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Youth Lower Limb Overuse Injuries - Coggle Diagram
Youth Lower Limb Overuse Injuries
Blue hat - Overview
Aim
Returning back to activity
Preventing reoccurrence of injury
Addressing psychosocial factors
White hat-Facts
Prevalence
Injury more common during adolescent growth spurt
increased risk with >=0.6cm height growth/month
Apophyseal Injuries
Stress to growth plate during adolescent
Sever's lesion
Sinding-Laresen-Johansson lesion
Osgood Schlatter lesion
AIIS
ASIS
Lesser Trochanter
Ischial tuberosity
Navicular
5th metatarsal
Common injury
Osgood Schlatter
stress on patellar tendon attachment to tibial tuberosity
prominent on 10-14 years old
associated with
Decreased strength + power
Poor function
low quality of life
symptoms may continue for long
50% have pain 4 years post dx
90 months symptoms duration
almost half feels daily pain
significant reduced in exercise/sports participation
Assessment
Tenderness on tibial tuberosity
pain on Isometric knee extension
Reduced strength in knee extension
Girls: reduced hip abduction strength
Building block intervention
based on
Exercise therapy
Education
activity modification
pathophysiology
2 intervention blocks
Block 1 (0-4 weeks)
Block 2 (5-12 weeks)
Patellofemoral pain
may last 6-76 months
may precede OA development
87% have >12 months pain
Treatment
Education
Pathophysiology
Activity modification
'Activity Ladder'
Training load guidelines for patient
Supervised training
Unsupervised training
based on 3 intervention block
Block 1 (week1-4)
Block 2 (Week 5-8)
Block 3 (Week 9-12)
Injury Prevention
Exercise Programs
11+ program
PEP Program
Footy First
Clinical Pratice guideline
Sports training guideline
others
Sleep
Diet
Energy deficiency syndrome management
Scoliosis Ax + Mx
Yellow hat - Benefit
Useful as treating adolescent with sport injuries
Increased knowledge in management
Green Hat - creativity
Implementing a lot of education to adolescent patients
education to parents to improve compliance if appropriate
Improve exercise compliance with parents keeping them accountable
Red hat - Feeling
Inspired
Excited
Black Hat - caution/danger
ensure understanding as messages can be missed to other parties e.g school, trainer
lack of exposure to this population recently due to pandemic