Managing the Injured Athlete: Assessment, Rehabilitation And Return to Play (Physiotherapy Pocketbooks)

Managing the Injured Athlete is an innovative clinically-focused pocketbook which aims to support the clinician out in the field, helping answer clinical queries and solve problems when there may be nothing else to refer to. It focuses on developing the clinician's clinical reasoning skills, recognizing that patterns of clinical presentation are the key to problem-solving and formulating a diagnosis. As well as covering assessment, treatment and rehabilitation, the experienced authors discuss the clinician's role within a team, athlete confidentiality, travelling with athletes, drugs and doping issues, working in different climates and return to play considerations. Throughout the pocketbook patterns of positive findings are given as a key to indicate how frequently clinicians can expect to come across certain subjective and objective markers for a given condition. Starts from the point of subjective and objective examination – assessment not diagnosis Highlighted evidence points to solid literature supporting the intervention described Clinical Tips and Further Reading Case studies demonstrate principles of injury rehabilitation in practice Handy, durable format small enough to use in the field and for quick reference Cover......Page 1 Front Matter......Page 2 ISBN: 9780702030048......Page 4 Copyright......Page 5 Foreword......Page 7 Acknowledgements......Page 8 Introduction......Page 10 Working in sport......Page 14 Know your role......Page 15 Know your sport......Page 16 Know your team......Page 18 Know your location......Page 22 Know your kit bag......Page 23 Underwrap - yes or no?......Page 27 Thumb spica......Page 28 Finger splinting......Page 30 Shoulder......Page 32 Ankle......Page 34 Double heel lock......Page 36 Know your first aid......Page 39 Step 3: airway, breathing and circulation (ABC)......Page 40 Step 4: assessment for head injury/concussion......Page 41 Using a spinal board......Page 44 TOTAPS......Page 45 When to call for an ambulance......Page 46 Know when to refer to hospital......Page 47 Know what to document......Page 48 Know when to refer on......Page 50 Know when to arrange further investigations......Page 51 Assessment and diagnosis of the injured athlete......Page 52 Introduction......Page 253 Subjective history......Page 54 Observation......Page 57 Outline placeholder......Page 0 Resisted muscle test......Page 58 Glenohumeral dislocation......Page 59 Associated injury:......Page 60 Do not Attempt to Reduce the Dislocation on Field......Page 61 Investigations:......Page 62 Objective:......Page 63 Power......Page 182 Specific tests:......Page 64 Objective:......Page 65 Special tests:......Page 66 Soft tissue techniques:......Page 67 Shoulder instability......Page 69 Muscle patterning......Page 70 Muscle patterning......Page 71 Rotator cuff tear......Page 72 Management:......Page 73 Management:......Page 74 Special tests:......Page 75 Objective:......Page 77 Objective:......Page 78 Subjective:......Page 79 Investigations:......Page 80 Subjective:......Page 81 Groin pain......Page 82 Special tests:......Page 83 Associated injury:......Page 84 Management:......Page 85 Labral tear......Page 86 Associated injury:......Page 87 Management:......Page 88 Subjective:......Page 89 Special tests:......Page 90 Management: (see also Case Study in Section 3 p 189)......Page 91 Subjective:......Page 92 Associated Injury:......Page 93 Objective:......Page 94 Special tests:......Page 95 Management:......Page 96 Patellofemoral or anterior knee pain......Page 97 Objective:......Page 98 Associated injury:......Page 99 Special tests:......Page 100 Management:......Page 101 Management:......Page 102 Leg pain in sport......Page 103 Investigations:......Page 104 Investigations:......Page 105 Special tests:......Page 106 Associated Injury:......Page 107 Management:......Page 108 Objective:......Page 109 Investigations:......Page 111 Objective:......Page 112 Special tests:......Page 113 Special tests:......Page 114 Ankle impingement......Page 115 Associated injury:......Page 116 Investigations:......Page 117 Subjective:......Page 118 Objective:......Page 119 Management:......Page 120 Introduction......Page 121 Pattern recognition in low back pain......Page 128 Neural provocation tests:......Page 130 Manual examination:......Page 131 Yellow flags in the athletic population......Page 132 Associated injury:......Page 