Introducing
Your new presentation assistant.
Refine, enhance, and tailor your content, source relevant images, and edit visuals quicker than ever before.
Trending searches
Disablement Model: Building a framework for injury prevention
Disablement Model:
A Framework for Injury Prevention and Qualty Of Life
Marcellus Hill
Doctorate iN Athletic Training Student
Indiana State University
Disablement Model (1)
Disablement Model
- Characterizes effects of acute or chronic physical conditions on:
- Function
- Performance
- HRQoL
Origin
- Health Condition
- Lateral Ankle Sprain
- Most common injury in NCAA (2)
- 26% in Men's basketball
Origin
Organ
- Body Structure and Function
- Mental and Physical Aspects
- Decrease strength and range of motion
- Unable to weight bear
- Pain
- Instability
- Swelling
- Bruising
- Tender to touch
Person
- Activity
- A task that has meaning
- Performed in the environment
- Inability to meet demands of sport
- Running
- Jumping
- Agility
- Lateral movement
- Back pedal
- LE Resistance training
- Decreased balance
- Low FADI, FAAM, FAOS
Society
- Participation
- Application of activtiy to life
- Component of performance and fucntion
- Hobbies/leisure time
- Social events with friends, family, and significant other
Environment
- Relationships, Attitudes, Policies
- Athletic Trainer
- Coaches
- Teammates
- Personal
- Age
- Education
- Access to resources
- Spirit
- Psyche
Single Leg Balance Test (2)
Injury Screening Tool
- Perform
- Standing on one foot
- Contralateral hip flexed to 90 degrees
- Eyes closed
- Score
- Postural sway
- Instability
- Failure to balance
Risk Factors (2,3)
Risk Factors
- History of ankle sprains
- Chronic Ankle Instability (CAI)
- Propioceptive deficits
- Asymmetry in dominant v. non-dominant Limb
- Non-compliance to rehabilitation plan
- Postural Sway
- Musculoskeletal fatigue and reaction time
- Gender
- Anatomical Foot Type
- Height and weight relative to at-risk position
- Mechanism (contact v. non-contact)
- Orthotics/Foot wear
Injury Prevention (4,5)
Injury Prevention
- Prophylactic bracing/taping
- Strength
- Agility
- Plyometrics
- Neuromuscular/balance
- Stretching
- Technique
- Warm-up
- Efficacious and cost effective
Strategy
Strategy (6)
- Immobilize
- Lymphatic Drainage
- OKC-E
- ROM
- Functional Strength
- CKC-E
- DL to SL
- Intrinsic MSK control
- Mobilizations
- Address biomechanical deficits and habits
- Modified LE lifts
- Gait training
- Sports Specific movement
- Agility
- Offensive/Defensive Drills
- Shooting
- Improve PROM
Citations
Citations
1 Struminger, A. A Framework for Whole Person, Patient-Centered Healthcare: Disablement Models. NATA. https://cdn.zephyrcms.com/676b7d6e-7082-4687-88e4-134566c0ff09/-/inline/yes/z.19%20NATA_Disablement_Model_Presentation_Thursday.pdf
2 Trojian, TH., McKeag, DB. Single leg balance test to identify risk iof ankle sprains. Br J Sports Med. 2006;40:610-613. doi: 10.1136/bjsm.2005.024356
3 Beynnon, BD., Murphy DF., Alosa, DM. Predictive Factors for Lateral Ankle Sprains: A Literature Review. Journal of Athletic Training. December 2002;37(4):376-380. www.journalofathletictraining.org
4 Hootman, JM., Dick, R., Agel, J. Epidemiology of Collegiate Injuries for 15 Sports : Summary and Recommendations for Injury Prevention Initiatives. Journal of Athletic Training. 2007; 42(2):311-319. www.journalofathletictraining.org
5 Brunner, R., Friesenbichler, B., Casartelli, NC.,Effectiveness of multicomponent lower extremity injury prevention programmes in team-sport athletes: an umbrella review. Br J Sports Med. 2019;53:282-288. doi: 10.1136/bjsports-2017-098944
6 Dabadghav, R. (2019). Rehabilitation of Lateral Ankle Sprains in Sports. In C. Suarez-Ahedo, A. Olivos-Meza, & A. M. Rijke (Eds.), Essentials in Hip and Ankle. IntechOpen. https://doi.org/10.5772/intechopen.89505