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Definition of sports medicine?
multidisciplinary approatch to health care for those engaged in sporting or recreational activity
What is the athletic health care team?
a comprehensive team approach that includes (but isn’t limited to):
board of certification certified athletic trainer
team physician
ems personnel
coaches
school nurses, medical specialists, dentists, counselors, etc.
Who are the key sports medicine team members?
coaches
team physicians
certified athletic trainer
Coaches should be trained in:
basic conditioning procedures
maintenance and fitting of protective equipment
first aid and cpr
operation of an automatic external defibrillator (AED)
recognition and management of common sports injuries
skills instructions
Team physician duties:
coordinate PPE (pre-participation exam)
on- and off- the field injury management
provide for medical management of injury and illness
coordinate rehabilitation and RTP decisions
What is a BOC- certified athletic trainer?
an allied health care professional
Certified athletic trainer have formal instruction from accredited programs in:
injury prevention
recognition, evaluation, and immediate care
treatment/rehabilitation
healthcare organization/administration
professional development/responsibility
Sports injuries defined by NCAA
Occurs as a result of participation in organized intercollegiate practice or game
requires medical attention by a team athletic trainer or physician
results in restriction of athlete’s participation for one or more days after the injury
involved time lost
Characteristics of sports injuries?
catastrophic vs. non-catastrophic
time frame of injury
acute and chronic/overuse
types of tissue(s) involved and injury location
Intrinsic factors of chronic/overuse injuries?
immature cartilage
poor flexibility
poor conditioning
psychological
age
Extrinsic factors of chronic/overuse injuries?
excessive training
lack of adequate recovery
incorrect technique
playing on uneven or hard surfaces
incorrect equipment
What are the two types of tissues?
Soft and osseous
What’s included in soft tissue?
muscles
fascia
tendons
joint capsules
ligaments
blood vessels
nerves
What’s included in osseous tissue?
bones
What is a sprain?
a stretch/tear of a ligament
Characteristics of a 1st degree sprain?
microtrauma
mild pain
little/no swelling
Characteristics of a 2nd degree sprain?
partial tearing
pain
moderate swelling
dysfunction
Characteristics of a 3rd degree sprain?
complete tear
pain
swelling
dysfunction leading to a loss of stability
What is a strain?
a stretched/torn muscle or tendon
Characteristics of a 1st degree strain?
mild
little/no swelling
pain noticeable with use
Characteristics of a 2nd degree strain?
more extensive soft-tissue damage
pain
moderate loss of function
Characteristics of a 3rd degree strain?
complete rupture
significant swelling
loss of function
possible defect of muscle
What is a contusion?
a bruise
What is an MOI?
a direct blow to body surface - compression of the underlying tissue
What is an S/S?
pain, stiffness, swelling, ecchymosis (colored bruise), and hematoma
What is a myositis ossificans?
a bonelike formation within muscle tissue
Characteristics of a cartilage tear?
Why is cartilage white? Why is it important to consider?
Doesn’t have much blood flow
Doesn’t heal quickly
What is a fracture?
breaks or cracks in a bone
What are the two types of fractures?
Closed and open
What is a closed fracture?
bone doesn’t protrude from skin
What is an open fracture?
bron protrudes the skin
S/S of fractures?
swelling
deformity
pain
loss of function
grating sensation
What is a stress fracture?
a prolonged, overload of force applied to bone
What is Wolff’s Law
bone will lay down more bone according to stress
S/S of stress fractures?
localized pain/tenderness
absence of trauma
repetitive activity
slow, insidious onset
Biomechanics Kinematics
The study of internal and external forces acting on the human body, and the effects produced by these forces
Goals/Uses of Biomechanics
Improved athletic performance
technique
equipment
training
injury prevention & rehabilitation
techniques to reduce likelihood of injury
enhanced development of equipment
Two areas of study for Biomechanics?
Kinematics and Kinetics
Definition of kinematics?
the motion of objects without reference to the forces that cause the motion
Two types of kinematics?
Linear & Angular
3 aspects of linear and angular kinematics?
position
velocity
acceleration
Types of linear Kinematics
Rectilinear translational, Curvilinear translation
What movement is angular kinematics?
Rotation
General motion is what?
A combination of translational and rotation movements
Measurement of linear kinematics?
