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Netball Injuries by Amanda Bayer Explanation, identification, management and prevention of common netball injuries. SPRAINS: Ligament stretched beyond its normal range Signs & Symptoms: Pain, swelling, reduced movement, tenderness, discolouration Common sites: lateral (outside) ligament of the ankle, medial (inside) ligament of the knee, anterior cruciate ligament of the knee Management: Avoid heat, alcohol, vigorous activity, massage; 48-72 hours immediately following injury RICER Rest stop play, crutches Ice 2 hourly for 20 minutes using wrapped icepack or icebath Compression tubigrip/bandage Elevation above level of heart Referral doctor/physiotherapist for examination, further referral, X-rays/scans and rehabilitation. STRAINS: Muscle stretched beyond its normal range Common sites: hamstrings, quadriceps, calf Management: RICER (as above) Soft tissue injuries usually take 1-6 weeks to heal depending on the severity, associated injuries and rehabilitation undertaken. DISLOCATION: Complete separation of joint surfaces Common sites: finger, knee cap, shoulder Management: relocate as soon as possible by a qualified medical professional, X-ray to exclude fracture, tape/brace/sling following relocation, refer to doctor/physiotherapist for rehabilitation INJURY PREVENTION Pre-screening Document any previous/current injuries, medical conditions and develop a management plan. Warm up Warm up thirty minutes prior to the game. Include netball specific dynamic stretching eg: lunges, leg swings. These are slow controlled movements through the full range of a joint’s motion performed after 510 minutes of mild aerobic exercise eg: jogging. Cool down 3-5 minutes of walking preceded by static (slow sustained) stretches of 30 seconds-1 minute to point of tension, not pain. Taping/bracing Taping and bracing provides stability to a joint by limiting abnormal movement. It can be preventative or protective. Tape provides sensory feedback to the athlete to subconsciously contract muscles to ensure stability. All netball players are advised to tape ankles for competition. RECOVERY Icebaths/Contrast showers Waist deep in 2-10 degree ice bath for 3 minutes OR alternating cold and warm showers for a minute each repeated 3 times Soft tissue massage Reduces post-exercise muscle soreness, increases range of movement, increases circulation to damaged tissues and identification of any soft tissue abnormalities Rehydration Drink 500ml of cold water 1-2 hours prior to exercise, 120-150 ml of cold fluid every 10-15 minutes during the game and cool drinks following the game. Nutrition Nutritious foods replenish glycogen stores and provides necessary protein and water. Seek advice from sports dietician. Rest Rest days are necessary so muscles can repair, rebuild and strengthen. It is recommended that there is a sports trainer at training and games to ensure the athletes best welfare. Amanda Bayer BPT, Physiotherapist for the Adelaide Thunderbirds Netball Team, Physiotherapist practicing at PhysioXtra Clinic