Podcast
Questions and Answers
What is delayed-onset muscle soreness (DOMS)?
What is delayed-onset muscle soreness (DOMS)?
- A syndrome of delayed muscle pain and increased muscle tension (correct)
- Soreness that resolves during the next exercise session
- Muscle pain occurring during exercise due to fatigue
- Transient muscle soreness following light exercise
How can muscle soreness be effectively prevented?
How can muscle soreness be effectively prevented?
- By only performing exercise without warm-up activities
- By engaging in high-intensity exercise from the start
- By avoiding any form of stretching before exercise
- By gradually increasing exercise intensity over time (correct)
What is the primary goal of applying ice after a muscle strain?
What is the primary goal of applying ice after a muscle strain?
- To redistribute blood flow in the muscle
- To promote faster muscle contraction post-injury
- To increase muscle temperature for better flexibility
- To reduce swelling and inflammation (correct)
What type of nerve injury is often referred to as a 'burner' or 'stinger'?
What type of nerve injury is often referred to as a 'burner' or 'stinger'?
Which of the following is NOT a symptom of nerve injuries?
Which of the following is NOT a symptom of nerve injuries?
What is a potential result of a serious nerve injury?
What is a potential result of a serious nerve injury?
What condition involves inflammation of the tendon?
What condition involves inflammation of the tendon?
Which statement is true regarding the regeneration of nerve cells?
Which statement is true regarding the regeneration of nerve cells?
What are common signs of inflammation?
What are common signs of inflammation?
What can happen if the source of irritation causing inflammation is not removed?
What can happen if the source of irritation causing inflammation is not removed?
What symptom is specifically associated with chronic overuse injuries?
What symptom is specifically associated with chronic overuse injuries?
What is the key to treating chronic overuse injuries?
What is the key to treating chronic overuse injuries?
What distinguishes tendinosis from tendinitis?
What distinguishes tendinosis from tendinitis?
What treatment is recommended for tenosynovitis?
What treatment is recommended for tenosynovitis?
What condition involves the inflammation of a tendon and its synovial sheath?
What condition involves the inflammation of a tendon and its synovial sheath?
Which of the following is a common treatment for chronic cases of tenosynovitis?
Which of the following is a common treatment for chronic cases of tenosynovitis?
What triggers bursitis?
What triggers bursitis?
Which bursa is not commonly irritated in bursitis?
Which bursa is not commonly irritated in bursitis?
What primarily causes a contusion?
What primarily causes a contusion?
What is myositis ossificans associated with?
What is myositis ossificans associated with?
What characterizes a grade 1 sprain?
What characterizes a grade 1 sprain?
Which of the following statements is true regarding grade 2 sprains?
Which of the following statements is true regarding grade 2 sprains?
What is a common symptom after a muscle contusion?
What is a common symptom after a muscle contusion?
Which of the following muscle strain grades results in a palpable depression or divot?
Which of the following muscle strain grades results in a palpable depression or divot?
What is a potential outcome of a grade 3 sprain?
What is a potential outcome of a grade 3 sprain?
How can calcium deposits from myositis ossificans be managed?
How can calcium deposits from myositis ossificans be managed?
What indicates a recovery challenge in grade 1 and 2 sprains?
What indicates a recovery challenge in grade 1 and 2 sprains?
How does grade 3 sprain pain typically present after the immediate injury?
How does grade 3 sprain pain typically present after the immediate injury?
What typically happens to pain and discoloration in a contusion over time?
What typically happens to pain and discoloration in a contusion over time?
Which muscles are most susceptible to repeated contusions during activity?
Which muscles are most susceptible to repeated contusions during activity?
What rehabilitation approach is suggested for grade 3 sprains requiring surgery?
What rehabilitation approach is suggested for grade 3 sprains requiring surgery?
What is a key treatment component for improving joint stability after sprains?
What is a key treatment component for improving joint stability after sprains?
What classification describes a minor muscle strain where some fibers are stretched but full motion is possible?
What classification describes a minor muscle strain where some fibers are stretched but full motion is possible?
What is a common symptom of both grade 1 and grade 2 sprains?
What is a common symptom of both grade 1 and grade 2 sprains?
What is the first phase of the healing process following an injury?
What is the first phase of the healing process following an injury?
