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| Founder of UM AT program, 1st UM AT, founded program in 1971 |
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| prevention, clinical eval/diagnosis, immediate care, treatment/rehab/reconditioning, organized admin, professional responsibility |
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| States that require licensure |
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| the most restrictive form of professional and occupational regulation |
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| legally responsibility for harm one causes to another person |
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| failure to use ordinary or reasonable care (common sense) |
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| operate within appropriate limitations of educational background |
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| only operate within your realms ( level vs ethical duty) |
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| legal wrongs committed against a person |
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| act of omission, failure to perform legal duty |
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| act of commission; perform action not legally able to perform |
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| performs legal action inappropiately |
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| have to prove duty to provide coverage, duty was breached by failing to use reasonable care, prove sig link between failure to perform and injury suffered |
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| specific length of time an individual can sue for an injury, varies by state (1-3 yrs) |
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| athlete made aware of inherent risks involved in participation, voluntarily decides to continue participating |
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| how to reduce risk of litigation |
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| documentation, education, relationships, common sense, safety mechanisms, warn athletes, prior planning, supervision |
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| forces that pull and stretch tissues |
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| force resulting in tissue crush |
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| force that moves across two surfaces in opposite direction |
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| twisting in opposite direction |
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| results of compression on concave side and stretching on convex side |
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| rubbing causes fluid collection |
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| wound where skin irregularly torn |
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| skin completely ripped from source |
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| hematoma results from blood and lymph flow in surrounding tissue |
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| stretch, tear or rip to muscle or adjacent tissue |
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| knot or hard spot in muscle |
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| inflammation of muscle tissue |
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| (muscle) tendonitis or tendonisis |
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| gradual onset, tenderness b/c repeated microtrauma |
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| inflammation of synovial sheath |
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| traumatic joint twist... stretching or tearing of connective tissue |
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| partial dislocation causing incomplete separation of 2 bones |
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| total disunion of bone apposition between articular surfaces |
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| degeneration changes to epiphyses of bones during rapid child growth |
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| wearing away of hyaline cartilage as a result of normal use |
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| bursa sacs inflame in areas of friction |
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| right angle to bone's axis |
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| piece attached to tendon comes off |
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| ends are driven into each other |
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| normally occurs in kids incomplete bone is bent |
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| area where growth plate has been injured |
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| phases of healing process |
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| inflammatory, fibroblast repair, maturation-remodeling |
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| 2-4 days, injured area walled off, leukocytes phagocytize foreign debris |
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| up to 6 wks, proliferate, regenerative activity, leads to scar formation |
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| collagen fibers realign, break down/synthesis of collagen, increase in tensile strength of scar matrix, up to 2-3 yrs |
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| bone and soft tissue will respond to physical demands placed on them causing them to remodel along lines of tensile force |
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| history inspection/observation palpation special tests |
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| 1st 30-60 seconds most essential, gain patient's trust, be clear organized |
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| bilateral comparison when possible, posture, appearance guarding/attitude scars bleeding |
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| preventing ankle/lower leg injury |
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| stretch, strength training, proper footwear, preventative ankle taping/orthoses |
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| calf injuries, circulation |
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| achille's tendon, should cause plantar flexion |
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| movements equal disrupted ligaments |
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| dorsal flexion test, high ankle sprain |
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| medial subtalar glide tst |
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Definition
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| grade I inversion ankle sprain |
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Definition
| E: inverison, plantar flexion SS: mild pain/disability, M: RICE 1-2 days |
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| grade II inversion ankle sprain |
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Definition
| E: mod inversion force SS: pop/snap, possible talar and anterior drawer testings M RICE 72 hrs, xray |
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| grade III inversion ankle sprain |
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Definition
| E: inversion SS: severe pain, can't WB M: RICE, xray, splint 3-6 wks |
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| E: eversion force possible fibula fx and deltoid damage SS: severe pain maybe, unable to WB M: rice, xray to rule out fx |
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| another word for high ankle sprain |
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| E: injury to distal tibiofibular joint, high external rotation or dorsiflexion, SS: severe pain, function loss, M: months of treatment, immobilation/total rehab, may be longer more than 5 mm space nees surgery |
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| E: rare acute traumatic syndrome due to direct blow or excessive exercise SS: lots of swelling compresses muscle, blood supply, nerves M: surgery |
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| as knee extends it externally rotates because medial femoral condyle is greater than the lateral, provides increased stability, popliteal "unlocks" allowing for flexion |
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| prevention of knee injuries |
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| equipment, conditioning, rehab and prehab, skill development, shoe type bracing (sometimes) |
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| E: severe blow or outward twist SS: valgus test is positive, joint stiffness M: rice, therapy, sometimes sx (usually not) |
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| positive anterior drawer test and lachman's test, POP |
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| E: fall on bent knee SS: pop in back of knee M:sx, depends |
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| SS: baker's cyst, mcmurray's test, apley's cmpression and distraction |
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| w/ meniscus tear, pocket of fluid that had tissue around it, starts from injury |
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| apley's compression and distraction |
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| if positive, could be meniscus, can be positive and not be a meniscus injury |
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| knocks off end of bone E: twisting, cutting, direct blow SS: snap, feeling of "giving way" M: sx |
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| E repeated trauma SS: may become lodged and causes locking/popping |
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| patellar subluxation/dislocation |
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Definition
| E: valgus force at knee, quad pulls patella out SS: loss of function M: sx vs conservative |
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| E: softening and deterioration of articular cartilage SS: pain with walking running stairs or squatting poss recurring swelling grating sensation M: strengthen VMO and quad |
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| E: develop boney callus resolves w/ aging, common cause is repeated avulsion of patellar tendon |
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| develop boney callus on inferior pole of patella |
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| E: jumping or kicking, sudden/repetitive extention SS: pain/tenderness, at inferior patella pole M: rehab, or surgery if chronic |
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| "stinger, burner" E: traction, direct contact @ erb's point SS: unilateral pain, shock, arm dangles M: when ss gone, full ROM, strengthen |
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| E: diving hockey, rugby, gymnastics, football SS: hangman's: C2 burst jefferson: C1 burst M: stabilize and transport |
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| E: spinal cord is too small SS: axial loading may cause transient quadriplegia, hyper flexion/extension M: no contact sports. ever. |
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| E: hermiatation develops from extruded posterolateral disk fragment/degeneration of disk SS: restricted ROM, neck pain M: rest, immobilization |
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| lumbar herniated disk injury |
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| spondylolysis vs spondylolisthesis |
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Definition
| lysis: fracture (scotty dog fracture) listhesis: vertebrae slips above or below another |
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