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Sport injuries
and PREVENTION
By,
Aya Hany Abd ELRahman
 Sport injuries require special focus on the identification of
injuries, care, prevention and treatment, therapies for injury
management.
 Soccer
 Wrestling
SPORT INJURIES
The kind of injuries that most commonly
occur during sports or exercise.
 Some sports injuries result from accidents:
others due to poor training practices,
improper equipment or insufficient warm-up
or stretching.
• While it is possible to injure any part of the body when playing
sports, the term sports injuries is commonly used to refer to
injuries of the musculoskeletal system.
Classified as ..
Sports injuries
traumatic
extrinsic
acute chronic
intrinsic
overuse
ACUTE INJURIES
 Characterized by sudden appearance of symptoms
usually associated with a single traumatic incident.
 Pain and loss of function are immediate.
 These can be classified as either:
Direct: caused by external force as collision between
two players or between player and equipment
 Brusis
 Fracture
 Cuts
 Indirect : caused by internal force as over stretching
a ligament in sudden change direction in turnover
in basketball
 Strain
 Sprain
 Tear
ACUTE INJURIES
Sprains, strains and bruises
 A sprain is an injury that involves the ligaments and
other soft tissues around a joint, such as an ankle
or wrist. It is a stretch or tear of a ligament.
 A strain occurs away from a joint and involves a
twisted, torn or over-stretched muscle or tendon,
commonly in the calf, thigh or lower back.
Symptoms and signs:
 Pain at the site of the injury
 Loss of power in the injured area especially
with a sprained joint
 Swelling of the injured area
 Nausea
 Feeling faint
 Pale, cold and clammy skin due to shock
Sprains, strains and bruises
CHRONIC INJURIES
 Gradual onset and are caused by repetitive
light trauma to soft tissue or bone.
 as a result :
weakness to the injured site
insufficient rehabilitation after injury.
 Pitching a baseball
Overuse injuries:
*Due to excessive and repeated use of
the same muscle, joint or bone.
*Gradual increase of pain.
 shin splint
11
Overuse Injuries
Common sport injuries
Shin splints: pain along the outside front of the lower leg, due to
inflammation of thin layer cover bone and by tiny fracture in the bone.
Ankle sprains : typically occurs when the foot turns inward.
Groin pull: Pushing off in a side-to-side motion causes strain of the inner thigh
muscles, or groin
Hamstring strain: is a tear of the hamstring muscle fibers.
soccer, football, baseball, basketball, and many track and field events.
Common sport injuries
• Tennis elbow (epicondylitis) : is an injury to the muscles on the outside
(lateral aspect) of the elbow that results from overuse or repetitive stress of
the elbow muscle.
Patellofemoral Syndrome : the repetitive movement of your kneecap (patella)
against your thigh bone (femur).
CHRONIC TRAUMATIC
ENCEPHALOPATHY
Is a progressive degenerative disease found in people who have had
a severe blow or repeated blows to the head.
The disease was previously called dementia pugilistica (DP), i.e.
"punch-drunk," as it was initially found in those with a history of
boxing.
CTE has been most commonly found in professional athletes
participating in American football, rugby, ice hockey, boxing,
professional wrestling and other contact sports who have repeated
concussions or other brain trauma.
WHAT IS CHRONIC TRAUMATIC
ENCEPHALOPATHY (CTE)?
•Main Symptoms include
generally begin 8–10 years after experiencing repetitive
mild traumatic brain injury.
•disorientation
•dizziness
•Headaches
disabilities appear with progressive deterioration
 memory loss
 social instability
 erratic behaviour
THEN
 progressive dementia,
 slowing of muscular movements
 impeded speech
 tremors
 vertigo
 deafness
 suicidality.
Additional symptoms include dysarthria, dysphagia, and
ocular abnormalities - such as ptosis.
Diagnosis of CTE
• CTE cannot currently be diagnosed during lifetime.
• The only known diagnosis for CTE occurs by studying the
brain tissue after death.
CONCUSSIONS
are non-structural injuries and do not result in brain bleeding, which is why
most concussions cannot be seen on routine neuroimaging tests such as CT
or MRI
Acute concussion symptoms (those that occur shortly after an injury) should
not be confused with CTE.
Differentiating between prolonged post-concussion syndrome (PCS,
where symptoms begin shortly after a concussion and last for weeks,
months, and sometimes even years) and CTE symptoms can be
difficult
Definition:
 Sudden hyperextension and hyperflexion injury to neck
 An acceleration/ deceleration mechanism of Energy transfer
to the neck
 Whip-like movement
WHIPLASH INJURY.
