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What are the four levels of ahtletic participation? fundametal stg (bottom), physical fitness (middle), rehab (outside middle), and performance (elite sport science at the top)
what is an ex of the fundamental stf of athletic partcipiation? skills and drills program
What is the importance of the fundamental stg that cannot be ignored? "all things only grow once"
What is developed in the fundamental stage of athletic participation? development of movt skills, body awareness, skilled actions, problem solving via activities that are age appropriate for the symmetric growth and development of the child.
What are the 4 goals of the rehabilitation of athletic performance? 1.immediate care (reduce swelling, RICE, limit deconditioning. 2. restore ROM, strength, balance, endurance (not speed). 3. test for return to play (norm balance, prop, strength. 4. resume training for fitness or performance
what is the rehabilitiation stage of the athletic participation? the process of resoring someone to a useful life who has been ill, injured of otherwise handicapped (tabers)
What are common expressions of physical fitnesss? the caridovascular paradigm and the speed-strength paradigm
what is phys fitness the ability to? to meet present and future challenges with success.
phys fitness is minimally and maximal in who? min in severly ill and max in highly trained athletes
what does adult fitness hinge on? hinges on the develoment of symmetric body movt
What does elite sport science focus on? performance based athletic participation that is not a natural or healthy thing to do for the body.
What's the pre-imminent goal of elite sport sci? stellar atheltic performance outcomes
What are the biomotor skills? speed, strength, endurance, flexibility, and the ABCs of agility, balance, and coordination.
how is elite sports sci acheived? development of the bodys biomotor skills, and the ability of the body to handle the associated psychological stresses.
in elite sports sci what is done to handle greater and greater stresses (increased work capacity) translating to increased athletic performance? elevation of the adaptive levels of the body.
what is pre-hab? training in a warm up situation to prevent injury.
Scope definition range & extent of actions, legal practice parameters
how is scope determined? by indiviual states (NY board of regents, ex)
def of duty any action required by ones profession or by legal considerations.
What does NATA stand for? national association of athletic trainers
who is usually the first responder in team game situation ath trainer
what type of degree does an ath trainer have? 4 yr college degree
what must 25% of the ath trainers hours be? at level II and level III sports (contact and collision)
do ath trainers have continuing ed requirements? yes
what % of states require licensure of ath trainer? 50%
what is the tx scope of the ath trainer? acute, non-life threatening injuries, intial on-field assessment and management, taping, adjunc therapies, bracing, elastic wraps, ice
what does healthcare admin include in regard to their role in sports? emergency plans, adherence to universal precautions, maintenance of heatlhcare records.
What are the roles of a healthcare professional in sport? injury prevention, recognition (eval and immedate care of injured ath), rehab and condition, healthcare admin, professional development
What are 5 standards of professional practice? inform individuals of the risks, protct from injury as possible, deliver expedient care, rehab as necessary, maintain confidentiality of heatlcare records.
What is in the athletic triage model? life support - emergency medical serive, acute- non ife threatening - ath trainer, performance enhancement and restoration and regen - massage, chiro, sports psychology
In how many states are chiros deemed physicians? 30+ states
who is the final authoirty to determine the metnal and phys readiness of an athlete? team physician
what does the physician adminster? physical exams
what does the physician review for the athletes? pre-season conditioning programs
what does the team physician dx? injuries
what does the team physician direct? rehab programs
what does the team phys educate the staff on? emergency procesures
what does the physician facilitate? referrals
What 4 things does a med doc, or EMT take care of? acute or life threatening injuries and illnesses, 2.cpr, 3.drug therapies, 4.stabilization andor tx of injured athletes
what 4 things does the chiro take care of in the athletic triage? post competition restoration and regen, pre-comp performance enchancement, spine and extremity articular joint manipulation, soft tissue work//flexibility.
what does the massage therapist work on with the athlete? soft tissue, flexibility, precomp performance enhancement, post comp accelerated recovery.
who are the experts in the field of guided imagery, relax techs and visualization? sports psychologist
what 4 other roles does the sports psychologist do? direct mental focus, help maintain positive reference, help manage anxiety levels, all contributing to performance enhancement.
what is neers impingement test an implication of? impingement of supraspinatus under acromion, posterior instability or laxity.
what are the pos findings of neers impingement est? ant or ant late shoulder pain, SOF post pain or gliding.
