Sport Injury Management. STI Management Many of the strains & sprains that occur are preventable...

Sport Injury Sport Injury Management Management

STI ManagementSTI Management

• Many of the strains & sprains that Many of the strains & sprains that occur are preventable through the use occur are preventable through the use of proper techniques & by;of proper techniques & by;– Ensuring adequate conditioning & proper Ensuring adequate conditioning & proper

care & rehabilitation of all injuries before care & rehabilitation of all injuries before allowing any resumption of training/ allowing any resumption of training/ playingplaying

– Maintenance of flexibility & leg muscle Maintenance of flexibility & leg muscle strength strength

– Incorporating speed, agility & balance Incorporating speed, agility & balance drills amongst other training procedures drills amongst other training procedures


• First 48 hours are vital – it will First 48 hours are vital – it will reduce the time spent on the reduce the time spent on the sideline.sideline.

• Immediate management – RICER for Immediate management – RICER for all ligament sprains, muscle strains all ligament sprains, muscle strains & muscle bruises& muscle bruises


TALKTALK to the injured athlete e.g. What happened? How do you feel?

Where does it hurt? Does it hurt anywhere else?

STOP STOP the injured athlete from participating or movingSTOP the game if necessary

OBSERVE

OBSERVE whilst talking to the athlete• Is the athlete distressed?• Is the athlete lying in unusual position/ posture?• Is there any swelling?• Is there any deformity?• Is there any tenderness when touched?• Does it hurt to move the injured part?

PREVENT FURTHERINJURY

Severe InjuryLess InjuryMinor Injury

STI ManagementSTI ManagementRemember you should avoid the HARM factors…Remember you should avoid the HARM factors…

H

A

M

R

HeatSuch as sauna, spa, hot water bottles, hot shower bath, hot liniment rubs – increase bleeding

AlcoholIncrease swelling

RunningOr exercise too soon can make the injury worse

MassageOr the use of heat rubs in the first 48 – 72 hrs can increase swelling and bleeding

STI ManagementSTI ManagementOveruse injuriesOveruse injuries

Overuse injuries, such as tendonitis or muscle soreness caused by excessive and/or repetitive use,

are also preventable. These overuse injuries may also involve the growth centre of the bones

of young players.

Coaches should ensure to monitor the frequency of training & competition, activities on hard

surface should be interspersed with other activities.

STI ManagementSTI ManagementReturn to Sport/ ActivityReturn to Sport/ Activity

Too early after an injury are more susceptible to further injuries. Before returning to training or competitive should ask simple questions : 1. Is the injured area pain free?2. Can you move the injured part easily through a full range of movement?3. Has the injured area fully regained its strength?

Q n AQ n A


HowHow WhyWhy

RestRest

Place the athlete Place the athlete in a comfortable in a comfortable position, position, preferably lying preferably lying down. The injured down. The injured part should be part should be immobilized and immobilized and supported.supported.

Further activity Further activity will increase will increase bleeding and bleeding and damagedamage


HowHow WhyWhy

IceIce

The conventional The conventional methods are :methods are :• crushed ice in a wetcrushed ice in a wet

towel/ plastic bagtowel/ plastic bag• immersion in icy immersion in icy

waterwater• cold water from the cold water from the

taptap

Apply for 20 min Apply for 20 min every 2 hrs for the every 2 hrs for the first 48 hrsfirst 48 hrs

Caution : sensitive Caution : sensitive skin, tolerance to ice, skin, tolerance to ice, open wound open wound

Ice decreases :Ice decreases :• swellingswelling• painpain• muscle spasmmuscle spasm• secondary damage secondary damage to the injured areato the injured area


HowHow WhyWhy

ComComprespressionsion

Apply a firm wide Apply a firm wide compression compression bandage over a bandage over a large area large area covering the covering the injured part, as injured part, as well as above and well as above and below the injury.below the injury.

Compression :Compression :• reduces reduces bleeding and bleeding and swellingswelling• provides support provides support for the injured for the injured partpart


HowHow WhyWhy

ElevElevatioation n

Raise injured area Raise injured area above the level of above the level of the heart at all the heart at all possible times.possible times.

Elevation Elevation reduces :reduces :• bleedingbleeding•SwellingSwelling•painpain


HowHow WhyWhy

RefeReferralrral

Refer to a suitably Refer to a suitably qualified qualified professionals professionals such as doctor or such as doctor or physiotherapist physiotherapist for s definitive for s definitive diagnosis and diagnosis and ongoing care.ongoing care.

Early referral for Early referral for a definitive a definitive diagnosis to as diagnosis to as certain the expert certain the expert advice on the advice on the rehabilitation rehabilitation program required.program required.


Don’t Panic…Stay Cool…


Provide a few wordsof encouragement


If the answer to any of the both questions is

Yes, seek a Sport Medicine qualified,

Sport First Aider,Sport Trainer.


Severe InjurySuspected Head, Facial, Spinal, Chest,

Abdominal injuries, Fracture or Major Bleeding

GET HELP

Get Professional help…Don’t move the athlete, Keep onlooker away,

Comfort the athlete until professional help arrives,Immobilize and support


Less InjurySoft Tissues Injuries such as sprains, strains and

Muscle bruises

RICER REGIMER

First 48 hours are vital in the effectiveness management of STI

Rest, Ice, Compression, Elevation, Referral


Minor InjuryBumps and bruises which do not impair

performance

PLAY ON

A few words of encouragement will help• Monitor any such injuries

• Minor injuries should also be managed using the RICER regime

ReferencesReferences

1.1. Jurulatih. Bil.1 Nov/Dis 1999Jurulatih. Bil.1 Nov/Dis 1999

Sport Injury Management. STI Management Many of the strains & sprains that occur are preventable...

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