How long does the inflammatory response phase typically last after an injury?
How long does the inflammatory response phase typically last after an injury?
What characterizes the inflammatory response phase?
What characterizes the inflammatory response phase?
Which phase of healing focuses on scar formation and tissue repair?
Which phase of healing focuses on scar formation and tissue repair?
What happens to the symptoms associated with the inflammatory response during the fibroblastic repair phase?
What happens to the symptoms associated with the inflammatory response during the fibroblastic repair phase?
What is the significance of the inflammatory phase in the healing process?
What is the significance of the inflammatory phase in the healing process?
What typically occurs during the maturation-remodeling phase?
What typically occurs during the maturation-remodeling phase?
Which of the following statements about the fibroblastic repair phase is true?
Which of the following statements about the fibroblastic repair phase is true?
What is the primary purpose of functional testing in rehabilitation programs?
What is the primary purpose of functional testing in rehabilitation programs?
Which of the following is NOT an aspect that functional progressions aim to assist injured athletes with?
Which of the following is NOT an aspect that functional progressions aim to assist injured athletes with?
What types of tests are commonly used in functional testing?
What types of tests are commonly used in functional testing?
For how long should ice packs typically be applied following an injury?
For how long should ice packs typically be applied following an injury?
Which therapeutic modality is NOT typically incorporated in rehabilitation programs?
Which therapeutic modality is NOT typically incorporated in rehabilitation programs?
What is the role of athletic trainers and physical therapists regarding therapeutic modalities?
What is the role of athletic trainers and physical therapists regarding therapeutic modalities?
What is a common method used to secure an ice pack in place during treatment?
What is a common method used to secure an ice pack in place during treatment?
What is critical to consider when using therapeutic modalities in different states?
What is critical to consider when using therapeutic modalities in different states?
What is the primary focus of the maturation-remodeling phase in the healing process?
What is the primary focus of the maturation-remodeling phase in the healing process?
Which phase of the healing process occurs between 2 days to 6 weeks post-injury?
Which phase of the healing process occurs between 2 days to 6 weeks post-injury?
In the context of rehabilitation, what distinguishes therapeutic exercise from conditioning exercise?
In the context of rehabilitation, what distinguishes therapeutic exercise from conditioning exercise?
What is the recommended approach for long-term rehabilitation of an athlete?
What is the recommended approach for long-term rehabilitation of an athlete?
Which statement best describes the role of health care professionals in rehabilitation?
Which statement best describes the role of health care professionals in rehabilitation?
During the inflammatory response phase, what is primarily assessed?
During the inflammatory response phase, what is primarily assessed?
What key aspect should athletic trainers consider when designing a rehabilitation program?
What key aspect should athletic trainers consider when designing a rehabilitation program?
What is the typical duration of the inflammatory response phase following an injury?
What is the typical duration of the inflammatory response phase following an injury?
What is the primary purpose of using hot packs after swelling has stopped?
What is the primary purpose of using hot packs after swelling has stopped?
What is the recommended duration for using moist heat packs?
What is the recommended duration for using moist heat packs?
How many layers of toweling are needed when using hot packs to avoid burns?
How many layers of toweling are needed when using hot packs to avoid burns?
Which of the following is a primary goal in the rehabilitation process?
Which of the following is a primary goal in the rehabilitation process?
When is it appropriate to start using heat following an injury?
When is it appropriate to start using heat following an injury?
What does 'complete recovery' in an athlete entail according to a rehabilitation plan?
What does 'complete recovery' in an athlete entail according to a rehabilitation plan?
What is a contraindication when considering therapeutic interventions for an athlete?
What is a contraindication when considering therapeutic interventions for an athlete?
Which of the following would NOT be considered an impairment that should be identified during rehabilitation?
Which of the following would NOT be considered an impairment that should be identified during rehabilitation?
Which factor does NOT influence the extent of pain experienced by an athlete?
Which factor does NOT influence the extent of pain experienced by an athlete?
What is a common method used to improve flexibility after a joint injury?
What is a common method used to improve flexibility after a joint injury?
What is the primary goal during the maturation-remodeling phase of injury recovery?
What is the primary goal during the maturation-remodeling phase of injury recovery?
Which modality is used during the fibroblastic-repair phase primarily to aid in wound healing?
