What are the elements of diagnosis?
History (comprehensive, not only sport), physical examination, neural testing
What is a symptom of neural problems?
Tingling, numbness
What is an x-ray for?
Bone injuries, calcification, disloaction
What is a CT for?
Cross-section, complex injuries
What is an ultrasound for?
Soft tissues, organs, ligaments
What are MRIs for?
Very detailed images, brain
What are the 3 stages of treatment & rehabilitation?
- acute stage
- rehabilitation stage
- training stage
During the acute stage of an overuse injury, how will loading be changed?
Loading pattern must be altered, potentially fully removed
When is it necessary to tolerate some pain?
During the rehabilitation stage
Why is it important to tolerate some pain during rehabilitation
In order to recover, the injury will need to be moved gently, which could cause pain
What is the main prerequisite for returning to normal technique?
Normal ROM
What are the benefits of alternative training?
Maintaining general strength and endurance without injuring further, allow for sooner return to sport
Where does specific training act?
On injured structures
What is the goal of neuromuscular training (rehabilitation)
To regain normal neuromuscular function
Why is it vital to include neuromuscular training in rehabilitation?
Lack of training can cause risk of re-injury (ex. pain reflexes)
What is an example of neuromuscular rehabilitation training?
Proprioceptive training
Are other therapies helpful in recovery?
Little evidence, but if they are doing no harm and athlete feels improvement, go ahead
What is required (testing-wise) before an athlete fully returns to sport
Functional and sport specific testing to determine weather sport specific training loads can be tolerated
What percentage of original strength must there be for return to COMPETITION
85-90%
What should each RTS process be according to?
The sport and level of participation
What does RTS success mean?
Different things to different people
What are the 3 steps of the StARRT framework?
- Evaluation of health status
- Evaluation of participation risk
- Decision modification
What is the main difference between the StARRT model and the Biopsychosocial model?
BPS focuses on social/contextual and psychological factors, as well as physical and functional performance factors
What is load progression a key part of?
Rehabilitation and RTS decision-making