Measuring distance (cm) from A to B (displacement)
Measurement of angular kinematics?
Measuring angle from A to B
What is distance? What are the units?
The length of the path followed - meters
What type of quanity is distance? Does direction matter?
Scalar - no
What types of quantity is displacement? What are its units?
Vector - has magnitude (how far) and direction (where it went); meters
What is the speed formula? Units?
distance / change of time; m/s
What is speed? Scalar or vector?
Distance divided by the time it took; Scalar
What is the velocity formula? Units?
Displacement / change in time; m/s
V = (df - d1) / change in time
What is velocity? Scalar or Vector?
The rate of change in position; Vector (magnitude and direction)
What is a resultant vector?
a vector that connects multiple vectors together - express both magnitude & direction
How do you combine resultant vectors?
Tail to tip (tail —> tip)
What is kinetics?
What causes the motion
What is Newton’s 1st Law? (inertia)
An object at rest stays at rest an object in motion stays in motion
What is Newton’s 2nd Law? (acceleration)
The amount of acceleration depends on the strength of the force applied to an object
acceleration is inversely proportional to the mass of an object
What is acceleration?
A change in motion
Formula for Newton’s 2nd Law? Units?
A = (vf+ vi) / Δt
m/s2
What is Newton’s 3rd Law?
For every action there’s an equal and opposite reaction
What is a force?
Effect one body has on another
any action/influence that moves an object
What is the name of a pushing force?
Compression
What is the name of a pulling force?
Tension
What is the effect of a force?
Acceleration
Two types of acceleration?
Motion and deformation
Formula for force? Units?
F = ma
Newtons (N)
What are the two types of external forces?
Contact & Non-contact
What is an external force?
An act on an object as a result of an interaction with the environment
What is a contact force?
forces resulting from objects coming into contact (e.g. friction)
What is a non-contact force?
forces occurring even if objects are not in contact (e.g. gravity, magnetic)
What is an internal force?
An act within a system (e.g. muscle tension, bone compression)
What is a colinear vector?
Same magnitude and direction
What is a concurrent vector?
They are not in the same direction
What is work?
the product of force and displacement
Formula for work? Units?
W = f*d
Joules (J)
What type of quantity is work?
A vector
What are the 3 things needed to determine the amount of work?
average force exerted object
direction of the force
displacement of object
What does there have to be in order for work to be performed?
motion
When would work be negative?
When displacement is negative
What is power?
The rate of doing wor
What are the 2 equations for power? Units?
P = W/t
P = F *v (v = d/t)
Watts
What is torque? (Angular Kinetics)
the ability of a force to produce rotation around an axis
Formula for torque? Units?
T = F * moment arm
Nm
The amount of torque a lever has depend on two things
The amount of force exerted
The distance between the force (line of action) and the axis of motion = moment arm
What is the moment arm?
The shortest (perpendicular) distance from a forces’s line of action to the axis of rotation
If you have a short moment arm, what must you have more of to have the same amount of torque as a longer moment arm?
More force
Torque on the body defined by?
The origin and insertion of muscle
Does the magnitude of the moment arm change throughout the range of motion
Yes
What interaction between two things ultimately controls our movement?
Internal and external forces
Internal and external forces are
converted to internal and external torques,
Ultimately cause movement (or rotation) at the joints
How does the internal and external forces interact in the body?
bony levers about a fulcrum
bone = rigid lever
joint = fulcrum (axis of rotation)
muscle = force
What are the 3 components of levers?
Axis of rotation (fulcrum - joint)
lever rotates around this fulcrum
Resistive forces (weight - dumbbell) - load
resists rotation
Motional forces (muscles) - effort
causes rotation
Class one lever: M - A - R
Extension/Flexion - head/neck
Class two lever : A - R - M
Plantarflexion/Dorsiflexion - foot/ankle (advantage over gravity)
Class three: A - M - R
Extension/flexion - bicep (fighting gravity)
What is the mechanical advantage?
Ratio of motional and resistive forces
MA = motional force / resistive force
When motional force = resistive force, MA = 1
When motional force < resistive force, MA < 1
Mechanical disadvantage
The force must be greater than the resistance to counterbalance
When motional force > resistive force, MA > 1
Mechanical advantage
Is motion capture involved with kinematics or kinetics?
Kinematics