Which modality is used during the fibroblastic-repair phase primarily to aid in wound healing?
Why is core stability important for athletic performance?
Why is core stability important for athletic performance?
What is essential for reestablishing neuromuscular control?
What is essential for reestablishing neuromuscular control?
Which type of exercise is NOT typically categorized under techniques for restoring muscular strength and power?
Which type of exercise is NOT typically categorized under techniques for restoring muscular strength and power?
During which phase is electrical stimulation indicated for muscle re-education?
During which phase is electrical stimulation indicated for muscle re-education?
Why is balance training important in a rehabilitation program?
Why is balance training important in a rehabilitation program?
Which treatment modality is NOT typically used during the initial inflammatory-response phase?
Which treatment modality is NOT typically used during the initial inflammatory-response phase?
What could primarily limit an athlete's range of motion after a joint injury?
What could primarily limit an athlete's range of motion after a joint injury?
Which of the following techniques should be addressed before any form of strengthening is implemented?
Which of the following techniques should be addressed before any form of strengthening is implemented?
What effect does cryotherapy have during both the inflammatory-response and fibroblastic-repair phases?
What effect does cryotherapy have during both the inflammatory-response and fibroblastic-repair phases?
What is a common oversight in rehabilitation programs?
What is a common oversight in rehabilitation programs?
What is the purpose of functional progressions in rehabilitation?
What is the purpose of functional progressions in rehabilitation?
What is the effect of thermotherapy in the fibroblastic-repair phase?
What is the effect of thermotherapy in the fibroblastic-repair phase?
Which statement is true regarding pain modulation during rehabilitation?
Which statement is true regarding pain modulation during rehabilitation?
Which modality is primarily used for pain modulation in the maturation-remodeling phase?
Which modality is primarily used for pain modulation in the maturation-remodeling phase?
What is the major goal when restoring muscular strength post-injury?
What is the major goal when restoring muscular strength post-injury?
When should alternative activities for maintaining cardiorespiratory fitness be initiated?
When should alternative activities for maintaining cardiorespiratory fitness be initiated?
Within which time frame does the inflammatory-response phase occur post-injury?
Within which time frame does the inflammatory-response phase occur post-injury?
What should be monitored when introducing new activities during rehabilitation?
What should be monitored when introducing new activities during rehabilitation?
What component is critical for an athlete's successful return to sport?
What component is critical for an athlete's successful return to sport?
What happens to cardiorespiratory fitness levels when an athlete misses training due to injury?
What happens to cardiorespiratory fitness levels when an athlete misses training due to injury?
Flashcards
Grade 1 Sprain
Grade 1 Sprain
Stretching and minimal separation of ligament fibers, causing mild joint instability. Characterized by mild to moderate pain, localized swelling, and joint stiffness.
Grade 2 Sprain
Grade 2 Sprain
Partial tearing and separation of ligament fibers, causing moderate joint instability. Characterized by moderate to severe pain, swelling, and joint stiffness.
Grade 3 Sprain
Grade 3 Sprain
Complete tearing of the ligament, leading to significant joint instability. May cause subluxation or even dislocation. Severe pain followed by numbness, large swelling, and stiffening.
Sprain Rehabilitation
Sprain Rehabilitation
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Inelastic Scar Tissue
Inelastic Scar Tissue
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Muscle Tension & Joint Stability
Muscle Tension & Joint Stability
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Long-Term Rehabilitation (Grade 3)
Long-Term Rehabilitation (Grade 3)
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Strength Training & Sprain Recovery
Strength Training & Sprain Recovery
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Muscle Soreness
Muscle Soreness
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Delayed-Onset Muscle Soreness (DOMS)
Delayed-Onset Muscle Soreness (DOMS)
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Nerve Injury
Nerve Injury
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Hypoesthesia
Hypoesthesia
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Hyperesthesia
Hyperesthesia
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Neuritis
Neuritis
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Serious Nerve Injury
Serious Nerve Injury
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Peripheral Nerve Regeneration
Peripheral Nerve Regeneration
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Inflammation
Inflammation
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Tendinitis
Tendinitis
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Contusion
Contusion
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Myositis Ossificans
Myositis Ossificans
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Muscle Strain
Muscle Strain
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Grade 1 Muscle Strain
Grade 1 Muscle Strain
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Grade 2 Muscle Strain
Grade 2 Muscle Strain
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Quadriceps and Biceps
Quadriceps and Biceps
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Preventing Myositis Ossificans
Preventing Myositis Ossificans
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What is Myositis Ossificans?
