Soft Tissue Injuries
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Transcript Soft Tissue Injuries
Soft Tissue Injuries
Daily Objectives
Content Objectives
Review the skeletal and muscular system.
Gain a basic foundational knowledge regarding soft tissue
injuries.
Language Objectives
Questions & Answer Sessions
Complete Guided Reading Assignments
Complete Scenario Assignments
Pace Lap
What are the four common characteristics of all
muscles?
Guided Reading Assignment
Please read page 315 -316 regarding The Contraction of Skeletal
Muscle and complete the Flow Map Puzzle.
Define these three terms:
Motor Unit
Neuromuscular Junction
Acetylcholine
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Scenario Assignment #1
An athlete limps into the athletic training room during basketball
practice complaining of Right Ankle pain. She states that while
coming down from getting a rebound she inverted her right ankle.
She states that she felt a “pop” and an intense pain on the lateral
part of her ankle. During your observation you note that there is
moderate swelling, pain, and some ecchymosis (discoloration).
The special test reveal some ligamentous laxity compared to the
opposite ankle.
What type of injury do you think that the athlete has?
How are your going to treat it?
When can they return to play?
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Scenario Assignment #2
While covering a high school track meet an athlete walks
over to you and complains of pain in the posterior aspect of
his right upper leg. He states that as he was running and he
felt a “pop”. During your assessment you notice that his
hamstring is cramping (spasm) and that he can not actively
flex the knee without his pain increasing. Active and Passive
hip flexion also cause pain. ROM is limited due to pain.
What type of injury do you think that the athlete has? (Be Specific)
How should you manage it?
When can they return to play?
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Soft Tissue Injuries
Often occur from external
forces or overuse.
Types
Strains
Sprains
Tendonitis
Bursitis
Contusions.
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Muscle Strains
An injury to the muscle caused by twisting or pulling of a muscle or
a tendon.
Mechanism of Injury
Traumatic movement (Acute)
Overuse (Chronic)
Signs and Symptoms
Pain
Spasm
Weakness
Localized Swelling
Loss of Function
Some Ecchymosis
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Muscle Strain Management
Phase 1 (24-48 hours)
Goal: Reduce Swelling and Pain
Use of RICE (Rest, Ice, Compression, Elevation)
OTC or Prescription NSAID (Non-steroidal Anti-Inflammatory
Drug)
Phase 2 (Rehabilitation)
Goal: Restore function of the injured body part.
Use of exercises and modalities to restore ROM and strength
Time frame depends on the severity of the initial injury.
Gradual return to activity.
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Ligament Sprain
Injury resulting from a fall, sudden
twist, or blow that forces a joint out
of its’ normal position.
Grade I (Mild)
Minimal pain and swelling
No loss of function
Grade II (Moderate)
Moderate pain and swelling
Some loss of function
Some ecchymosis
Grade III (Severe)
Sever e pain, swelling, and
ecchymosis.
Ligamentous Laxity
Loss of Function
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Ligament Sprain Management
Refer to physician for X-ray if Grade II or Grade III
Immobilization
Time depends on severity of sprain.
RICE for 24-48 hours
Rehabilitation exercises to restore full pain free strength and
ROM.
Must complete Sports Specific Activities prior to returning
to play.
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Tendonitis & Bursitis
Tendonitis
Inflammation of the tendon.
Bursitis
Inflammation of the bursa.
Mechanisms of Injury
Overuse (Most Common Cause)
Acute blow form and external force (Bursitis only)
Signs and Symptoms
Pain over the affected tissue.
Pain increases with movement.
Pain is worse at night
Tendonitis & Bursitis Management
Prevention is the best form of management.
Gradually increase activity to avoid excessive stress in a short
time period.
Avoid activities that cause pain.
NSAIDS
Increase strength and flexibility of injured muscles that
support the specific joint articulation.
Contusions
Injury resulting form a direct blow
that does not break the skin.
Signs and Symptoms
Ecchymosis
Localized Pain
Treatment
Ice in stretched position
Rehabilitation
Maintain Muscle Activity.
Beware of Myositis Ossificans
A calcification that forms within the
muscle.