File Name: sport rehabilitation and injury prevention .zip
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- Sports Injuries
- Everything You Need to Know About Sports Injuries and Rehab
- Recovery From Injury in Sport
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Return from athletic injury can be a lengthy and difficult process. The injured athlete commonly receives care from several providers during rehabilitation. As their condition improves, injured athletes resume strength and conditioning programs and sport-specific activities in preparation for return to play. Until full medical clearance is provided to return to sport and the athlete is psychologically ready to return to play, the injured athlete remains a patient regardless of who is developing and supervising each component of the recovery process.
An understanding of and commitment to the plan of care for each athlete, as well as communication among health care providers, strength and conditioning specialists, coaches, and the athletes, are essential to the safest and most efficient recovery from injury. The injured athlete commonly receives care from several providers, including physicians, athletic trainers, physical therapists, and strength and conditioning specialists.
At some point in the recovery process, athletes return to strength and conditioning programs and resume sport-specific activities in preparation for return to play.
The transition is important for several reasons. First, although the athlete may have recovered in medical terms ie, improvements in flexibility, range of motion, functional strength, pain, neuromuscular control, inflammation , preparation for competition requires the restoration of strength, power, speed, agility, and endurance at levels exhibited in sport. Exercise must be prescribed with an emphasis on the fundamental components of the exercise prescription, 2 which progressively incorporates activities and skills displayed in sport.
Both exercise templates are vital in the recovery process. In contrast to linear improvement, rehabilitation is often a haphazard process with positives and negatives occurring daily. Consequently, athletes usually benefit from input from all providers throughout the process of returning to play. Unfortunately, athletes often pay the price for poorly coordinated recovery plans within the return-to-play process.
A lack of communication between medical providers, strength and conditioning specialists, and team coaches can slow or prevent athletes from returning to peak capability and increase the risk of new injuries and even more devastating reinjuries. Unfortunately, communication between clinicians is often suboptimal, face-to-face meetings infrequent, and clearly defined roles lacking in the return-to-play process. Coaching staffs and administrative personnel must work to ensure that care can be provided at all points of the rehabilitation process, especially when funding dictates the need to hire personnel capable of addressing injuries at multiple levels.
Our purpose is to address the process of transition that takes place once rehabilitation from injury is near completion and athletes are ready to begin strength and conditioning activities, highlighting some common considerations en route to an expedient and successful injury recovery.
The paradigm found in Figure 1 provides an overview of the injury and recovery process. A thorough examination of the injured athlete and a careful evaluation of all findings are essential to an accurate diagnosis, from a structural and biomechanical perspective.
A clear understanding of the injury and of the interventions from each provider is vital to an efficient and successful return to play. Each provider must make clear the purpose of each treatment and the restrictions from specific activities during the rehabilitation process while providing supervision at points of progression and when new activities are initiated.
The process of care for an athlete who is returning to play, with different providers and roles. Resistance training is critical to the resolution of impairment and the recovery of function. Early resistance exercise is prescribed for a number of reasons, including the restoration of balance, the development of reflex control, the redevelopment of neuromuscular control and function, and the development of strength and endurance in injured tissues.
Care and proper progression or periodization are needed with conventional heavier resistance training programs.
The injured tissues must be carefully monitored to assess tolerance to exercise stress. Initially, recovery exercises closed kinetic chain using body weight may be highly stressful. Although well intended to stimulate tissue, they can cause overload damage and inflame previously injured or immobilized tissue.
For example, after an initial strength improvement session, a recovering patellar tendon may be irritated, requiring therapeutic interventions such as rest, ice, compression, and elevation to mitigate symptoms and expedite the process of recovery so that further progressive resistance exercise sessions can take place with minimal delay. Training might begin with carefully monitored unilateral exercises using open kinetic chain movements, progressing to weightbearing closed kinetic chain movements, and finally, bilateral closed kinetic chain movements.
Such a progression would help permit the periodization of exercise stress and a central focus on the tissues in need of gains in force production and conditioning. An awareness of the exercise prescription on any given day will better enable rehabilitation providers to anticipate, collaborate, and administer treatments. Furthermore, clinicians must inform strength and conditioning specialists on the status of injuries. In addition, athletes must be regularly assessed to ensure that they are not attempting to conceal worsening conditions or delay return to play because of a lack of confidence or disagreement in the perceived severity of the injury.
Such monitoring is the responsibility of all involved until the athlete has been provided medical clearance to discontinue all rehabilitative care and return to unrestricted sports participation. Before athletes rejoin practice and other live competitive scenarios, coaches must believe that he or she can contribute to the success of the team. Injury is more than physical; that is, the athlete must be psychologically ready for the demands of his or her sport.
Many individuals assist athletes through the recovery process and can foster psychological readiness, but they can also identify those who are physically recovered but require more time or intervention to be fully prepared to return to competition. Thus, rehabilitation and recovery are not purely physical but also psychological. Individuals cope with illness and injury in different ways. Despite the ineffective and sometimes counterproductive coping behaviors, a number of approaches may be effective in assisting psychological recovery.