What is Myositis Ossificans?
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Crepitus in Tendons
Crepitus in Tendons
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Tendon Degeneration
Tendon Degeneration
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Tenosynovitis
Tenosynovitis
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Bursae
Bursae
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Subacromial Bursitis
Subacromial Bursitis
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Olecranon Bursitis
Olecranon Bursitis
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Inflammatory Response Phase
Inflammatory Response Phase
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Fibroblastic Repair Phase
Fibroblastic Repair Phase
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Maturation-Remodeling Phase
Maturation-Remodeling Phase
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Importance of the Inflammatory Response Phase
Importance of the Inflammatory Response Phase
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Duration of the Inflammatory Response Phase
Duration of the Inflammatory Response Phase
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Duration of the Fibroblastic Repair Phase
Duration of the Fibroblastic Repair Phase
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Interfering with Healing
Interfering with Healing
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Creating a Conducive Healing Environment
Creating a Conducive Healing Environment
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Therapeutic Exercise
Therapeutic Exercise
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Conditioning Exercise
Conditioning Exercise
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Injury Rehabilitation
Injury Rehabilitation
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Athletic Trainers and Physical Therapists
Athletic Trainers and Physical Therapists
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Philosophy of Athletic Injury Rehabilitation
Philosophy of Athletic Injury Rehabilitation
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What factors influence pain perception?
What factors influence pain perception?
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What is POLICE?
What is POLICE?
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How is full range of motion restored?
How is full range of motion restored?
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What is core stability and why is it important?
What is core stability and why is it important?
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Should you focus on core stability or strengthening first?
Should you focus on core stability or strengthening first?
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How are strength, endurance, and power restored?
How are strength, endurance, and power restored?
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What's the major goal of muscle restoration?
What's the major goal of muscle restoration?
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Neuromuscular Control
Neuromuscular Control
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What is the purpose of rehabilitation?
What is the purpose of rehabilitation?
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Reestablishing Neuromuscular Control
Reestablishing Neuromuscular Control
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Functional Strengthening Exercises
Functional Strengthening Exercises
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Postural Stability
Postural Stability
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Balance Training
Balance Training
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Cardiorespiratory Fitness
Cardiorespiratory Fitness
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Functional Progressions
Functional Progressions
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Sport-Specific Skill Breakdown
Sport-Specific Skill Breakdown
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Functional Testing
Functional Testing
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Therapeutic Modalities
Therapeutic Modalities
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Ice Packs
Ice Packs
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Functional Assessment
Functional Assessment
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Ice Pack Application
Ice Pack Application
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Modalities
Modalities
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Cryotherapy
Cryotherapy
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Thermotherapy
Thermotherapy
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Electrical Stimulation
Electrical Stimulation
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Ultrasound
Ultrasound
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Low-Level Laser Therapy
Low-Level Laser Therapy
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Return to Play Criteria
Return to Play Criteria
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Post-Acute Hot Pack Use
Post-Acute Hot Pack Use
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Inflammation: The Body's Healer
Inflammation: The Body's Healer
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Therapeutic Interventions: Tailored Approach
Therapeutic Interventions: Tailored Approach
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Hydrocollator Packs: Moist Heat Therapy
Hydrocollator Packs: Moist Heat Therapy
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Rehabilitation Plan: Tailored Approach
Rehabilitation Plan: Tailored Approach
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RICE: Early Stages
RICE: Early Stages
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Team Decision for Return to Play
Team Decision for Return to Play
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Study Notes
Recognizing Sports Injuries
-
Sports injuries encompass a broad range of conditions
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Fractures, dislocations/subluxations, sprains, strains, contusions, nerve injuries, and chronic overuse injuries are among the most prevalent types.
Fractures
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Result from extreme stresses and strains on bones
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Gross structure of long bones includes diaphysis (shaft), epiphysis (ends), compact bone, articular cartilage, periosteum, and osteoblasts (bone-forming cells).
