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Sports Medicine and Sports Injuries Scenario

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Nikki B

on 24 October 2013

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Transcript of Sports Medicine and Sports Injuries Scenario

Doctor Sports Trainer Taylor Walkers Knee Injury
Rupture of the Anterior Cruciate Ligament Physio Coach As a coach I am responsible for helping Taylor become as fit as he was before his injuryand regain his skill so he can go back to the game safely. I get the final say when he may play again. To help determine this I can run a fitness test. Here is an example of an AFL fitness test.
 Strength – 1RM Bench press
 Power – Vertical jump test
 Speed – 20 metre sprints
 Agility – AFL Agility Test
 Anaerobic capacity – Anaerobic sprint and recovery test
 Endurance- Beep test , 3km time trial
 Flexibility – Sit and reach test
 Skill tests – Kicking efficiency and clean hands handball
These are all part of an AFL fitness test and could help me determine if Taylor can play again and when. As it is my responsibility as a coach to help them become fit, they also need fit and healthy enough to prevent any more injuries happening. Sports Medicine and Sports Injuries Scenario
As a sports trainer I was the first person on the field after the injury happened. I must go through DRABCD, STOP, TOTAPS and RICER with NO HARM. The first is DRABCD which would be stopped at Response because he was responding.

After injury: Follow DRABC – was response.
D – Danger - Is there any more danger to the injured person, others, or yourself.
R – Response – Is the injured person responding, are they conscious. RICER + NO HARM (No Heat, alcohol, running or massage)
R – Rest – Stop playing sport and rest
I – Ice – Apply ice, but not directly on the skin, leave for 15 – 20 minutes then repeat as often as possible for 2 days. Ice reduces capillaries, which reduces the chance of internal bleeding and muscle spasms.
C – Compression – Apply compression value, prevents internal bleeding and muscle spasms.
E – Elevation – Raise the injured body part so it is above the heart. This helps stop internal bleeding and swelling.
R – Referral – Refer to a qualified practitioner to make an accurate diagnosis and that better and faster recovery is ensured. S – Stop – Stop the injured athlete from moving, keep them as still as possible. This helps prevent further injury and allows the trainer to assess the injury.
T – Talk – Ask questions; How did it happen? How did it feel? Where does it hurt? Does it hurt anywhere else?
O –Observe – While talking, take notice if the injured person is lying in an unusual way or holding themselves in a strange way?
P – Prevent - Don't do anything that will injure you any more. Prevent further injury. As a doctor the sports trainer has referred the injured athlete to me to diagnose and help them with a better recovery. I will also perform any treatment and surgery that follows after diagnosis.

After an examination it was diagnosed as a ruptured interior cruciate ligament of his right knee. The symptoms or a torn ACL can be different to each person. Often the knee can swell because of the internal bleeding. Because of the ligament tear the knee may feel unstable and also feel like it is going to give away.

An Anterior Cruciate Ligament Tear is when the ligament joining the thigh bone and the shin bone is torn. It often happens during sport. Often when the foot is placed on the ground and the knee is moved in a different direction very quickly it can rupture or tear.

Taylor Walker will have a knee reconstruction using a donated tendon from some one who has passed away. Using a tendon from someone else to do the reconstruction is called an allograft. An allograft means that there is less disruption of the knee during surgery. As a physio, my job is to help in the rehabilitation and recovery of the injured athlete. Also I help the athlete become able enough to return to the game. I may create a plan to help the athlete recover and return to the game safely. This may include things such as RICE (Rest, Ice, Compression, and Elevation), exercises and guidelines on when to use crutches, splints etc. After assessing the injury and the athlete I can decide on a plan to help him.

Taylor Walker will not be back to play for another twelve months. These twelve months will allow him and his injured knee enough time to be able to recover so that he can safely play again.

R – Rest – Stop playing sport and rest

I – Ice – Apply ice, but not directly on the skin, leave for 15 – 20 minutes then repeat as often or if possible, 4 times per day. Ice reduces capillaries, which reduces the chance internal bleeding and muscle spasms.

C – Compression – Apply compression bandage, prevents internal bleeding and muscle spasms.

E – Elevation – Raise the injured body part so it is above the heart. This helps stop internal bleeding and swelling. Websites

ACL Injury, n.d. Injury Update, accessed 3 June 2013, <http://www.injuryupdate.com.au/injury-knee-acl-injury.php>.
ACL RECONSTRUCTION POST-OPERATIVE REHABILITATION PROGRAMME, n.d.Coastal Orthopaedics, accessed 3 June 2013, <http://www.coastalorthopaedics.com.au/pdf/acl-recon-postop-rehab-prg.pdf>.
Anterior Cruciate Ligament Tear, 2001, Diagram, Orthogate, accessed 31 May 2013, <http://www.orthogate.org/patient-education/knee/anterior-cruciate-ligament-injuries.html>.
Fitness Testing for AFL, 2013 Top End Sports, accessed 3 June 2013, <http://www.topendsports.com/sport/afl/testing.htm>.
Injury Prevention, 2013 Brainmac, accessed 3 June 2013, <http://www.brianmac.co.uk/articles/scni40a1.htm>.
Physiotherapist, n.d. Queensland Government, accessed 3 June 2013, <http://www.health.qld.gov.au/workforus/careers/Physio.pdf>.
Rucci, M 2013 Taylor Walker's knee to be rebuilt using a tendon from a dead donor, Herald Sun, accessed 3 June 2013, <http://www.heraldsun.com.au/sport/afl/taylor-walker-gets-hand-from-the-other-side-with-collateral-ligament-repair/story-e6frf9ko-1226635154951>.
TOTAPS - injury diagnosis, n.d. Hamish Ashton - Physiotherapist, accessed 3 June 2013, <http://www.physiotherapy.gen.nz/html/totaps.html>.
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