slide1 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
PATHWAYS TO SUCCESS PowerPoint Presentation
Download Presentation
PATHWAYS TO SUCCESS

Loading in 2 Seconds...

play fullscreen
1 / 68

PATHWAYS TO SUCCESS - PowerPoint PPT Presentation


  • 173 Views
  • Uploaded on

PATHWAYS TO SUCCESS. Aifric Morrissey, MISCP. Chartered Physiotherapist. MAXIMISING CLUB PERFORMANCE. INJURY PREVENTION AND MANAGEMENT. INJURY PREVENTION AND MANAGEMENT. Injury Prevention Simple Injury Management Rehabilitation Special Groups

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'PATHWAYS TO SUCCESS' - miranda


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
aifric morrissey miscp

Aifric Morrissey, MISCP

Chartered Physiotherapist

maximising club performance

MAXIMISING CLUB PERFORMANCE

INJURY PREVENTION AND MANAGEMENT

injury prevention and management
INJURY PREVENTION AND MANAGEMENT
  • Injury Prevention
  • Simple Injury Management
  • Rehabilitation
  • Special Groups
  • Maximising the use of your Club Physiotherapist

Aif '01

injury prevention
INJURY PREVENTION
  • Principles of Injury Prevention
  • Pre-participation Assessment
  • Flexibility
  • Equipment Selection
  • Massage

Aif '01

1 principles of injury prevention
Correct biomechanics

Warm up

Stretching

Taping/bracing

Suitable equipment

Appropriate surfaces

Appropriate training

Adequate recovery

Psychology

Nutrition

1. Principles of Injury Prevention

Aif '01

2 pre participation assessment
2. Pre-participation Assessment
  • Medical
  • Nutrition
  • Psychological
  • Physical

Aif '01

slide9
PAR

NB:

  • Plan
  • Act
  • Review

Aif '01

why screen
Why Screen?
  • Identify weaknesses
  • Injury prevention
  • Baseline for review
  • Introduction to medical team/backup

Aif '01

physical screen
Past history

Equipment used

Training schedule/content

Posture

Lower limb biomechanics

Peripheral joint assessment

Spinal assessment

Flexibility

Neurological

Proprioception/Co-ordination

Specific Tests

Functional Assessment

Physical Screen

Aif '01

principles of stretching
Principles of stretching
  • Warm up prior to stretching
  • Stretch before and after exercise
  • Stretch gently and slowly
  • Stretch to point of tension, NEVER PAIN

Aif '01

benefits
Benefits
  • Reduce muscle/tendon injuries
  • Minimise muscle soreness
  • Improves range of motion
  • Reduces tension
  • Earlier return to function

Aif '01

methods of stretching
Methods of stretching
  • Static flexibility
    • Injury prevention
  • Dynamic flexibility
    • Athletic performance
  • PNF
    • Care not to overstretch

Aif '01

footwear
Footwear

Aif '01

slide18
>300 miles shoes lose 50% of shock absorbency

Studies show appropriate footwear can reduce shock by 2/3

Impact:

Running sports – 2-5 times bodyweight

Jumping sports – 4-7 times bodyweight

Aif '01

slide19
NB select shoes suited to sport, surface, foot type/biomechanics

Prior to purchase, examine soles of shoes, inner lining, wear from behind

Features:

Rigid heel counter – added stability

Flexible forefoot – easy motion

Midsole – not too firm or soft – shock absorber

Aif '01

sports shoes
Sports Shoes
  • Running spikes
    • overuse of calf muscle, AT, Shin pain
  • Football boots
    • Rigid heel counter, adequate foot depth, wide sole, curved, flexible forefoot
  • Court based sport e.g. basketball
    • Good grip, ankle support, shock absorbency
  • Dancing shoes -?

