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23 Cards in this Set
- Front
- Back
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RTP Spondylolysis |
Post-op = 12 months (non-collision)
Conservative = ? |
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RTP Spondylolisthesis |
Non-collision = 6 months
Collision = 18-24 months |
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RTP Lumbar Herniated Disc |
Non-collision = 3-6 months
Collision = 1 year |
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RTP Spinal Fusion |
Non-collision = 6 months - 1 year
Collision = 1 year |
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RTP Decompression |
Non-collision = 3-6 months
Collision = return to previous level of play |
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RTP Scheuermann's Disease |
Non-collision = 1 year
Collision = Not recommended |
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RTP Scoliosis |
Non-collision = 6 months
Collision = 1 year |
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Spondylolysis |
Fx to pars interarticularis (laminate and pedicle)
Occurs with sports that require repetitive extension or extension-rotation motions
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Spondylolysis Tx |
Conservative with a focus on bony healing, pain relief, and restoring normal motion
Bracing not necessary and surgery is not needed
Train the core and butt (hip extension) |
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Spondylolysis Surgery |
Indicated for non-union and pain persists more than 9-12 months
Significant slippage
Neurologic sx develop |
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Spondylolisthesis |
RTP without surgical intervention
Management done through bracing and rehab with rest - 3 months of rest/activity modification |
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Spondylolisthesis Tx based on grades |
Grades 1-2 fx present with anterior translation less than 50% --- bracing
Grades 3-4 fx present with more than 50% slippage = surgery due to nerve compression |
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Spondylolisthesis Surgery |
Low-grade slips = direct fusion --- 6 mo. RTP |
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Lumbar Disc Herniation |
Seen in more mature athletes and managed non-operatively
Presents with unilateral LE radicular sx
Gradual improvements in 3-6 weeks |
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Discectomies |
Require 2-3 months of rest and rehab -- indicated after 6wks of persistent/worsening sx
Not recommended for elite athletes - cannot RTP after 3 months |
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Spinal fusion management |
Necessary for complicated disc conditions
Performed after 4-6 months of sx, failed conservative tx, or spinal instability
Increase risk of disc degeneration
RTP = 1 year |
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Lumbar Spinal Stenosis |
Abnormal narrowing of spinal canal |
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Lumbar Spinal Stenosis: Sx |
Neurogenic claudication Paresthesia Sensory deficits Motor loss Reflex abnormalities |
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Lumbar Spinal Stenosis: Management |
Conservative
Decompression surgery
Laminectomy
Spinal fusion |
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Lumbar Spinal Stenosis: RTP |
Non-collision: pain free ROM and no neural deficits
- No heavy lifting for 6 weeks - Initiate PT at 1 month or 3 months after fusion - Fusions require 6 months before introducing rotational forces |
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Scheuermann's Disease |
Characterized by excessive thoracic kyphosis
Tx: bracing with curves >50-60 degrees Conservative postural/flexibility exercises
Surgical intervention: anterior release via fusion or posterior fusion in curves > 70 degrees
RTP in collision sports? NO - risk compression fx |
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Spinous process Fx |
Minor fx of transverse processes, spinous processes, facets, vertebral bodies, and endplates
MOI: direct blow or forceful movement
RTP with spinal stability established: FROM is pain free
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Compressive spinous process fx |
Sustained from excessive axial loads
Require restriction from repetitive loading/lifting |
