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Sport Injury Presentation

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SPORTS INJURY

SHOHAILI MANSOR
PHYSIOTHERAPIST
WHAT IS SPORT
INJURY ?
Sports injuries are injuries that typically
occur while participating in organized
sports, competitions, training sessions,
or organized fitness activities. These
injuries may occur to anyone for a
variety of reasons, including improper
training, lack of appropriate footwear or
safety equipment, and rapid growth
during puberty.
TYPE OF INJURY
 ACUTE
 CHRONIC
 OVERUSE

CAUSES

INTRINSIC EXTRINSIC
• Body Composition • Training Method
• Age • Surface
• Muscle Weakness • Equipment
• Poor Flexibility • Environment
• Injury
COMMON SPORT INJURIES

Nerve Joint
Muscle
Bone Ligament

 Muscle soreness ‘DOMS’


 Pulled muscles
 Muscle cramp
 Abdomen stiches
 Sprained ligaments
 Knee injuries ACL , meniscus
 Plantar fasciitis
NATURE OF INJURY

• Sprain • Strain
• Open Wound • Fracture
• Bursitis • Dislocation
ACL injuries
The anterior cruciate
ligament connects the
the front femur (thigh bone) to
the tib ia (Shin bone),
pr eve‹1ts Ihe ti bia from
siio›•$ forwards
R bRURDth thB. fem ur and
pr ov ides stability to
/terior thR knee.
Lateral uciate
meniscu ament
Medial
Lateral meniscus
col Tear
later l
igam Medial
llateraf
igament

Tearing of the AC L can occur


\vhen th e bones twist 1n oppo
site directions dLiring an impact.
such as a landing from a
Source: American Are fern of Or thopec/rc Sur oot1s Steve Greenberg / Star staK
LEVEL OF INJURY PRIORITY
 First Priority
-Injuires that pose an immediate threat to life
eg : Airway obstruction / Cardiac arrest /
uncontrolled bleeding
 Second Priority
– Urgent injuries that are potential threats to life or
limb
eg :Head injury / Spinal injury Serious limb
injuries with blood vessel / nerve injury
 Third Priority (most common type)
eg: Mild limb injuries – sprain /
strain eg :Cuts and bruises
INJURY PREVENTION CYCLE

(6 PREVENTION
OF RECURRENCE (1 PREVENTION

(5 REHABILITATION (2 INCIDENT


PHASE

(4 DEFINITIVE (3 ACUTE


CARE PHASE
WHAT IS PRIMARY SURVEY ?
When an athlete goes down with an injury, you
should do as follow :

• Determine whether the athlete is


conscious/ unconscious

• If unconscious, check the athlete’s ABC’s :


* airway – used head tilt/chin lift/chin lift only
* breathing – look, listen & feel for breathing
- if none, give 2 full breaths
* circulation – check carotid (neck) pulse
• If the athlete is conscious & able to talk,
check these function :
* breathing – for irregularities
* pulse – for heart / circulation problems

• If both breathing & pulse are normal, begin the


secondary survey to locate & check the extent
of the injury
Performed after life threatening injuries have been ruled out
1) TALK
 ask the player what happen ?
 where does it hurt ?
 what kind of pain ?
2) OBSERVE
 look at the offered area for REDNESS/SWELLING
 is the injured side different from other side?

3) TOUCH
 touch will indicate warmth for inflammation
 touch also assesses pain
4) ACTIVE MOVEMENT
 ask the injured athlete to move the
injured part without any help
5) PASSIVE MOVEMENT
 if the player can move the injured part,
carefully try to move it yourself through its full
range of motion.
6) SKILL TEST
 did the active & passive movement produce pain?
 If no, can the player stand & demonstrate some
of the skills from the game carefully?
 If an injury is identified, remove the player from
the activity immediately.
1) STOP
 stop the athlete from participating / moving
stop the game if necessary
2) TALK
Talk to the injured athlete :
* what happened?
* how did it happen?
* what did you feel?
* where does it hurt?
* can you play on?
* if no, arrange appropriate transport
3) OBSERVE
observe whilst talking to the athlete:
* GENERAL : is the athlete distressed?
: is the athlete lying in an unusual
position/posture?
* INJURED SITE
: is there any swelling, deformity / discoloration?
: can the athlete remove the injured part?

4) PREVENT FURTHER INJURY


ensuring a detailed assessment using TOTAPS
IMMEDIATE ASSESSMENT
(on the field)
R : Rest
I : Ice
C : Compression
E : Elevation
R : Referral
Further
Management?
Rehabilitation
NO
H : HEAT
A : ALCOHOL
R : RUNNING
M :
MASSAGE
R.I.C.E.R & NO H.A.R.M

The RICER regime must be continued & NO


H.A.R.M factors for the first 48 – 72 hours after the
injury to reduce :
The severity of further injury, haematoma
& tissue swelling
The amount of tissue damage
The recovery time
RICER
essential elements for a quick recovery from injury

1) REST
i. rest reduces further damage
ii. avoid such as movement as possible to limit
further damage
iii. don’t put any weight on the injured part of
the body

2) ICE
apply a cold pack to the injury for 15
minutes every 4 hours
3) COMPRESSION
i.apply elastoplasts sport elastic adhesive
bandage or a non-elastic compression
bandage,
covering the injured area as well as the area above
& below
ii.compression reduces bleeding &
swelling iii.check bandage is not too tight
4) ELEVATION
i.elevate the injured area to stop bleeding & swelling
ii.place the injured area on a pillow for support
5) REFERRAL
i.refer the injured person to a qualified professional
such as a doctor for definitive diagnosis & continuing
management
NO HARM
1) HEAT
i. such as sauna, spa hot water bottle, hot
shower, linament,rubs
ii. increase bleeding
2) ALCOHOL
i. increase swelling
3) RUNNING
i. exercise too soon can make the injury worse
4) MASSAGE
i. in the first 48-72 hours increase bleeding
& swelling
INJURY PREVENTION

(1) Conditioning
 Warming Up
 Cooling Down
(2) Environment
(3) Protective Equipment
(4) Fitness
(5) Nutrition
(6) Skills & Knowledge
REHABILITATION

• The use of special exercises and modified training


methods to help an athlete recovery from an
injury

• Is required to return the athlete to the


previous level & enable the athlete to return to
sport will function in the shortest possible time
OBJECTIVE OF REHAB
 return to sport with full function
 Also minimize the undesirable effects of
immobilization on the injured area;
encourage proper healing,restore sport
specific function
 Also can break an athlete’s injury or re-injury cycle
MUSCLE
CONDITIONING

PSYCHOLOGY FLEXIBILITY

MAINTENANCE OF COMPONENT PROPRIOCEPTIVE


OF
CARDIOVASCULAR
FITNESS REHAB

CORRECTION OF
ABDOMINAL FUNCTIONS
BIOMECHANICS EXERCISE

SPORTS SKILL
REFERENCE

• http://f-marc.com/11plus/downloads/

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