Aif '01

protective equipment
Protective Equipment
  • Shield against injury without interfering with sport
  • Allow early return to sport, while adding protection
  • ? Psychological benefit

NB. Fits correctly

Aif '01

5 massage
5. Massage
  • Pre-performance massage
    • ? Performance enhancement
  • Post event massage
    • ? Better to do good warm down
    • Positive psychological effect

Aif '01

slide23
Research – varied results

Bruising should not occur

Never in acute inflammatory stage

Injury – refer for treatment

Aif '01

injury prevention and management1
INJURY PREVENTION AND MANAGEMENT
  • Methods of Injury Prevention
  • Simple Injury Management
  • Rehabilitation
  • Special Groups
  • Maximising the use of your Club Physiotherapist

Aif '01

simple injury management
SIMPLE INJURY MANAGEMENT
  • P.R.I.C.E.
  • Blister Care
  • The First Aid Kit
  • Taping and Bracing

Aif '01

1 p r i c e
1. P.R.I.C.E
  • Protect
  • Rest
  • Ice
  • Compression
  • Elevation

Aif '01

p rotect
Protect
  • Crutches, sling, taping, P.O.P.
  • Up to day 3
  • Avoid complete immobilisation
  • Accommodate swelling

Aif '01

r est
Rest
  • Immediately
  • 1-5 days
  • Isometric work
  • Reduce overall general activity

Aif '01

slide29
Ice
  • Immediate
  • Avoid ice burn
  • 20-30 minutes, every 2 hours
  • Complete area
  • Care with thin skin, nerve damage, certain conditions

Aif '01

c ompression
Compression
  • Distal to proximal
  • Apply min. 15cm below injury site
  • Accommodate swelling - overlap by 2/3

spiral turns

protect vulnerable areas

  • Continue for first 72 hours
  • Check Circulation

Aif '01

e levation
Elevation
  • First 72 Hours
  • Support area
  • If in elevation, reduce compression
  • Avoid dependent position immediately on removal

Aif '01

avoid in first 24 hours
Avoid in first 24 hours!
  • Heat
  • Alcohol
  • Moderate/intense activity
  • Vigorous massage

Aif '01

causes
Causes
  • Friction:
    • Stones/debris
    • Loose/ ill fitting shoes
    • Incorrect shoes
    • Biomechanical
    • New shoes
  • Fungal infections
  • Medical cauases

Aif '01

prevention
Dry feet well

Moist skin- surgical spirit

Natural fibre socks

Seamless socks

Check shoes for debris

Inner soles smooth

Break in new shoes

Correct footwear

Avoid man-made materials

Protect areas prone to blisters

Prevention

Aif '01

treatment
Treatment

REMOVE CAUSE

  • Cover blister – Bandage, pad-protector
  • Do not burst
  • If bursts – clean in salty water and dress
  • Infection/pain – seek medical advice
  • Black toenails – leave or see chiropodist

Aif '01

3 the first aid kit
3. The First Aid Kit
  • Club bag
  • Touchline bag

Aif '01

contents of club bag
Contents of Club Bag
  • Taping and Strapping
  • Cold therapy
  • First Aid goods
  • Miscellaneous goods
  • Over the counter medication

Aif '01

4 taping and bracing
4. Taping and Bracing

Is Objective:

  • Practical?
  • Logical?

Aif '01

taping
Taping

Joints suited to taping:

Ankle, wrist, AC joint, finger, thumb

No proven benefit in injury prevention:

Knee, shoulder, elbow, spinal

Aif '01

guidelines for taping
Guidelines for taping
  • Skilled
  • Assess prior to taping
  • Plan
  • Prepare the skin
  • Protect friction areas, pressure areas
  • Check positioning
  • Apply tape
  • Check the finished product

Aif '01

bracing
Bracing

Considerations:

  • Initial cost
  • Easy application by athlete
  • Custom made braces – hand, wrist
  • Brace may be cumbersome

Aif '01

injury prevention and management2
INJURY PREVENTION AND MANAGEMENT
  • Methods of Injury Prevention
  • Simple Injury Management
  • Rehabilitation
  • Special Groups
  • Maximising the use of your Club Physiotherapist

Aif '01

essential components of good rehabilitation
Essential Components of Good Rehabilitation

EARLY REFERRAL to appropriately trained sports physiotherapist and/or doctor!

