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youth lower limb overuse injuries - Coggle Diagram
youth lower limb overuse injuries
facts
overuse
load issue
pathologies
stress # less common
apophyseal
Sinding-Larsen-Johansson
patella insertion
osgood schlatters
insusion of patella tendon onto the tibial tuberosit
reduced knee ext strength
females- reduced hip abd
severs lesion
calcaneus
AIIS
rectus femoris
ASIS
sartorius
lesser trochanter
illipspoas
ischial tuberosity
hamstring or adductor magnus
navicular
tib post
5th metatarsal
peroneal brevis
younger= more distal
other sites exist
hip maturity ~21 years
Patellofemoral pain syndrome
hip and knee strength
reduced hip ext strength
females reduced hip abd
taping
loading
physical activity guidlines
5-17:
60min mod-vigorous per day
-more could be better
should be aerobic
should include strengthening muscle and bone
growth
tendons stronger than growing bones
growth plates and growth sputs
non-linear
female: 11-12 and 13-14years
increase risk during growth spurts
growth vs maturation
maturation
immature structure
developing brain (risk tasking/concussions)
underdeveloped nuromusk control
decreased bone mineral density
reduce NMC
reduced flexibility
increased tensile forces on muscle attachments
63% increased risk in injury if >0.6cm i a month
no youth should compete or train on unrehabed injury
caution
language used to teach children and parents
pathologies
slipped capital femoral epiphysis
often present as knee pain
perthes
other
sleep
energy deficiency
scoliosis
future implication
resources from this lecture to look back on
activity ladders and specific functions
psychosocial considerations
injury prevention protocols
use clinical practise guidelines
implement a program before training esp in <18F
20min
high compliance
encourage programs 12-25yo in high risk sports
in all participants not just those at risk
current experience
small outpatient presentations in my setting
own injury as a child
previously interested
list of pathologies to refer to from uni
feelings
not confident in evidence based treatment
ok, basics guidance of reload and loading
limited knowledge
unclear when to image
more
treatment
OSD
12 weeks activity ladder
PFPS
activity ladder and education
early specialisation
one sport >8/12
females training >hours than ages in years
no more than 16hours/week
sport:free play 2:1
hours per week not more than age
follow guidlines of load