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39 Cards in this Set
- Front
- Back
Two primary rehabilitative goals in sports medicine.
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1) prevention of injuries
2) safe return of an injury to the previous level of competition |
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Rehabilitation approach (5)
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1) ROM
2) flexibility 3) strength 4) functional training 5) reconditioning |
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ROM is influenced by...(5)
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1) body congruence
2) joint capsule 3) ligamentous structure 4) muscles 5) tendons |
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Passive ROM
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ATC moves an athletes body through the ROM and the athlete relaxes and produces no muscle contraction
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Active assisted ROM
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ATC and athlete move body through ROM together
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Active ROM
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When an athlete can move through an entire ROM without assistance
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Flexibility
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refers to the ability to lengthen tissue that has been shortened
- the ability to move through the full ROM without restriction |
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Three types of stretching
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1) static
2) ballistic 3) dynamic |
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Static stretching:
What is it and general guidelines |
- slow, isolated stretch
- athlete should be relaxed, position must be entered slowly, stretch should produce a comfortable sensation, should last 20-30 seconds |
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Ballistic stretching
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- when a specified muscle is isolated and quickly stretched and relaxed repetitively
- uses momentum of movement to force limb beyond normal range - not recommended |
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Dynamic Stretching
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- involves moving body and gradually increasing speed, reach, or both
- consits of controlled swings that takes limb to full ROM |
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Factors that limit flexibility (7)
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1) body structures
2) tissue approximation 3) excessive fat 4) muscle and tendon lengths 5) connective tissue 6) scarring and contractures 7) skin |
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Proprioception
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body's ability to get info to the brain in response to a stimulus
- without proper proprioception, the body won't be able to get the right muscles to fire at the correct time |
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Kinesthetic Awareness
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body's ability to sense the position of its limbs at any moment
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Areas of resistance training (3)
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1) muscular strength
2) muscular power 3) muscular endurance |
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Muscular strength
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the ability of the muscle to generate force at a given velocity
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Muscular power
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the product of force and velocity and represents the amount of work a muscle can produce per unit of time
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Muscular endurance
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the ability of a skeletal muscle or group of muscles to continue contracting over a long period
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Methods of strengthening muscles (3)
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1) isometric
2) isotonic 3) isokinetic |
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Isometric
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muscular contraction without associated movement of the joint or limb on which the muscle is set
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When to use isometric: (3)
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1) early stages of rehab
2) when the force that a muscle produces isn't enough on it's own 3) athletes who cannot perform isotonic exercises |
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Isotonic
(concentric contraction) (eccentric contraction) |
muscle length shortens and extends and a joint moves through a range of motion against a constant resistance
concentric: when a muscle shortens eccentric: when a muscle lengthens Ex: barbell, dumbells, etc. |
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Isokinetic
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equipment provides an equivalent resistance the entire time
- provide muscular overload at a constant preset speed Ex: cybex |
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Manual Resistance
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effective for strengthening in rehab
- requires no equipment |
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Variable Resistance
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- machine that matches the resistance to the strength of the muscles throughout the entire ROM
Ex: bicep curl machine |
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Open Kinetic Chain Exercise
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when foot or hand are not in contact with the ground or supporting surface. The distal end of the extremity is freely moving
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Closed Kinetic Exercise
*more widely used |
when foot or hand are in contact with the ground or supporting surface
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Functional Training
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comprehensive training approach on sound scientific principles
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Sport specific function
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rehab program is not complete until the athlete is fully prepared to meet the demands of their sport
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Mechanism:
- Valgus force - elbow hyperextension Clinical Presentation: - pain on active/resistive movement - pain along medial aspect of elbow - loss of function - inability to grasp things Treatment: - ice - 90 flexed sling - modify activity after gaining full ROM Risk factors: - year round throwing - seasonal overuse - early breaking pitches |
Ulnar Collateral Ligament Sprain
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Mechanism:
- repetitive microtrauma to insertion of extensor muscles of lateral epicondyle - backhand stroke in tennis or golf Clinical Presentation: - aching pain in region of lateral epicodyle - pain worsens and weakness in wrist and hand develop - pain with resistive wrist extension Treatment: - rest - ice - elbow strap - anti-inflammatory meds |
Lateral Epicondylitis (Tennis Elbow)
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Mechanism:
- overuse - sudden vigrous supintating movement - repeated forceful flexion of the wrist - throwing a curve ball Clinical Presentation: - point tenderness of the medial epicondyle - swelling - pain produced with forceful flexion or extension - passive movement = no pain, active movement = pain Treatment: - rest - ice - stretching |
Medial Epicondylitis (Little League Elbow)
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Mechanism:
- direct trauma from fall - acute or chronic Clinical Presentation: - pain - swelling of the olcranon - loss of function - possible redness - possible warmth Treatment: - ice - compression - protective padding |
Olecranon Bursitis
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Mechanism:
- direct trauma Clinical Presentation: - pain - loss of function - numbness or tingling down 4th/5th finger Treatment: - ice - refer to neurologist |
Ulnar Nerve Contusion
"Funny Bone" |
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Mechanism:
- fall on outstretched hand with elbow extended - severe twist while flexed Clinical Presentation: - severe pain - loss of function - marked deformity - swelling Treatment: - immobilize - reduce - all active ROM during rehab |
Elbow dislocation
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Mechanism:
- fall on flexed elbow or from a direct blow - fracture can occur in 1+ bones Clinical Presentation: - swelling - muscle spasm - hemorrhaging Treatment: - ice - sling - doctor |
Elbow fracture
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Mechanism:
- common in youth- due to falls and direct blows Clinical Presentation: - audible crack or pop - moderate to severe pain - swelling - ecchymosis - possible crepitus Treatment: - ice - immobolize - possible surgical intervention |
Forearm Fracture
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Mechanism:
- occurs in lower end of radius or ulna - fall on outstretched hand, forcing radius and ulna into hyperextension Clinical Presentation: - forward displacement of radius causing visible deformity - extensive bleeding/swelling - tendons may be torn/avulsed Treatment: - ice - splint wrist - can keep an athlete out for 1-2 months |
Colles' Fracture
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Mechanism:
- overuse - falling on hyperextended wrist, violent flexion or torsion Clinical Presentation: - active movement/stress of joint = pain - point tenderness over ligaments - difficulty with movement Treatment: - ice - tape - orthopedist |
Wrist Sprain
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