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99 Cards in this Set

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NOCSAE
Nation Operating Committee on Standards for Athletic Equipment
-Sets standards for helmet safety
Off the Shelf v. Custom
-pre-made, used immediately, one size fits all, cheap
-personalized, expensive
What is one way that a helmet can be checked for snugness?
Inserting a credit card between the head and the liner
-if proper fit there should be a resistance.
Three types of chin straps
2-snap, 4-snap, 6-snap
Helmet Fitting
-Hair should be wet
-Base of skull is covered
-FACEMASK2-3 fingers from nose
-Check earholes
-1-2 finger widths above eyebrows
-SHIFT TEST
Throat protection prevents what kind of injury?
Laryngotracheal Injury
What are the three types of mouth guards?
▪ Stock
▪ Commercial (formed following submersion in water)
▪ Custom (fabricated from dental mold)
What do mouth guards do?
-Protect teeth
-absorb chin blows
-can prevent concussion
Two types of football shoulder pads?
-Cantilevered = bulkier and used by those engaged in blocking and tackling
-Non-cantilevered - do not restrict motion (quarterback and receivers)
Toe Box?
Space for toes (1/2 to 3/4 inch)
Sole-
Provide shock absorption and durable
Heel Counter -
prevents medial and lateral roll of foot
Shoe Uppers-
for appropriate ventilation, drying and support
Arch Support -
durable but soft and supportive to foot
When are you most at risk for an ACL tear?
between 20-0 degrees of flexion
Prophylactic Brace
Preventative
Rehabilitative Brace
Protected motion of injury
Functional Brace
Stability- protection after repairs
Unloader/Off loader
Pain relief in arthritic knees
Passive Brace
Reacts after instability occurs
Dynamic Brace
Actively protects against instability @ all times!
Why Brace?
To protect a healing graft
Neoprene Brace?
Used by those that have sustained collateral ligament injuries
Trauma
physical injury produced by an external or internal force
Load
external force acting on an internal force
Stiffness
ability to resist a load
-Greater stiffness = greater magnitude load can resist
stress
internal resistance to an external load
Strain
extent of tissue deformation under loading
Deformation
change in shape of a tissue
Yield Point
Elastic limit of tissue
What are the Five types of tissue loading?
Compression, Bending, shearing, torsion, tension (CBS_TT)
Compression
force that results in tissue
crush
-two external loads applied towards one another (jaws)
Bending
force on a horizontal beam that places stress within the structure
- can result in fractures
Shearing
force that moves across the parallel organization of tissue
-skin abrasions, vertebral disk injuries
Tension
force that pulls and stretches tissue
-Muscle strains, Ligament Sprains
Torsion
(tissue loading)
Forces twist in opposite directions from opposite ends
Stretching
pull beyond yield point
resulting in damage
Muscle Strain
A stretch, tear, or rip in the muscle or its tendon
Grade 1 Muscle Strain
Some muscle fibers have been stretched, tenderness, full range of motion is possible
Trauma v. Overuse
(Acute v. Chronic)
-acute v. chronic
2-3 days v. past the first 72 hours
-swelling
Grade 2 Muscle Sprain
A number of muscle fibers have been torn, painful, depression can be felt, range of motion decreased
Grade 3 Muscle Sprain
Complete rupture of muscle!
Loss of movement!
1st intense pain-> then complete nerve fiber separation
Acute ONset Muscle Soreness
fatigue, during and immediately after exercise
Delayed Onset Muscle Soreness (DOMS)
most intense 24-48 hours after work out
-symptom free after 3-4 days
How many pounds can tendons produce and maintain?
8,700- 18,000 lbs/in2
What is the breaking point of the tendon?
Breaking point occurs at 6-8% of increased length
Myositis/fascitis
inflammation of muscle tissue
Tendinitis
inflammation of the tendon
Tenosynovitis
inflammation of the tendon and its synovial sheath
tendinosis
breakdown of a tendon without inflammation
Contusion
Compression of soft tissue that results in bleeding surrounding tissues
Ecchymosis
Bluish-purple discoloration of the skin
Myositis Ossificans
Calcium deposited in an area where it isn't supposed to be
Atrophy
Don't use it, you lose it.
-wasting away of muscle tissue
-immobilization
Contracture
abnormal shortening of muscle tissue
-great deal of resistance to passive stretch
Synovial Joints
articulations of two bones surrounded by a joint capsule lined with a synovial membrane
Synarthrotic Synovial Movement-
immovable
Diarthrotic Synovial Joint-
freely moveable (synovialarticulations)
Amphiarthrotic Synovial JOint MOvement
slightly moveable
Ball and socket
- allows movement in all plane (hip)
Gliding
- all sliding back and forth (carpal joints)
Saddle
-reciprocally convex-concave(carpometacarpal joint of thumb)
Condyloid
- elliptical convex and concave articulation (wrist)
Pivot
- rotation about and axis (cervical atlas and axis)
Hinge
- allows for flexion and extension (elbow)
What is a ligament?
Connection between two bones
-strong in the middle weak at the ends
Grade 1 Ligament Sprain
-stretching of fibers, mild pain, joint stiffness
Grade 2 Ligament Sprain
some tearing, moderate instability of the joint, moderate pain
Grade 3 Ligament Sprain
Total tearing!
-Subluxation, first lots of pain then no mail b/c of disrupted nerve fibers.
Subluxation
Bone pops out and then pops back in.
-Keep warm and play, then ice down
Dislocation
Bone forced out of alignment
-have to pull out to put back in
-AT's can not do this!!!
Osteoarthritis
Wearing down of hyaline cartilage
Bursitis
Inflammation of bursae
Flat bones
 skull, ribs, scapulae
Long bones
 humerus, ulna, tibia, radius, fibula, femur
Short bones
 wrist and ankle
Irregular bones
 vertebrae and skull
Diaphysis
main shaft of the long bone
Epiphysis
Located at the end of long bones
Periosteum
Covers long bones
Closed fractures
Fracture does not penetrate superficial tissue
Open fractures-
displacement of fractured ends and breaking through the skin
Greenstick Fracture
Incomplete Break
Comminuted Fracture
Fragmented Bone - car accident
Linear Fracture
Bone splits along its length
Transverse Fracture
Straight line, horizontally, @ right angles
Oblique Fracture
One end of bone receives torsion while other end is fixed
Spiral Fracture
S-Shaped separation
Impacted Fracture
A smash of one bone into another
Epiphyseal Conditions
injury to the growth plate,
-occur most often in children ages 10-16 years old
-Classified by Salter-Harris into five types
Two main causes of Nerve Trauma
compression and tension
What kind of injury can pain be referred?
Nerve
The healing Process
-Inflammatory Response
-Fibroblastic Repair Phase
-Maturation-Remodeling Phase
Signs of Inflammation
Redness, Swelling, Tenderness,Temp., and loss of function
Vasoconstriction
-immediate vascular response to tissue damage,
-last 5-10 mins
-Decrease in diameter of a blood vessel
Factors that Impede Healing
Infection, atrophy, edema, muscle spasm, hemorrhage, scaring
Acute Pain
Lasts less than six months
Chronic Pain
longer than 6 months
Conditions that interfere with fracture healing
Poor blood supply, poor immobilization, infection, soft tissues