Exercise/ sports medicine Flashcards

(37 cards)

1
Q

What is the definition of physical activity?

A

•Any bodily movement produced by skeletal muscles that requires energy expenditure

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2
Q

What is the definition of exercise?

A

Physical activity that is planned, structured, repetitive, and purposeful

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3
Q

What are the types of physical fitness?

A
  • Cardiorespiratory endurance
  • Muscular strength
  • Balance and coordination
  • Flexibility
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4
Q

What are the benefits of exercise in those with diabetes?

A
  • Reduced risk of developing type 2
  • Dose response reduction risk
  • Modest improvement in glucose control
  • Reduction in CVD risk
  • 33% reduction in microvascular complications
  • Acute exercise improves insulin sensitivity
  • Reduction in cardiovascular complications
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5
Q

What are the classification of injuries?

A
•Traumatic 
 - bone 
 - articular cartilage 
 - joint 
 - ligament 
 - muscle 
 - tendon  
•Overuse
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6
Q

What are the traumatic sports injuries?

A
  • Fractures and dislocations
  • Major muscle - ligament - tendon injuries
  • Head and spinal injuries
  • chest and abdominal injuries
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7
Q

What are the causes of bone injury?

A
  • direct e.g. tackle

* Indirect (fall or twisting) trauma

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8
Q

What are the classifications of bone fracture?

A
  • Transverse
  • Oblique
  • Spiral
  • Comminuted
  • Avulsion (piece of bone attached to tendon or ligament is torn away)
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9
Q

What are the clinical features of bone fracture?

A
  • Pain
  • Tenderness
  • Localised bruising
  • Swelling
  • Deformity
  • restriction of movement
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10
Q

What is the management of bone fracture?

A
  • Anatomical and functional realignment
  • May need resection
  • Plaster cast or surgical stabilisation
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11
Q

What is the function of articular cartilage?

A

Absorbs shock and compressive forces and permits almost frictionless joint movement

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12
Q

What is used for the imaging of articular cartilage?

A

MRI and arthroscopy

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13
Q

Where are the common sites of injury to articular cartilage?

A
  • Talus
  • Femoral condyles
  • Patella
  • Humerus
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14
Q

What are injuries to articular cartilage associated with?

A

Soft tissue injuries

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15
Q

What may articular cartilage injury predispose to?

A

Premature osteoarthritis

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16
Q

What are the treatment options for articular cartilage injury?

A
  • Perforation
  • Alteration of joint loading
  • Cell transplantation
17
Q

What is dislocation

A

Trauma produces complete dislocation fo the articulating surface

18
Q

What is subluxation?

A

Some contact of the articulating surface remains

19
Q

What is damaged in dislocation?

A

Surrounding joint capsule and ligaments

20
Q

What are the complications of dislocation?

A

•Associated nerve or blood vessel damage

  • axillary nerve in shoulder
  • brachial artery at elbow
21
Q

What is the treatment of dislocation?

A
  • Reduction
  • Muscle relaxants
  • Protect to allow soft tissue to heal
  • Early protected mobilisation
  • Rebuild muscle strength
22
Q

Explain muscle injury due to overuse

A
  • Intrinsic and extrinsic factors, increased participation, increased intensity and duration lead to overload
  • Overload leads to tissue injuries
  • Tissue injury leads to inflammation which leads to pain
  • If there is continued activity it can lead to tissue injury
23
Q

When does strain/tear of muscle occur?

A
  • When demand exceeds muscles capacity
  • Common if cross 2 joints
  • Common during sudden acceleration or deceleration
24
Q

Which muscles are most commonly affected my strain/tear?

A
  • Hamstring
  • Quadriceps
  • Gastrocnemius
25
Describe grading of muscle strain/tear
Grade 1: few fibres, localised pain, no loss of strength Grade 2: significant no. of fibres, swelling, pain on contraction, reduced strength and limitation of movement Grade 3: Complete tear - most common at musculotendinous junctions
26
What is the management of muscle strain/tear
*  First aid to minimise bleeding, swelling and inflammation *  Electrotherapy *  Soft tissue therapy *  Stretching *  Strengthening
27
What are the predisposing factors to muscle strain/tear
*  Inadequate warm up *  Insufficient joint range of motion *  Excessive muscle tightness *  Fatigue/overuse/inadequate recovery *  Muscle imbalance *  Poor technique * Previous injury *  Altered biomechanics
28
What causes a quadriceps rupture
*  Direct impact against contracted muscle | *  Or sudden vigorous contraction due/ direct blow to muscle belly
29
What is the cause of hamstring rupture?
Overload and forceful contraction
30
What are the symptoms and signs of hamstring rupture?
*  Sudden intense pain *  Muscle spasm *  Tenderness and swelling *  Potential palpable gap
31
What is the treatment of hamstring rupture?
*  NSAIDs *  Electrotherapy *  Strength and stretching exercises *  Surgery in sportsmen
32
What makes up a tendon?
Normal tendons consist of tight parallel bundles of collagen fibres
33
Where are injuries to tendons most likely to occur on the tendon?
At the point of least blood supply
34
Which sites are the most common for tendon injury?
*  Achilles | *  Supraspinatus at shoulder
35
Where does the achilles tendon run?
From gastrocnemius to insert into the posterior aspect of the heel
36
What are the signs of achilles tendonopathy?
*  Pain, especially going uphill as it is compressed *  Local swelling *  Local tenderness *  Crepitus on ankle movement
37
What is the prevention of achilles tendonopathy?
*  Active rest, alter the training schedule *  Heel wedge *  NSAID *  Immobilisation *  good shoes with no heel tabs *  DO NOT steroid inject