Aif '01

physiotherapist s role
Physiotherapist’s Role
  • Accurate diagnosis
  • Clear explanation
  • Precise, individual prescription
  • Make the most of facilities available
  • Knowledge of sport
  • Communication with coach/team etc.
  • Liaison with other professionals
  • Understanding of psychological impact

Aif '01

rehabilitation1
Rehabilitation

NB.

FUNCTIONAL AND SPORT SPECIFIC ACTIVITIES

Aif '01

return to sport
Return to Sport
  • Soft tissue healed
  • Pain-free full range of movement
  • No persistent swelling
  • Adequate strength, endurance
  • Good flexibility

Aif '01

slide49
Good proprioception

Adequate cardiovascular fitness

Skills regained

No persistent biomechanical abnormality

Psychologically ready

Coach satisfied with training

Aif '01

adjuncts to rehabilitation
Adjuncts to Rehabilitation
  • Hydrotherapy
  • Muscle Balance
  • Gymnastic Ball

Aif '01

why treat in water
Why treat in water?
  • Early rehabilitation
  • Protect from further stress/injury
  • Maintain/improve cardiovascular fitness
  • Test in water prior to progressing to land
  • Psychological benefit
  • Part of training, including injured athlete

Aif '01

deep water running
Deep Water Running

Uses:

  • Rehab of lower limb stress injuries
  • Rehab of injury where weightbearing restricted
  • Recovery activity after hard workout
  • Substitute for land exercise
  • More specific than cycling, swimming to maintain cardiovascular fitness

Aif '01

2 muscle balance
2. Muscle Balance
  • Aims to address differences in muscle power and flexibility in order to prevent overuse and recurrent injuries.
  • Scapular/shoulder injuries
  • Back injuries
  • Knee pain

Aif '01

assessment tools
Assessment tools
  • Physical examination
  • Biofeedback
  • Video
  • Isokinetic testing
  • Ultrasound

Aif '01

back problems
Back problems

Important muscles:

Multifidus

Transversus abdominus

Pelvic floor muscles

Core stability:

Body system which gives spinal stability while at same time providing a base of support for other activities to be carried out

Aif '01

3 the gymnastic ball
3. The Gymnastic Ball
  • Adjunct to rehabilitation
  • Unstable base
  • Proprioceptive training
  • Co-ordination
  • Strength

Aif '01

injury prevention and management3
INJURY PREVENTION AND MANAGEMENT
  • Methods of Injury Prevention
  • Simple Injury Management
  • Rehabilitation
  • Special Groups
  • Maximising the use of your Club Physiotherapist

Aif '01

special groups
SPECIAL GROUPS
  • The younger athlete
  • The female athlete
  • The disabled athlete
  • The older patient

Aif '01

slide61
Variety of activities

Responsibility

Suitable equipment

Vary training surfaces

Avoid sunburn, dehydration etc.

Monitor frequency, duration, intensity of training

Introduce to flexibility

Pain? – refer on

Aif '01

how much is too much
How much is too much?

Take into account all other activities carried out by child

Aif '01

2 the female athlete
2. The Female Athlete

Musculoskeletal Problems:

  • Stress fractures
  • Patellofemoral joint problems
    • Overuse injuries in the lower limb
  • Anterior cruciate ligament rupture
  • Osteoporosis

Aif '01

3 disabled athletes
3. Disabled Athletes
  • Blind athletes
  • Amputee athletes
  • Wheelchair athletes

Aif '01

4 the older athlete
4. The Older Athlete
  • NB – accurate exercise prescription
  • Previous level of activity
  • Past medical history
  • Current health status
  • Drug therapy and its response to medication
    • Diuretics – dehydration
    • Beta blockers – adrenalin surge
    • NSAID – peptic ulcer

Aif '01

injury prevention and management4
INJURY PREVENTION AND MANAGEMENT
  • Methods of Injury Prevention
  • Special Groups
  • Simple Injury Management
  • Rehabilitation
  • Maximising the use of your Club Physiotherapist

Aif '01

slide68
Establish good rapport with local Chartered Physiotherapist
  • Ensure fully qualified
  • Refer early
  • Maintain communication

Aif '01