Concerns over reinjury, regaining status on a team, and failing to perform at preinjury levels are common and can affect the rate of recovery through overuse, avoidance, and other compliance issues.
In some cases, clinical or sports psychologists will best provide the psychological care for an athlete who is recovering from injury. In many cases, educating athletes on the process of recovery and the physiological process taking place throughout each component may help to offset a natural inclination to overtrain injured tissues.
In a healthy state, the tissues of the musculoskeletal system respond to exercise through a process of damage and repair. When an athlete is recovering from an injury or surgery, tissue is already compromised and thus requires far more attention despite the recovery of joint motion and strength. For example, when the midportion of the patella tendon is harvested for use in the reconstruction of the anterior cruciate ligament, the bone of the distal pole of the patella is weakened, as is the tendon itself.
Excessive loading of these tissues can result in fracture or tendon rupture during training, thus creating an entirely new injury and process of recovery outside of what was already planned for the anterior cruciate ligament. Consequently, strength and conditioning specialists must be sensitive to vulnerabilities and weaknesses caused by injuries. The severity of an injury and the complexity of the medical and surgical care affect the rate of recovery and the extent to which rehabilitation must be supervised in some cases.
In all cases, clear and open communication is required from each person who is participating in the care process. Until full medical clearance is provided to return to sport and the athlete is psychologically ready to return to play, the injured athlete remains a patient regardless of who is developing and supervising each respective component of the recovery process. Strength and conditioning specialists should give assessments of performance to health care providers with objective and quantifiable information that can show reliable, time-based trends indicative of improvement or lack of progress.
Ultimately, successful rehabilitation depends on trust. The athlete must trust that all who participate in the treatment and rehabilitation process place the welfare of the athlete first. No potential conflict of interest declared. Not a subscriber? Not a member? The Sports Health —related quizzes are also available for purchase. For more information and to take the quiz for this article, visit www. National Center for Biotechnology Information , U. Journal List Sports Health v. Sports Health.
Author information Copyright and License information Disclaimer. University of Connecticut, Storrs, Connecticut. This article has been cited by other articles in PMC. Abstract Return from athletic injury can be a lengthy and difficult process. Keywords: sports injury, sports medicine, strength training. From Injury Resolution to Performance Resumption The paradigm found in Figure 1 provides an overview of the injury and recovery process.
Open in a separate window. Figure 1. Figure 2. Summary The severity of an injury and the complexity of the medical and surgical care affect the rate of recovery and the extent to which rehabilitation must be supervised in some cases. Footnotes No potential conflict of interest declared.
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Eur J Appl Physiol. Patient benefits from participating in an integrated delivery system: impact on coordination of care. Health Care Manage Rev. Brandon TA, Lamboni P. Care of collegiate athletes. Md Med J. Olsen D. A descriptive survey of management and operations at selected sports medicine centers in the United States.
J Orthop Sports Phys Ther. Doctor on the sidelines. Med J Aust. Am J Sports Med. Influence of compression therapy on symptoms following soft tissue injury from maximal eccentric exercise. Muscle injuries: optimising recovery. Best Pract Res Clin Rheumatol. Musculoskeletal injuries in sports. Prim Care. Baechle T, Earle R.
Everything You Need to Know About Sports Injuries and Rehab
Return from athletic injury can be a lengthy and difficult process. The injured athlete commonly receives care from several providers during rehabilitation. As their condition improves, injured athletes resume strength and conditioning programs and sport-specific activities in preparation for return to play. Until full medical clearance is provided to return to sport and the athlete is psychologically ready to return to play, the injured athlete remains a patient regardless of who is developing and supervising each component of the recovery process. An understanding of and commitment to the plan of care for each athlete, as well as communication among health care providers, strength and conditioning specialists, coaches, and the athletes, are essential to the safest and most efficient recovery from injury. The injured athlete commonly receives care from several providers, including physicians, athletic trainers, physical therapists, and strength and conditioning specialists. At some point in the recovery process, athletes return to strength and conditioning programs and resume sport-specific activities in preparation for return to play.
Everyday Sports Injuries: The Essential Step-by-Step Guide to Prevention, Diagnosis, and Treatment. Pages·· 9, Downloads·New! More people than ever before are regularly taking part in recreational sports, often gaining enormous health benefits fr.
Recovery From Injury in Sport
Injuries in sport happen; however, your recovery time can depend on the severity of the injury, effective management and accurate diagnosis. For some injuries, healing will take a couple of days or weeks. For others, however, recovery time frames can be protracted. Regardless of the overall duration, through injury rehabilitation, is critical, and effective management is typically undertaken in a staged approach.
Because they often play multiple sports at high levels of competition while their bodies are still maturing. UPMC's sports medicine experts use cutting-edge, science-based treatment methods to speed recovery and get you back to playing your sport. Choose the sport or sports you play to learn more about common injuries and ways to prevent them. Health Alert:.
Skip breadcrumb navigation. Preventing Volleyball Injuries. Each year, more than , high school students — including more than , girls — participate in interscholastic volleyball. As participation has increased over the past two decades, the number of volleyball-related injuries has risen as well.
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