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Care and Prevention of Injury in the High School Athlete. Susan Peterson, DPT. Sports Medicine. …is multidisciplinary including the physiological, biomechanical, psychological, and pathological phenomena associated with exercise and sports. Sports Medicine Team. Physician Athletic Trainer
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Care and Prevention of Injury in the High School Athlete Susan Peterson, DPT
Sports Medicine • …is multidisciplinary including the physiological, biomechanical, psychological, and pathological phenomena associated with exercise and sports.
Sports Medicine Team • Physician • Athletic Trainer • Coach • Physical Therapist • Emergency Medical Technicians • Nutritionist/Dietician
The Coach’s Role • Establishing an appropriate conditioning program • Ensuring proper skill technique • Controlling environmental factors • Inspecting Equipment • Monitoring/Observing athletes for signs of fatigue or early injury • Being aware of factors that cause injury YOU are in the BEST position to prevent injury by…
The Coach’s Role • Understanding basic anatomy and recognizing the mechanism of injury can give important clues to the severity of the problem as well as direct what the next step should be. The Coach is often one of the first to respond when an injury occurs
DEFINITIONS ANATOMY • Ligament- connective tissue connecting bone to bone “flexible but not elastic” • Tendon- connective tissue connecting muscle to bone, continuous with muscle tissue, “flexible but not elastic” • Bursa- small pouches of fluid located throughout the body to assist in decreasing friction • Cartilage- gristly tissue usually found at the end of bones. Provides shock absorption, decreases friction, in some cases assists with the stability of the joint “meniscus”
DEFINITIONS • Acute Injury- the result of a specific impact or trauma to the body. • If you suspect any of the following acute injuries it is best to call for medical assistance as soon as possible or if appropriate refer the athlete to his or her physician for follow up.
DEFINITIONS ACUTE INJURIES • Fractures- a crack, break, or complete shattering of a bone. • Strains- a stretch, tear, or complete rupture of a muscle or tendon. • Sprains- a stretch, tear, or complete rupture of a ligament. • Bruise/contusion- bleeding in the muscle fibers caused by a direct blow to a muscle. Can develop into a hematoma if trauma is sever enough or if the injury is aggravated. • Dislocations/Subluxation- when 2 bones are forced apart (aka separation) or the ball of a ball and socket joint is forced out of place. If the bone returns to the correct position it is known as a subluxation. • Compartment Syndrome- massive bleeding into fascial compartment causing increased pressure. Can be caused by fracture, complete muscle rupture, or severe bruising. Acute is a MEDICAL EMERGENCY requiring surgery.
TREATMENT OF ACUTE INJURIES • Likely will need to have the athlete assessed by a medical professional as soon as possible. • RICE Method: • R: Rest – Depending on the severity of the injury, complete immobilization may be necessary in the initial stages • I: Ice – Decreases swelling, bleeding pain, and inflammation • C: Compression – To reduce swelling, gentle but firm pressure • E: Elevation – Combats gravitational forces helping to reduce swelling and inflammation
DEFINITIONS • Overuse Injuries- tissue damage that is a result of repetitive demand over the course of time without sufficient recovery time. May be the result of overtraining or biomechanical insufficiency. • Overuse injuries are not emergent conditions therefore the coach has a larger role in trying to recognize when an athlete may need medical attention.
DEFINITIONS OVERUSE INJURIES • Tendinitis- microtears in the tendon causing inflammation, pain swelling. • Neuritis- irritation of inflammation of nerves casued by repetitive stretching or being trapped against a bony surface • Cartilage Wear and Tear- Damage from impact or friction • Osteochondritis Dessicans “Loose Bodies”- caused by repetitive bumping and grinding in the joint. Can result in decreased ROM and pain as well as decreased function. • Bursitis- repetitive microtrauma to the bursa • Stress Fractures- Tiny cracks in surface of bones caused by repetitive overloading.
TREATMENT OF OVERUSE INJURIES • Rest is usually the first line of treatment for overuse or chronic injury. Ice is also a good treatment tool for inflammation from overuse injuries. • Monitor the athlete closely to assess recovery/ response to rest. • Assess technique and form in skills as well as equipment problems that may contribute to the problem. • Refer athlete to medical professional if they are not responding to conservative measures. • Communicate and work with the healthcare team to maximize recovery and minimize development of chronic injury. • Communicate with athletes as well as parents!! Key Management of Overuse Injuries: EARLY INTERVENTION