Care and Rehabilitation of Injured Tactical Populations

Flashcards generated from lecture notes on care and rehabilitation of injured tactical populations.

The sports medicine model of injury care is defined as __.

Athlete-centered care by a multidisciplinary team

This chapter focuses on __ injuries because they are amenable to the interventions of the tactical strength and conditioning team.

Musculoskeletal

According to the notes, the leading body regions for injuries are the __.

Knee and Lower Leg, Lumbar Spine, Ankle and Foot

Strategies including __ have reduced the incidence of injuries by 52% in men and 46% in women.

Slower progression of running distance, reduced total running volume, running groups based on ability, and greater variety of training exercises

__ is a significant component of injury risk, as demonstrated by a study of Minnesota police officers.

Lack of general fitness

__ is consistently cited as a risk factor for future injury.

Previous injury

Injuries may be classified as __.

Traumatic or Overuse

Classic signs of __ are redness, swelling, pain, heat, and loss of function.

Inflammatory

A useful acronym to guide treatment during the inflammatory phase is __.

PRICEM (protection, rest, ice, compression, elevation, motion)

Toward the end of the inflammatory response, new cells such as __ move to the site of soft tissue injury and begin the repair phase.

Fibroblasts

Two primary factors that contribute to the excessive tissue stress associated with overuse injuries are __.

Training errors and movement impairments

The __ refers to the linked influence on movement performance that one area of the body has on another.

Kinetic chain

Some trainers have used the terms __ to describe kinetic chain relationships associated with injury.

Victim and culprit

__ is the broad term to describe tendon problems.

Tendinopathy

Distinction should be made between pathology that is primarily inflammatory () and primarily a matter of degeneration ().

Tendinitis and tendinosis

__ represents the inability of bone to withstand repetitive mechanical loading, resulting in structural fatigue and localized bone pain and tenderness.

Bone stress injury (BSI)

The range of adaptations from a demanding work environment and physical training includes __.

Overreaching, Nonfunctional Overreaching, and Overtraining Syndrome

Early warning signs of overtraining includes Unusual fatigue, Mood changes, Elevated HR and blood pressure, Diminished quality of sleep, Occurrence of illness or injury and __.

Menstrual changes

For larger organizations, separating PRT into __ allows leaders to provide the appropriate level of training for individuals at various levels of physical readiness.

Foundational phase and functional phase

__ as well as fitness, is an important objective after injury.

Restoring optimal movement quality

When planning unique performance requirements include __ as it is generally best to progress only one factor at a time.

Excursion, Speed, Load, Volume, Complexity

Following injury, the goal of resistance training is to prepare tactical athletes to manage all of the loads they will encounter during tactical and performance training and their duties. Thus, resistance training must be a prominent part of a tactical training and injury prevention, But resistance training is indicated when a muscle or muscle group lacks the force production capability to perform its natural role in the kinetic chain.

Isolated and integrated

Injuries to the __ often require weight-bearing restrictions.

Foot and ankle

__ injury has the potential to profoundly affect function, and many strength and conditioning exercises are limited accordingly.

Knee

If the knee is vulnerable to increasing compressive loads at the patellofemoral or tibiofemoral joint, squat depth and knee flexion must be limited accordingly. Modifying a squat with 130° of knee flexion to 60° reduces tibiofemoral compressive forces by over 30%. Shearing forces at the knee are also a consideration, especially for people with __ compromise

Posterior cruciate ligament (PCL)

__ injuries are less common than injuries to the ankle and knee, but they can be just as debilitating

Hip

A chronic hip condition that is increasingly recognized in tactical populations is __

Femoroacetabular impingement

__ injuries are common in the general and tactical population. Even with a seemingly complete recovery, recurrence is common.

Spine

Efficient use of the __ demands mobility and stability of the articulation between the scapula and the thorax.

Shoulder

__ is effective for maintaining or improving conditioning while minimizing weight-bearing stress to healing tissues.

Aquatic Training

Two recommendations for TSAC Facilitators from a 2008 U.S. Department of Defense injury prevention work group are __.

Prevent overtraining and perform multiaxial, neuromuscular, proprioceptive, and agility training

Managing factors regarding full recovery from injury demands a __

Team approach

The greatest risk factor for __ is a previous injury, suggesting that rehabilitation of the initial injury is often inadequate to restore full functionality.

Previous injury