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Day 5 Lectures Flashcards

(54 cards)

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1
Q

what is a tactical athlete?

A

those who use their minds and bodies to serve and protect individuals, communities, states, countries, and themselves, including military personnel, firefighters, law enforcement, emergency personnel, etc.

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2
Q

Groups of tactical athletes

A
  • army
  • navy
  • police
  • firemen
  • marines
  • rangers
  • SWAT
  • seal
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3
Q

5 Different Types of Tactical Athletes

A
  1. land based tactical
  2. water based missions
  3. urban based tactical teams
  4. law enforcement officers
  5. fire/rescue, EMT
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4
Q

Who has UE hypertrophy?

A

law enforcement

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5
Q

Who needs endurance/rucking?

A

land and water based military

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6
Q

Who needs stamina?

A

fire and rescue

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7
Q

Demands of tactical athlete

A

endurance
time under tension
capacity based training
postural integrity
force production
nothing to something fast

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8
Q

Common problems amongst tactical

A
  • increased prevalence of OA
  • sudden cardiac arrest
  • acute/chronic mSK conditions
  • injury rates during training
  • mental health issues
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9
Q

Return to work criteria

A
  • full pain free active and passive ROM
  • efficient and pain free functional movement tests
  • past capacity tests of carry, squat, deadlift, push up, and cardiovascular
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10
Q

Strength tests for tactical

A

push up to fatigue
inverted row to fatigue
grip strength
deadlift

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11
Q

Agility tests for tactical

A

hurdle recovery
vertical jump
5-10-5 test

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12
Q

Postural Integrity tests for tactical

A

bunkie core
farmer carry
elbow flexion test

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13
Q

Capacity tests for tactical

A

dead hang
parallel squat hold
run 2 miles with load

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14
Q

Cardiovascular tests for tactical

A

treadmill stress
heart rate
blood panel

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15
Q

Reasons ACL rehab aren’t successful

A
  • insurance limitations
  • fear/avoidance
  • graft failure
  • concomitant chondral or meniscus
  • athlete doesn’t complete
  • protocols not individualized
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16
Q

ACL Controversies

A
  • conservative vs surgical
  • graft types
  • bracing or not
  • RTS
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17
Q

Non-operative ACL rehab

A
  • less complications
  • sedentary lifestyle
  • eccentric control, core stability, NM reeducation
  • weight control

often instability

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18
Q

Allograft of ACL

A

cadaver patellar ligament, post/ant tibialis tendon

*no disruption to other muscles
* risk of infection or rejection

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19
Q

Autograft for ACL

A

hamstring (very popular, chronic weakness)
patellar bone plugs (stability but PFP pain)
quad tendon (variable)

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20
Q

Primary repair for ACL

A

suture and anchor back to exisiting ACL

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21
Q

Prehab for ACL

A
  • minimize swelling, max strength/ROM
  • assess and education for surgery
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22
Q

Surgery phase of ACL

Study These Flashcards
A
  • stabilize
  • know what tissues were impacted
23
Q

Phase 1 ACL

Study These Flashcards
A
  • recover
  • control edema and pain, protect graft
  • active quads
24
Q

Phase 2 ACL

Study These Flashcards
A
  • force development and motor control
  • progression of quad, HS loading, full ROM, global conditioning
25
Phase 3 ACL
* force attentuation and plyometrics * assessing and training in all 3 planes
26
Phase 4 ACL
* RTS * sport specific drills * return to participation
27
Phase 5 ACL
* prevention of re-injury * long term self management
28
Essential Components of Impairment based progression for ACL
* early and frequent education * early and frequent testing/retesting * individualized * adherence * resources * communication with al members of the team
29
Bracing for ACL
* not for ACL deficient knee * bracing immediate post op is patient preferences * bracing during RTS, athlete preference * bracing during skiing, soccer, football
30
RTS for ACL
* quad strength > 90% * single leg vertical * lateral bound * full speed running * single hop distance * triple crossover hop * global rating scale
31
Improving ACLR outcome
* protecting graft in early stages * regaining knee extension AROM * building strength early * early Y balance * completing POC
32
Why does RTS fail?
not practical poor education not challenging
33
___ is key to post ACLR
quads
34
Functional milestone progression
1. movement competency 2. progress load and velocity 3. progress complexity and build resiliency 4. RTS transition 5. RT to performance
35
Overhead athlete RTS
* train dissociation * train rotation * use medicine and weighted balls * learn to control lumbar extension bias * train breaks with lower quarter
36
RTS Decision needs to be based on
environment emotion physical
37
2-3 Months LE Testing
Knee extension Knee flexion Single Leg Bridge Single Leg Step down Single leg balance
38
3-4 Months LE Testing
Single leg squat Bunkie Core HHD Modified star Single leg balance plyometrics
39
4-6 Months LE Testing
depth jump deceleration triple and crossover hop single leg step down single leg balance kinesiophobia
40
6-9 Months LE Testing
Deadlift rate of force development carry mid thigh girth RTS
41
UE Test Series acute
passive ROM er/ir ER strength global HHD REsting posture single leg balance
42
UE Test Series 2
Hurdle step test UE y balance single arm shot put side plank single leg vertical return to throwing
43
Redlight scoring
* <75% on RTS * pain, dysfunction, lack of strength, ROM limited, motor control deficits * refer to PT
44
Yellow light scoring
* score 75-85% on RTS * completes activities with dysfunction * refer to PT for performance training
45
Green Light Scoring
* score > 85% on RTS * completes test with good form * completes RTP
46
Strength vs Power tests
Strength: how much force you can produce Power: amount of work performed over time
47
Aerobic system
* testing neuro and endurance, postural * straight leg raise * face pull * 20-30% of max power
48
Anaerobic system
* testing strength * deadlift * single arm row 30% to 75% of total power * focus is hypertrophy and strength
49
Phosphagen System
testing power * hang clean * med ball toss * sport specific * often 75% of power and above
50
Movement Pre-reqs of throwing
MOBILITY: shoulder elevation, trunk rotation, hip rotation POSTURE: throacic expansion, rib cage aligned STRENGTH: shoulder strength, rotational strength of core, scapular upward rotation POWER: deceleration, single leg acceleration, rotational trunk
51
Movement Pre-reqs of jumping
* > 12 week post op * < 1+ knee effusion * > 80% quad strength * full knee ROM * pain free hops * normal gait
52
What does dynamometry report?
RFD Symmetry Force produced/strength
53
RTS Symmetry index
> 90%
54
During 1st 9 months, for every one month delay in RTS
reinjury rate was reduced by 50%

8 Sports (6 decks)

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