CAUSES:
RTA commonly- front/ back/ side
Contact sport injuries
Accidental/ intentional blows to head
Child abuse- shaking, hitting
Cervical acceleration-deceleration injury
INCIDENCE:
53% of 5.5 million RTA victims suffered
whiplash injury
WHIPLASH ASSOCIATED DISORDERS
(WAD)
 Classed by severity of signs and symptoms
 WAD 0 No complaints or physical signs
 WAD 1 Neck complaints but no physical signs
 WAD 2 Neck complaints and musculoskeletal signs
 WAD 3 Neck complaints and neurological signs
 WAD 4 Neck complaints and fracture / dislocation
 Most whiplash injury results from low impact collisions
 Neck pain: The hallmark symptom
 Lower Back Pain
 Stiffness
 ↓ ROM
 abnormal sensations arms (burning/ paraesthesia)
SYMPTOMS AND SIGNS
General neurological
• dizziness
• headache
• blurred vision
• pain on swallowing
• ringing in ears
• irritability
• tinnitus
SYMPTOMS AND SIGNS
SYMPTOMS AND SIGNS
 Psychological-
• memory loss
• cognitive impairment
• sleep disturbance
• fatigue
• depression
• PTSD
SYMPTOMS AND SIGNS
 Whiplash syndrome-
• continual headache
• pain
• reduced movement
• tingling
• lumbar pains
• fatigue
• sleep disturbance
Chronic Whiplash
Complex interaction between many factors:
Biological
Psychosocial Legal
Economics Beliefs / Attitudes
Psychological factors are also hypothesized to influence the
existence of whiplash-related cognitive impairments.
INVESTIGATIONS
 X-rays- exclude #
 CT
 MRI:
- Increase tear in cervical ligament & vasculature
- Disk herniation
TREATMENT
1-Education:
Explain benign nature of WAD
Avoid confusing and conflicting info
Home / work programmes as effective as
physiotherapy
Teach relaxation and stress management
Educate posture and neck care
2-Medication:
Analgises prevent breakthrough pain
Muscle relaxant- Diazepam/ Baclofen
3-Physical Therapy/ Rehabilitation:
Keep neck moving as normally as possible!
Collars not recommended
Gentle mobilisation
Avoid ‘stiffening-up’
Studies- quicker recovery with gentle
exercise.
Minimally Invasive Pain Management
Procedures
Cervical and Thoracic facet joint injections
Risk Factors
Intrinsic
Muscle
Imbalance
Postural
Defects
Overuse
Age
Poor
Technique
Inadequate
Warm up
HOW CAN WE REDUCE THE RISK
OR HAZARDS?
Health/ Fitness
Skill and technique
Training
hydration
Warm up/ Warm down
Correct clothing and equipment
Correct footwear
No Jewellery
Obeying of the rules
Treatment depends on the type
and severity of the injury.
Mild sprain or strain can be
treated at home using RICE
therapy.
Acute injury management
RICE Method
• R – Rest – 2-3 days with
immobilization
• I – Ice – Reduces pain and
spasm, minimizes cell death and
causes vasoconstriction
• C – Compression – Decreases
swelling by slowing the flow of
fluid to the area
• E – Elevation – Decreases
swelling by encouraging blood to
return to the heart
Chronic injury management
• Pain killer& NSAIDs
• Immobilization: prevent further damage by reducing movement,
reduces pain, muscle swelling and muscle spasm.
Chronic injury management
• Corticosteroid injections
• Physiotherapy: using massage, manipulation and special
exercises to improve the range of motion and return the normal
function of injured area
Long-term injury can be treated with a programme of walking and
swimming to help strengthen the muscles in the affected body part
• Heat Treatment: to
increase blood flow
relief pain
increase flexibility
Surgery: in sever injuries
During surgery for a broken bone it may be necessary to fix the bones
with wires, plates, screws or rods, known as open reduction and
internal fixation (ORIF).
Rehabilitation
Chronic injury management
Rehabilitation
• Start with alternative training
• Circuit training
• Conditioning
• Endurance
• Flexibility
• Strength training
• Stretching techniques
• Warm-up
• Weight training
Prevention of sport injuries
• Warm Up
• Cool Down
• Hydration
• Proper Technique
• Equipment
• Physical Conditioning
• Facilities Management
• Balanced Opponents
• Rules and Enforcement
IF WE DIDN’T TRY AND REDUCE THE RISK
IN SPORT, WHAT COULD HAPPEN?