What is obriens test an indication of? Ac joint lesion, slap tear, posterior instability.
obriens test notes/pos findings pain must remiss with part II of test, part I = pain @ the AC joint ant/lat/ or post shoulder.
what is the implication of kaplas sign? lateral elbow tendonitis (lat epicondylitis, lat tendonopathy)
what is the pos finding of kaplans sign? decreased pain @ lat epidcondyle once elbow brace is worn. Increased strength with dynamometer.
What questions must you as in the hx location, mec of injury, pall prov, postions, movts, activities that inc or dec pain, have txs been tried, and what extent successful, drug therapies, etc.
when does pain occur in active rom with mm or tendon injury in acute stage? pain during mid range
in passive ROM what indicates subacute lig problem pain at end range
when overpressure of ROM what indicates chronic problems of joint and cartilage?? pain past end range.
what are the three phases of care? 1. acute care/stabilization, 2. rehab, 3. optimal function
how long is the acute care/stabilization phase of care? 1-21 days
how long is rehab? 2-50 weekss
how long is optimal function of phase care return to play! no more?
What are the tx goals of acute care/stabilization stabilize condition, dec sx pain, inc rom, and decrease inflam
what are the tx goals of phase II (rehab)? restore function, inc rom, inc strength, inc endurance, inc agility balance and coordination/skill
what are the ABCs? agility, balance, coordination/skill
what are the tx goal of phase III (optimal func) return to play, CMT to optimize function, CMT to accelerate recovery, CMT to enhance performance.
What will change with each phase of care (I-III)? the working diagnosis
where should the inital touching pressure be applied? to the shoulders
MFTP pattern of hip and low back? quadratus, lumbar ES, glut med, piriformis, It band, lat head of gastroc, psoas
shoulder MFTC constellation pattern RTC mms, lev scap (low MFTP = high cerv csublux), rhomboids, traps, pec minor*
low MFTP in lev scap means? high cerv sublux
neck MFTP constellation pattern? lev scap, occipitals, SCM, scalenes, with related shoulder pattern
elbow MFTP pattern pronator teres, biceps, extensor group
Knee MFTP pattern? vast medialis, adductor magnus, lat head gastroc
hand MFTP pattern? thenar mms, pronator teres, extensor and flexor groups
def of dynamic stability? a stable, balanced state as an athlete moves trhu an activity. (ex trendelenberg runner, lack of dynamic stabilizers)
stretch reflex aka stretch shortening cycle? elastic energy within the body.
biomotor changes with training was documented by who? ozolin in 1972
biomotor change of flexibility is? day to day
biomotoer changes of strength is? week to week
biomotor changes of spped is? month to month
biomotor changes of endurance is? yr to yr
generally flexibility should be ____, not ____ should be optimized, not maximized.
flexibility is not a ____ trait, (yeT) competitive
what are two goals of flexibility? used to void injury & improve performance, and to develop adequate flexibility w/o causing injury.
what is laxity? the degree of abnormal motion or instability of a joint
what is the def of flexion? the total achievable excursion (w.in limits of pain) of a body part thru its potential ROM. Also the degree of normal motion includes stretching and laxity.
what 5 things does joint laxity lead to? 1.inc change of reinjury, 2.poor dynamic stability, 3.tendon and or musculo-tendonous injuries, 4.inc ground contact times, 5. poor force production.
what is the mm to tendon stretch ratio? 20:1
muscle tendon unti is a major site for? injury
negligence breach of duty of care that causes harm to another.
Liability/Standard of care definition? what another minimally competent profession educated and practicing in the same profession would have done in the same or similar circumstances to protect individuals from harm.
what is the required equipment for sports events portable table, 128 hz tuning fork, sun block, speeder board, headrest paper, seasonal clothing, disopsable wipes, BP cuffs, gloves, snacks.
Why do we keep records? liability concerns, document dx and tx, generate stats for future reference.
What stats are generated for future reference in our record keeping? age ranges, cheif complaints, technique utilization, first timers, etc.
What is forseeability of harm? ability to recognize the potential for injury and remove it before injury occurs.
what are the areas of concern included in forseeability of harm tx area (orderly), equipment, ground/fields/side lines (Hoosiers movie..)
are you required to perform ROM on every pt? no, only if acture injury, and strongly recommended to perform ROM testing on your 1st pt of the day, or if cheif complaint of a joint, do rom of that joint.
What ortho tests is it strongly recommended every pt be evaluated for? neutral cervical compression, dejerine, 2 legged becterews, and trendelenberg.
are you required to perfom ortho tests on every pt? no
Created by: margaretrhager