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CQ4 - How is Injury Rehabilitation Managed - Coggle Diagram

- - - - Should begin as early as possible reduce recovery time and prevent scar tissue. Increased ROM should be pain free involving passive and active movement. utilizes dynamic, static, and PNF stretching but not ballistic, as this can cause further damage. Begins with static before PNF stretches are used. Dynamic stretching is used throughout rehab, with slow passive movements at the beginning. Progression and use of stretching for mobilisation are individualised due to the type of person and type of injury.
  - - - Conditioning: Use isometric exercise first to progressively increase muscle length. Prevent muscle atrophy. This will progress to resistance exercises including weights. Ankle injury application complete calf raises on one leg progressing to balancing and moving arms establishing proprioception.
      - TBF - enhances recovery and ensures athletes can return to sport pre injury fitness levels. Activities should not hinder the recovery from injury.
      - Stretching - Restores flexibility and assists muscles in muscle in regain elasticity. Decreased muscle tension, increased circulation and ROM, increased muscle and tendon length. Begin with slow static stretching, progress to PNF and then active stretching. For ankle injury, start with balabce board in a seated position and dorsi and plantar flexion then increase range to move to standing position.
  - - - n first 72 hours after injury occurs, or following a rehabilitation session, it is important to ice the area to aid in the removal of waste products and reduce swelling at the site. Cryotherapy. The purpose of using cold in rehabilitation is to reduce pain, blood flow/bleeding and inflammation. This is applied immediately after the injury occurs and after treatments/exercise during rehabilitation of the injury. Methods of management include ice massage, cold water immersion, contrast therapy and va coolant srays (placebo).
- - - - Players will feel as though they must return to play asap due to external pressures being placed on them by fans, peers, and team forcing them to play before they are ready. Painkillers may be used or other drugs to minimise ppain during performance, hwoever can lead to furhter injury.
        
        Painkillers: The use of painkillers in order to return an athlete to play is another ethical consideration. Pain exists to tell the athlete when a particular movement causes further damage to the body. Pain is an indicator that injury is occurring or has occurred. There is greater pressure during an individual sport than in a team sport, because often a substitution can be made in a team sport, but to pull out as an individual guarantees the loss. Athlete’s and their medical team need to weight up the risks and rewards of the use of painkillers during competition. This ethical consideration should not be taken lightly, especially for a young athlete beginning their career. PLayers should not take any substances that messes with the natural feelings that the body experiences as this can lead to significant injuries.
        
        Pressure to participate: May face internal and external pressures to return back to play before fit. External pressure can also come from losing financially or seeing a sports ranking loss while not competing. Coaches can see their players as a commodity and see to get from their athlete what they are costing the club. Commonly seen in rugby. Internal pressures are more signficant has their drive is much more harshly motiavted. This may be seen through the drive to win, and need to be be involved.
    - - Before an injured athlete can return to normal competition, they need to undergo testing to ensure that they are both psychologically and physically prepared. Active and effective rehabilitation will ensure the healing process has resulted in a marked improvement to the injured site. Testing should demonstrate that the athlete has a full range of movement at the injured site, so that the athlete can push the recovered part of the body to a high intensity in competition. Improvance in strength and flexibility should be avident after basic fitness and skills tesing. Confidence is vital as they need to put their body in situations that challenge injured site. There are two indicators of readiness: They promote athlete wellbeing and prevention of reinjury:
        
        Pain Free: When an athlete is ‘pain free’ it indicates that they are nearly ready to return to play. Pain free means that the athlete is comfortable when performing the skills required for the sport that they compete in following the injury they sustained. Means a player who has strained their hamstring needs to participate in mini drills during actual comp simulations. Risk reinjury is they return to play and are not ready.
        
        Degree of mobility: The degree of mobility refers to the amount of movement around the injured area. If the athlete has torn a hamstring then they need to have restored their mobility or range of movement that is smooth and slow at both the hip and knee of the injured hamstring. This should show confidence in speed and power of perfomance.