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Introduction to Sports Injuries General Definitions • Acute injuries – Happen at one specific instant • Chronic injuries – Happen due to prolonged abuse or inbalances • All injuries occur due to: – Direct Blows, Torsions or Shearings • Soft Tissue – skin, organs, tendons, ligaments • Hard Tissues - bone Acute Injuries • Sudden that usually are accompanied by swelling • Strains – Muscle or tendon is stretched to the point where the fibres start to tear – Prevention through warmup and stretching • Sprains – Ligament and joint capsule damage caused by twisting motions that muscles can’t control – Prevention through flexibility and stable joints • Ex – unhappy triad, ankle inversion, dislocations Grades of Acute Injuries • Strains – 1 – slight stretch of the muscles/tendons – 2 – partial tear – 3 – complete tear • Sprains – 1 – stretch of ligaments – 2 – stretched to partial tear – 3 – Complete tear Chronic Injuries • Overuse or stress injuries that develop gradually • Result of repetitive activities (running, tennis) • Muscle tissue gradually develops microscopic tears that cause pain, swelling and tenderness • Prevention through stretching and strengthening routines • Ex – tennis elbow, shin splints, tendonitis Musculoskeletal Healing Process Stage 1 – The Inflammatory Phase • 3 – 4 days • Recognized by swelling, heat, altered function • R – Rest – 2-3 days with immobilization • I – Ice – Reduces pain and spasm, minimizes cell death and causes vasoconstriction • C – Compression – Decreases swelling by slowing the flow of fluid to the area • E – Elevation – Decreases swelling by encouraging blood to return to the heart and not pool Stage 2 – The Regeneration Phase • 48 hours + after the injury to weeks depending on the injury severity • Tissue replacement • Attempt to regain function Stage 3 – The Remodelling Phase • Weeks to a year • Place sport specific forces on the area to increase strength • Stress without distress • Will need to progress as the injury recovers and strength and stability come back Prevention of Sports Injuries • • • • • • • • • • Warm Up Cool Down Hydration Proper Technique Equipment Physical Conditioning Facilities Management Balanced Opponents Rules and Enforcement Common Sense Benefits of Taping • Can be used in prevention and to aid after an injury • Increases stability of a joint • Can take pressure or stress off of a body part • Increases the confidence in an athletes abilities • New stretchy tape is being used to help in taping to keep stability and aid movement Benefits of Massage • • • • Can be used as a recovery method as well Increases blood flow to certain areas Can be used to lengthen soft tissue Can be used to flush metabolites from exercise from an area • Can vary in strength (flush, athletic/active, deep) • Can be used with other techniques (ART – active release therapy etc) • Can be used to put compounds into the skin/muscle Hip Joint Groin Injuries Basics • Usually put together as the pain can radiate from one to the other • Causes – Hip – usually articular cartilage damage – Groin – usually due to overloading muscles or tendons Adductor Longus Muscle • Commonly injured in soccer, track, hockey, skiing • Symptoms – Pain on adduction – Pain is from the origin and may radiate towards the groin – Pain can decrease after initial exertion Ilio-Psoas Muscle • Commonly injured in weight lifting, rowing, running uphill, jumping and hurdling • Symptoms – Inflammation of the bursa and tendon beneath the muscle – Tenderness at the insertion of the tendon – Pain in the groin may also occur on hip flexing Rectus Femoris Muscle • Commonly injured in kicking actions and fast starts in running • Symptoms – Pain just above the hip joint – Pain during and after activity – Pain on flexing of the hip joint or extension of the knee joint Other Abdominal Muscles • Commonly injured in weightlifting, throwing, gymnastics and wrestling • Symptoms – Inflammation is caused by exertion and a stabbing pain in the abdominal area – Pain is more pronounced when the muscle is contracted Common Injuries to Know • • • • • • • • • • The Unhappy Triad (torn ACL, MCL, Meniscus) Stress Fractures Glenohumeral Dislocation Shin Splints Concussions Rotator Cuff Tendonitis Ankle Sprains Achilles Tendonitis Acromioclavicular Dislocation Tennis Elbow • Split into 10 groups of 2-3 and each group choose one. Send a 1-2 PPT slides to Mr Wardle by Monday of your injury