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Classified as open (exposed skin) or closed (no skin break)
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Symptoms include deformity, tenderness, swelling, pain with movement
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Severity related to applied energy; more complex fractures require more energy.
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Healing time depends on the bone involved: long bones (6 weeks), bones in hands & feet (3-4 weeks)
Stress Fractures
- Result of overuse, not acute trauma
- Commonly occur in weight-bearing bones of the leg or foot
- Pain starts as a dull ache, progressively worsening, and becoming worse after activity stops
- X-rays might not show the fracture until osteoblasts begin to lay down bone
- Athletes should suspend activity for 14 days if a stress fracture is suspected. Return to activity should be gradual.
Dislocations and Subluxations
- Dislocation: Complete displacement of a bone in a joint
- Subluxation: Partial dislocation where the bones go out of place and back into place
- Incidence higher in shoulder, elbow, and fingers
- Common in knees (patella)
- May result in ligament or tendon rupture
- First-time dislocations should be treated as potential fractures.
- Immediate reduction isn't always necessary in all cases
- A medical professional should be consulted
- X-rays are necessary to rule out other potential injuries
Ligament Sprains
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Damage to ligaments or joint capsules
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Ligaments connect bones
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Characteristics of synovial joints include articulating surfaces, articular cartilage, a joint capsule, synovial membrane and synovial fluid, and mechanoreceptors (in muscles, tendons, ligaments, joints) for providing information about joint position.
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Sprains classified by severity (Grade I to III), each of which determines the extent of the damage to fibers, instability, pain, and swelling.
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Grade 3 sprains often require surgical repair. Rehabilitation is a long process.
Contusions
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Caused by external impact pressing against underlying bone
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Bleeding into tissues results in skin discoloration (bruising)
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Sore to touch
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Muscle injuries may be present in active movements and tenderness, with pain usually resolving within a few days; Discoloration typically resolves within a few weeks.
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Myositis ossificans: Calcium deposits that can impair movement
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Occurs following repeated trauma.
Muscle Strains
- A stretch, tear, or rip in a muscle or tendon
- Classified by severity: grade I (some fibers stretched or torn), grade II (multiple fibers torn), grade III (complete rupture).
- Grade 3 strains often necessitate surgical intervention
Muscle Guarding
- Voluntary muscle contractions in response to pain from musculoskeletal injury.
- Used to support the affected area or minimize movement
- May be mistaken for spasms because increased muscle tone (spasm) is caused by upper motor neuron lesion in the brain
Muscle Cramps
- Involuntary contractions in overloaded and fatigued muscle groups
- Usually occurs during high-intensity activities
Muscle Soreness
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Overexertion in strenuous exercise leading to muscular pain
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Occurs in individuals unaccustomed to the activity.
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Types of soreness: acute (occurring during and immediately after exercise), delayed onset (DOMS, developing hours or days later), involving muscle pain, swelling, and tenderness.
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Treatment: static or PNF stretching and applying ice within the first 48-72 hours after the injury.
Nerve Injuries
- Caused by either compression or tension
- Types include hypoesthesia (decreased feelings), hyperesthesia (increased feelings), paresthesia (numbness/tingling).
- Neuropraxia (“burner” or “stinger”): Trauma to nerves
- Neuritis: chronic nerve irritation, often caused by repetitive forces.
Chronic Overuse Injuries
- Tendinitis (inflammation of tendons), tendinosis (no inflammation)
- Tenosynovitis (inflammation of a tendon and its synovial sheath).
- Symptoms for all conditions include pain, swelling, and possibly decreased movement. Treatments often include rest, anti-inflammatory drugs sometimes surgery.
- Bursitis (inflammation of bursae, small fluid sacs surrounding joints)
- Osteoarthritis (cartilage wearing down).
- Myofascial trigger points (painful spots in muscle). Causes can involve mechanical stress, acute muscle strains. Most commonly found in neck, upper back and lower back
Importance of the Healing Process After Injury
- The healing process has three phases
- Inflammatory response phase (redness, swelling, tenderness, lasts 2-4 days): essential to healing, cells clean up injury.
- Fibroblastic repair phase (initial scar formation, last 4-6 weeks).
- Maturation-remodeling phase (realignment of scar tissue for joint function, 3+ weeks).
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