Threshold

the point at which pain affects performance

T/F Effects on an athlete's mental status often revealed through subtle to overt changes in behavior

true

(GAP) 3. explain to the athlete

what is being worked on

What would you do if an athlete's rehab plateau's ?

- Increase your workout - make sure you are doing full range of motion (ROM) - make sure you are doing exercises correctly