Daily Objectives Content Objectives Review the skeletal and muscular system Gain a basic foundational knowledge regarding soft tissue injuries Language Objectives Questions amp Answer Sessions ID: 332258
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Soft Tissue InjuriesSlide2
Daily Objectives
Content Objectives
Review the skeletal and muscular system.
Gain a basic foundational knowledge regarding soft tissue injuries.
Language Objectives
Questions & Answer Sessions
Complete Guided Reading Assignments
Complete Scenario AssignmentsSlide3
Pace Lap
What are the four common characteristics of all muscles?Slide4
Guided Reading Assignment
Please read page 315 -316 regarding The Contraction of Skeletal Muscle and complete the Flow Map Puzzle.
Define these three terms:
Motor Unit
Neuromuscular Junction
Acetylcholine
4Slide5
Scenario Assignment #1
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An athlete limps into the athletic training room during basketball practice complaining of Right Ankle pain. She states that while coming down from getting a rebound she inverted her right ankle. She states that she felt a “pop” and an intense pain on the lateral part of her ankle. During your observation you note that there is moderate swelling, pain, and some ecchymosis (discoloration). The special test reveal some ligamentous laxity compared to the opposite ankle.
What type of injury do you think that the athlete has?
How are your going to treat it?
When can they return to play?Slide6
Scenario Assignment #2
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While covering a high school track meet an athlete walks over to you and complains of pain in the posterior aspect of his right upper leg. He states that as he was running and he felt a “pop”. During your assessment you notice that his hamstring is cramping (spasm) and that he can not actively flex the knee without his pain increasing. Active and Passive hip flexion also cause pain. ROM is limited due to pain.
What type of injury do you think that the athlete has? (Be Specific)
How should you manage it?
When can they return to play?Slide7
Soft Tissue Injuries
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Often occur from external forces or overuse.
Types
Strains
Sprains
Tendonitis
Bursitis
Contusions.Slide8
Muscle Strains
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An injury to the muscle caused by twisting or pulling of a muscle or a tendon.
Mechanism of Injury
Traumatic movement (Acute)
Overuse (Chronic)
Signs and Symptoms
Pain
Spasm
Weakness
Localized Swelling
Loss of Function
Some EcchymosisSlide9
Muscle Strain Management
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Phase 1 (24-48 hours)
Goal: Reduce Swelling and Pain
Use of RICE (Rest, Ice, Compression, Elevation)
OTC or Prescription NSAID (Non-steroidal Anti-Inflammatory Drug)
Phase 2 (Rehabilitation)
Goal: Restore function of the injured body part.
Use of exercises and modalities to restore ROM and strength
Time frame depends on the severity of the initial injury.
Gradual return to activity.Slide10
Ligament Sprain
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Injury resulting from a fall, sudden twist, or blow that forces a joint out of its’ normal position.
Grade I (Mild)
Minimal pain and swelling
No loss of function
Grade II (Moderate)
Moderate pain and swelling
Some loss of function
Some ecchymosis
Grade III (Severe)
Sever e pain, swelling, and ecchymosis.
Ligamentous Laxity
Loss of FunctionSlide11
Ligament Sprain Management
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Refer to physician for X-ray if Grade II or Grade III
Immobilization
Time depends on severity of sprain.
RICE for 24-48 hours
Rehabilitation exercises to restore full pain free strength and ROM.
Must complete Sports Specific Activities prior to returning to play.Slide12
Tendonitis & Bursitis
Tendonitis
Inflammation of the tendon.
Bursitis
Inflammation of the bursa.
Mechanisms of Injury
Overuse (Most Common Cause)
Acute blow form and external force (Bursitis only)Signs and SymptomsPain over the affected tissue.
Pain increases with movement.
Pain is worse at nightSlide13
Tendonitis & Bursitis Management
Prevention is the best form of management.
Gradually increase activity to avoid excessive stress in a short time period.
Avoid activities that cause pain.
NSAIDS
Increase strength and flexibility of injured muscles that support the specific joint articulation.Slide14
Contusions
Injury resulting form a direct blow that does not break the skin.
Signs and Symptoms
Ecchymosis
Localized Pain
Treatment
Ice in stretched position
RehabilitationMaintain Muscle Activity.
Beware of
Myositis
Ossificans
A calcification that forms within the muscle.