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GNS Hockey

GNS Hockey. Injury prevention. Hillary Simon Principal Physiotherapist, St Ives Physiotherapy & Sports Therapy Centre BSc (Physio), APAM. Prevention is better than cure. Early intervention. It is easier to treat an acute injury than a chronic injury.

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GNS Hockey

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  1. GNSHockey Injury prevention Hillary Simon Principal Physiotherapist, St Ives Physiotherapy & Sports Therapy Centre BSc (Physio), APAM

  2. Prevention is better than cure

  3. Early intervention • It is easier to treat an acute injury than a chronic injury.

  4. Get fit to play sport, don’t play sport to get fit

  5. RICER • Rest • Ice • Compression • Elevation • Referral • 1st 48 – 72 hours

  6. NO HARM • No Heat • No Alcohol • No Running or Activity • No Massage • 1st 48 – 72 hours

  7. Common Injuries - Traumatic • Ankle sprains • Contusions (to discuss in more detail) • ACL injuries (to discuss in more detail) • Occasional dislocated shoulder • Hand Injuries • Fractures • Avulsion fractures • Early intervention important –specialised - hand physiotherapist

  8. Avulsion Fracture: X-ray Avulsion # of the proximal phalanx of the right thumb

  9. Common Injuries - Overuse injuries • Sesamoid issues under 1st MTP joint (short distance sprinting, sudden changes of direction) • Medial tibial stress syndrome (shin splints)

  10. ACL injuries • Mechanism

  11. ACL injuries - PEP program • Warm up • Stretching • Strengthening • Plyometrics • Agilities

  12. The Drag Flick • Requires specialised training • Be aware of mechanical demands • Watch out for the stiff thoracic spine • Be mindful of the hip on the back leg

  13. Contusions • Commonly known as a ‘BRUISE’ • Ricer and No Harm • Management depends on classification

  14. Contusions • Grade 1 (mild) • Usually able to continue playing • Ability to stretch slightly decreased • Strength may be decreased • Return to play 2 – 3 weeks

  15. Contusions • Grade 2 (moderate) • Usually unable to continue playing • Minimum pain and swelling at rest • If quads affected, may walk with a limp • Return to play 4 - 6 weeks

  16. Contusions • Grade 3 (severe) • Rapid onset of pain and swelling, obvious bleeding • Movement loss severe • If quads affected, difficulty weight bearing • Return to play min 8 weeks

  17. Recovery • Ice baths • Kiddie pool • 18 bags of ice • 10 – 14 degrees • 5 – 10 minutes

  18. Recovery • Hydration - replace lost fluids and electrolytes

  19. Recovery • Carbohydrates - consume a carbohydrate rich drink or meal within the 1st hour post exercise

  20. Recovery • Protein – should be replaced within the 1st hour post exercise

  21. Recovery • Sleep: • 8 hours good • 10 hours better

  22. Take home messages • Get fit to play sport, do not play sport to get fit • Fitness needs to be sport specific • Core strength and balance basic building blocks • Injury prevention is better than cure • Recovery is important

  23. Contact Us • Phone: 9144 1118 • Email: enquiry@stivesphysio.com.au • Website: www.stivesphysio.com.au

  24. Questions?

  25. Thank you

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