133 Subjective:......Page 134 Objective:......Page 135 Subjective:......Page 136 Management:......Page 137 Management:......Page 138 Management:......Page 139 Investigations:......Page 140 Management: (see also Case Study in Section 3 p 230)......Page 141 Management:......Page 142 Subjective:......Page 143 Objective:......Page 144 Subjective:......Page 145 Tension headaches......Page 146 Cervicogenic headaches......Page 147 Sports related whiplash......Page 148 Objective:......Page 149 Subjective:......Page 150 Neurological......Page 151 Abd/ER test......Page 152 Subjective:......Page 153 T4 syndrome......Page 154 Management:......Page 155 Rib fractures......Page 156 Management:......Page 157 Intercostal muscle strain......Page 158 Management:......Page 159 Treatment and Rehabilitation......Page 160 Introduction......Page 161 Tissue healing......Page 164 Inflammatory phase......Page 165 Remodelling phase......Page 166 Plyometric training......Page 264 Hours of work and access......Page 167 Ice......Page 169 Compression......Page 170 Acute ankle strapping......Page 171 Acute knee strapping - figure of eight wrap......Page 173 Range of motion......Page 176 Muscle spasm / guarding......Page 177 Muscle / soft tissue tightness......Page 178 Joint stiffness......Page 179 Strength......Page 180 What is ``normal ́ ́?......Page 181 Proprioception......Page 183 Star Excursion Balance Test procedure......Page 184 Rehabilitation......Page 187 Function......Page 188 Returning to running......Page 189 Case studies......Page 191 Rehabilitation programme......Page 192 Rehabilitation programme......Page 193 Phase 3: 72 hours-1 week......Page 194 Rehabilitation goals......Page 195 Rehabilitation programme......Page 197 Phase 5: 4-7 weeks......Page 198 Rehabilitation programme......Page 199 Clinical commentary......Page 201 Phase 1: 24-48 hours......Page 202 Rehabilitation programme......Page 203 Rehabilitation programme......Page 207 Rehabilitation programme......Page 208 Rehabilitation programme......Page 210 Post competition rehabilitation......Page 211 Rehabilitation programme......Page 212 Symptoms and signs......Page 215 Rehabilitation programme......Page 216 Rehabilitation goals......Page 217 Rehabilitation programme......Page 218 Rehabilitation programme......Page 219 Case study - medial tibial stress syndrome......Page 220 Problems known to be associated with the pathology......Page 221 Rehabilitation programme......Page 222 Rehabilitation programme......Page 223 Clinical commentary......Page 224 What is Fartlek training?......Page 225 Case study - recurrent shoulder dislocation......Page 226 Rehabilitation goals......Page 227 Rehabilitation programme......Page 228 Rehabilitation goals......Page 229 Rehabilitation goals......Page 230 Rehabilitation programme......Page 231 Rehabilitation programme......Page 233 Rehabilitation goals......Page 234 Case study - shoulder impingement......Page 235 Phase 1: 0-1 week......Page 236 Rehabilitation programme......Page 237 Rehabilitation goals......Page 238 Phase 5: Weeks 5-8......Page 239 Rehabilitation programme......Page 240 Clinical commentary......Page 242 Rehabilitation goals......Page 243 Rehabilitation programme......Page 244 Rehabilitation goals......Page 245 Rehabilitation goals......Page 246 Rehabilitation programme......Page 249 Clinical commentary......Page 250 Returning to play......Page 252 Functional performance tests......Page 255 Performing the tests......Page 260 Sport-specific agility drills......Page 261 Additional power training......Page 266 Communication......Page 268 Comprehensive player management......Page 270 Preparation......Page 271 What to take with you?......Page 272 Clinic set-up......Page 273 Illness......Page 274 Documentation......Page 275 Patient confidentiality......Page 276 Drugs in sport......Page 279 Hot climates......Page 283 Cold climates......Page 284 Hydration......Page 285 Glossary......Page 288 A......Page 292 C......Page 293 E......Page 294 G......Page 295 I......Page 296 M......Page 297 N......Page 298 P......Page 299 R......Page 300 S......Page 301 T......Page 303 W......Page 304 Z......Page 305 Focuses on developing the clinician's clinical reasoning skills, recognizing that patterns of clinical presentation are the key to problem-solving and formulating a diagnosis. This title discusses the clinician's role within a team, travelling with athletes, drugs and doping issues, working in different climates and return to play considerations.