 Injuries such as pulled muscles, broken bones
etc
 Illnesses such as heart attack, shock, asthma
attack etc
 Violence such as fighting with the opposition
or referee
Sport injuries and prevention

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Sport injuries and prevention

  • 2.  Sport injuries require special focus on the identification of injuries, care, prevention and treatment, therapies for injury management.  Soccer  Wrestling
  • 3. SPORT INJURIES The kind of injuries that most commonly occur during sports or exercise.  Some sports injuries result from accidents: others due to poor training practices, improper equipment or insufficient warm-up or stretching. • While it is possible to injure any part of the body when playing sports, the term sports injuries is commonly used to refer to injuries of the musculoskeletal system.
  • 4. Classified as .. Sports injuries traumatic extrinsic acute chronic intrinsic overuse
  • 5. ACUTE INJURIES  Characterized by sudden appearance of symptoms usually associated with a single traumatic incident.  Pain and loss of function are immediate.  These can be classified as either: Direct: caused by external force as collision between two players or between player and equipment  Brusis  Fracture  Cuts
  • 6.  Indirect : caused by internal force as over stretching a ligament in sudden change direction in turnover in basketball  Strain  Sprain  Tear ACUTE INJURIES
  • 7. Sprains, strains and bruises  A sprain is an injury that involves the ligaments and other soft tissues around a joint, such as an ankle or wrist. It is a stretch or tear of a ligament.  A strain occurs away from a joint and involves a twisted, torn or over-stretched muscle or tendon, commonly in the calf, thigh or lower back.
  • 8. Symptoms and signs:  Pain at the site of the injury  Loss of power in the injured area especially with a sprained joint  Swelling of the injured area  Nausea  Feeling faint  Pale, cold and clammy skin due to shock Sprains, strains and bruises
  • 9. CHRONIC INJURIES  Gradual onset and are caused by repetitive light trauma to soft tissue or bone.  as a result : weakness to the injured site insufficient rehabilitation after injury.  Pitching a baseball
  • 10. Overuse injuries: *Due to excessive and repeated use of the same muscle, joint or bone. *Gradual increase of pain.  shin splint
  • 12. Common sport injuries Shin splints: pain along the outside front of the lower leg, due to inflammation of thin layer cover bone and by tiny fracture in the bone. Ankle sprains : typically occurs when the foot turns inward. Groin pull: Pushing off in a side-to-side motion causes strain of the inner thigh muscles, or groin Hamstring strain: is a tear of the hamstring muscle fibers. soccer, football, baseball, basketball, and many track and field events.
  • 13. Common sport injuries • Tennis elbow (epicondylitis) : is an injury to the muscles on the outside (lateral aspect) of the elbow that results from overuse or repetitive stress of the elbow muscle. Patellofemoral Syndrome : the repetitive movement of your kneecap (patella) against your thigh bone (femur).
  • 15. Is a progressive degenerative disease found in people who have had a severe blow or repeated blows to the head. The disease was previously called dementia pugilistica (DP), i.e. "punch-drunk," as it was initially found in those with a history of boxing. CTE has been most commonly found in professional athletes participating in American football, rugby, ice hockey, boxing, professional wrestling and other contact sports who have repeated concussions or other brain trauma. WHAT IS CHRONIC TRAUMATIC ENCEPHALOPATHY (CTE)?
  • 16. •Main Symptoms include generally begin 8–10 years after experiencing repetitive mild traumatic brain injury. •disorientation •dizziness •Headaches disabilities appear with progressive deterioration  memory loss  social instability  erratic behaviour
  • 17. THEN  progressive dementia,  slowing of muscular movements  impeded speech  tremors  vertigo  deafness  suicidality. Additional symptoms include dysarthria, dysphagia, and ocular abnormalities - such as ptosis.
  • 18. Diagnosis of CTE • CTE cannot currently be diagnosed during lifetime. • The only known diagnosis for CTE occurs by studying the brain tissue after death. CONCUSSIONS are non-structural injuries and do not result in brain bleeding, which is why most concussions cannot be seen on routine neuroimaging tests such as CT or MRI Acute concussion symptoms (those that occur shortly after an injury) should not be confused with CTE. Differentiating between prolonged post-concussion syndrome (PCS, where symptoms begin shortly after a concussion and last for weeks, months, and sometimes even years) and CTE symptoms can be difficult
  • 19. Definition:  Sudden hyperextension and hyperflexion injury to neck  An acceleration/ deceleration mechanism of Energy transfer to the neck  Whip-like movement WHIPLASH INJURY.
