1) Sports Medicine of the Lower Extremity Flashcards

1
Q

Sports medicine definition

A
  • A multifaceted, multidisciplinary approach to the diagnosis and management of athletic injuries which employs relative rest, alternative activity and rehabilitation with emphasis on the preservation of form and function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Relative rest

A
  • Reduce the duration and/or frequency and/or a particular facet of the athletes athletic activity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Alternative activity

A
  • When cessation of the athletes activity is necessary, an alternative activity must be suggested
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Sports medicine team

A
  • Athletic Trainer
  • Physicians
  • Massage / neuromuscular therapist
  • Adjuncts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Sports medicine adjuncts

A
  • Chiropractic
  • Physical therapy
  • Prosthetics
  • Accupuncture
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Injury protocol

A
  • Phys therapy / rehab.
  • Emergency room
  • Team physician
  • Specialist
  • Health center
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

History of previous sports injury

A
  • Ankle sprain – complete rehabilitation ?
  • Stress fracture – appropriate immobilization ?
  • Recurrent stress fracture – bone density ?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Training regimen / equipment and changes

A
  • Training regimen
  • Increase in mileage
  • Speed work
  • Hill running
  • Increased frequency
  • Timing change
  • Inc. / dec. stretching
  • Slow running ?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Alternative activities

A
  • Aerobic dance
  • Stairmaster
  • Cycling
  • Swimming
  • Weight training
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Sport compatibility

A
  • Running: swim / cycle / weight training
  • Aerobic dance: swim / cycle
  • Cycling: run / aerobic dance / swim
  • Rollerblade: run /aerobic dance / swim
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Nutrition

A
  • Hydration
  • Electrolytes
  • Vitamins
  • Carbohydrates / fats / proteins: three meals a day !
  • Timing (meals – workout schedule)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Factors influencing bone density

A
  • Nutrition
  • Hormones
  • Genetics
  • Body weight
  • Exercise
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Female athlete triad

A
  • Eating disorder
  • Dysmenorrhea
  • Osteopenia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Shoes

A
  • Sport specific
  • High quality (> $ 75.00)
  • Mileage (replace every 200 – 400 miles)
  • Biomechanical correctiveness
  • Racing flats / training gear
  • Changes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Training surface

A
  • Changes
  • Firmness / shock absorption
  • Terrain
  • Adhesiveness
  • Which side of the road
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Acute injury

A
  • Mechanism ?
  • Ability to bear weight initially ?
  • Audible “pop”/ resulting deformity ?
  • Initial treatment ?
  • History of similar injury ?
17
Q

Athletic injury types (%)

A
  • 60 % Overuse

- 40 % traumatic

18
Q

Physical examination of the athlete

A
  • Vascular
  • Neurological
  • Dermatologic
  • Orthopaedic
  • Biomechanical
  • Gait analysis
19
Q

Athletic injury etiologies

A
  • Traumatic
  • Inflammatory
  • Vascular
  • Neuromuscular
  • Congenital
  • Neoplastic
  • Biomechanical
  • Psychosomatic
  • Infectious
20
Q

Non-weight bearing biomechanical evaluation components

A
  • Hip range of motion
  • Hamstring flexibility
  • Knee position
  • Tibial torsion (malleolar position)
  • Ankle joint range of motion
  • Midtarsal joint evaluation
  • First ray range of motion
  • First metatarsal phalangeal joint motion
21
Q

Weight-bearing biomechanical evaluation components

A
  • Resting calcaneal stance position (RCSP)
  • Neutral calcaneal stance position (NCSP)
  • Frontal plane tibial position
  • Limb – length evaluation
  • In – sport motion (gait) analysis
22
Q

Increased external hip rotation correlates with

A
  • Femoral / tibial stress fractures
23
Q

Equinus correlates with

A
  • Achilles tendinopathy
  • Tibial stress fractures / shin splints
  • Pronatory symptoms
24
Q

Cavus foot correlates with

A
  • Stress fractures

- Lateral ankle instability

25
Q

Increased subtalar joint range of motion correlates with

A
  • Pronatory symptoms

- Lateral ankle instability

26
Q

Muscular weakness correlates with

A
  • Lateral ankle instability
  • Tendinopathy
  • Tibial shin splints / stress fractures