Sports Med: Injury Rehabilitation

Question 1

what are the rehabilitation procedures

Answer 1

-progressive mobilisation
-graduated exercise (stretching,
-conditioning, total body fitness)
-training
-use of heat and cold

Question 2

what is rehabilitation

Answer 2

the process of restoring athlete to pre-injury level of fitness

Question 3

what are the aims of rehab

Answer 3

restore optimal function

prevent re-injury

return to comp. quickly and safely

Question 4

define progressive mobilisation

Answer 4

gradually increasing range injured part is moved through

eg. flexing/extending knee after ACL injury

Question 5

what are the two different methods of progressive mobilisation

Answer 5

active and passive

Question 6

what is active progressive mobilisation

Answer 6

injured person performing the movement

Question 7

what is passive progressive mobilisation

Answer 7

physio/another person performing movement

Question 8

what does stretching in regards to graduated exercise do

Answer 8

increase flexibility of scar tissue

strengthen and stretch affected area

Question 9

what type of stretching is most appropriate for graduated exercise

Answer 9

PNF

Question 10

what does conditioning in regards to graduated exercise do

Answer 10

strengthen muscles in surrounding area eg. quads, calves and hamstrings for knee injury

prevent muscle atrophy (wasting)

Question 11

should conditioning in graduated exercise be specific to exercise and utilise progressive overload

Answer 11

yes

Question 12

what does total body fitness in regards to graduated exercise do

Answer 12

maintains overall body fitness eg. flexibility, endurance and strength

Question 13

what should total body fitness in regards to graduated exercise avoid

Answer 13

stressing injured area eg. an athlete with a broken wrist can run, but not complete push ups

Question 14

how should an athlete go back into training

Answer 14

progressively, avoiding contact drills early on.

Question 15

what should training focus on

Answer 15

re-establishing skills, co-ordination and confidence

training must be pain free before returning to competition

Question 16

how is heat effective in rehab

Answer 16

it increases flexibility, decreases joint stiffness and muscle spasms

Question 17

when is heat used and what are examples

Answer 17

used before stretching, eg. heat pack

Question 18

when should heat not be used and why

Answer 18

shouldnt be used 2-3 days post injury as it increases bleeding

Question 19

how is cold effective in rehab

Answer 19

decreased swelling and inflammation
decreased pain

Question 20

when should cold be used and what are examples

Answer 20

used after rehab exercises on injured parts eg. cold pack

Question 21

can it be used 2-3 days post injury safely

Answer 21

yes

Question 22

what stretching should be used for a hamstring tear

Answer 22

PNF stretching eg. straight leg raise

Question 23

what conditioning exercises should be used for a hamstring tear

Answer 23

leg curl

Question 24

should a shoulder dislocation utilise progressive mobilisation

Answer 24

yes

Question 25

what type of conditioning exercises should be used for shoulder dislocations

Answer 25

neuromuscular control exercises to reposition ball in socket rotator cuff strengthening eg. theraband (elastic band)

Question 26

what are indicators of readiness to return to play

Answer 26

full mobility pain free positive mental state/confidence strength flexibility

Question 27

what are ways to monitor the progress of injured athletes

Answer 27

tests compare pre and post injury test results (must be within 10% to return to play)

Question 28

must the testing in monitoring progress be specific to injury include eg.

Answer 28

yes. agility test for knee injury

Question 29

what are signs of psychological readiness to return to play

Answer 29

athlete doesnt have anxiety in training about being re-injured, is confident with themselves

Question 30

how can psychological readiness to encouraged

Answer 30

taping for confidence

Question 31

what is a specific warm up procedure for an ACL injury

Answer 31

it focuses on injured area, includes stretching, strenghtening, plyometrics and agility of knee and surrounding areas

Question 32

at an amateur level, who should have the ultimate responsibility for deciding whether they return to competition

Answer 32

the athlete should, after consulting doctor/physio

Question 33

at an professional level, who should have the ultimate responsibility for deciding whether they return to competition

Answer 33

there is no ultimate individual, it is a mixture of tests of fitness and skills to measure the athletes capabilities. coaches and trainers also have input

Question 34

why arent these sorts of policies applied to all sports

Answer 34

there is a varying risk of re-injury in each sport. there is less risk of reinjury in golf when compared to rugby

Question 35

what are sources of pressures to participate in sport - ethical considerations

Answer 35

significance of event team mates coaches financial gain/loss sponsors

Question 36

why is using painkillers when injured bad for the athlete

Answer 36

it masks pain, which leads to an increase risk of further injury as athlete is unaware they are doing damage prolongs healing process