  • 20. CAUSES: RTA commonly- front/ back/ side Contact sport injuries Accidental/ intentional blows to head Child abuse- shaking, hitting Cervical acceleration-deceleration injury
  • 21. INCIDENCE: 53% of 5.5 million RTA victims suffered whiplash injury
  • 22. WHIPLASH ASSOCIATED DISORDERS (WAD)  Classed by severity of signs and symptoms  WAD 0 No complaints or physical signs  WAD 1 Neck complaints but no physical signs  WAD 2 Neck complaints and musculoskeletal signs  WAD 3 Neck complaints and neurological signs  WAD 4 Neck complaints and fracture / dislocation  Most whiplash injury results from low impact collisions
  • 23.  Neck pain: The hallmark symptom  Lower Back Pain  Stiffness  ↓ ROM  abnormal sensations arms (burning/ paraesthesia) SYMPTOMS AND SIGNS
  • 24. General neurological • dizziness • headache • blurred vision • pain on swallowing • ringing in ears • irritability • tinnitus SYMPTOMS AND SIGNS
  • 25. SYMPTOMS AND SIGNS  Psychological- • memory loss • cognitive impairment • sleep disturbance • fatigue • depression • PTSD
  • 26. SYMPTOMS AND SIGNS  Whiplash syndrome- • continual headache • pain • reduced movement • tingling • lumbar pains • fatigue • sleep disturbance
  • 27. Chronic Whiplash Complex interaction between many factors: Biological Psychosocial Legal Economics Beliefs / Attitudes Psychological factors are also hypothesized to influence the existence of whiplash-related cognitive impairments.
  • 28. INVESTIGATIONS  X-rays- exclude #  CT  MRI: - Increase tear in cervical ligament & vasculature - Disk herniation
  • 29. TREATMENT 1-Education: Explain benign nature of WAD Avoid confusing and conflicting info Home / work programmes as effective as physiotherapy Teach relaxation and stress management Educate posture and neck care
  • 30. 2-Medication: Analgises prevent breakthrough pain Muscle relaxant- Diazepam/ Baclofen 3-Physical Therapy/ Rehabilitation: Keep neck moving as normally as possible! Collars not recommended Gentle mobilisation Avoid ‘stiffening-up’ Studies- quicker recovery with gentle exercise.
  • 31. Minimally Invasive Pain Management Procedures Cervical and Thoracic facet joint injections
  • 33. HOW CAN WE REDUCE THE RISK OR HAZARDS? Health/ Fitness Skill and technique Training hydration Warm up/ Warm down Correct clothing and equipment Correct footwear No Jewellery Obeying of the rules
  • 34. Treatment depends on the type and severity of the injury. Mild sprain or strain can be treated at home using RICE therapy.
  • 35. Acute injury management RICE Method • R – Rest – 2-3 days with immobilization • I – Ice – Reduces pain and spasm, minimizes cell death and causes vasoconstriction • C – Compression – Decreases swelling by slowing the flow of fluid to the area • E – Elevation – Decreases swelling by encouraging blood to return to the heart
  • 36. Chronic injury management • Pain killer& NSAIDs • Immobilization: prevent further damage by reducing movement, reduces pain, muscle swelling and muscle spasm.
  • 37. Chronic injury management • Corticosteroid injections • Physiotherapy: using massage, manipulation and special exercises to improve the range of motion and return the normal function of injured area Long-term injury can be treated with a programme of walking and swimming to help strengthen the muscles in the affected body part • Heat Treatment: to increase blood flow relief pain increase flexibility
  • 38. Surgery: in sever injuries During surgery for a broken bone it may be necessary to fix the bones with wires, plates, screws or rods, known as open reduction and internal fixation (ORIF). Rehabilitation Chronic injury management
  • 39. Rehabilitation • Start with alternative training • Circuit training • Conditioning • Endurance • Flexibility • Strength training • Stretching techniques • Warm-up • Weight training
  • 40. Prevention of sport injuries • Warm Up • Cool Down • Hydration • Proper Technique • Equipment • Physical Conditioning • Facilities Management • Balanced Opponents • Rules and Enforcement
  • 41.
  • 42. IF WE DIDN’T TRY AND REDUCE THE RISK IN SPORT, WHAT COULD HAPPEN?  Injuries such as pulled muscles, broken bones etc  Illnesses such as heart attack, shock, asthma attack etc  Violence such as fighting with the opposition or referee