Assignment 5 injury prevention

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Walden University *

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Jan 9, 2024

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KNES 315 Name(s): Janese Jones Assignment 5 30 points Due Sunday, Nov 8 by 11:59pm Instructions If you attend synchronous class, you will be randomly assigned into groups to work on this assignment during class. If you choose not to work with a group, you can complete the assignment independently. If you do not to attend class, you are required to complete this assignment independently. o This assignment is calculated into your overall grade. Assignments should be uploaded to Blackboard Sunday, Nov 8 by 11:59pm o If you complete assignment in groups, only one assignment needs to be submitted per group. Be sure to include first and last names of all group members. Read the following three scenarios and complete the questions associated with each. 1. You are a fitness specialist employed at a commercial fitness facility. While playing basketball, a 25 year-old male client sustains a knee injury. You go to the court to assist the client. a. If the injury is a torn anterior cruciate ligament, what responses would you expect from the client during the history component of an assessment? What’s wrong? What hurts? “I hurt my knee” Can you explain what happened? “I was dribbling to the right side of the court but decided to change direction. I made a quick cutting move to try to get rid of my defender. Next thing I knew I was on the ground…no one even touched me.” Where is the pain? Can you point to a spot where it hurts the most? “I can’t really point to the spot that hurts. It seems as of it’s somewhere inside my knee.” Can you describe the pain? “It seemed sharp at first now my knee just hurt,” What is the level of pain on a scale from 1 – 10? “It’s about a 7” Do you have pain anywhere else in your body? “No.” Did you hear anything when it happened? Yes, I heard a pop.” Did you feel any unusual sensations (e.g., tearing; tingling; numbing; cracking) when it happened? “It’s hard to explain but it felt like my knee gave away. It just didn’t feel right.” b. How would you manage this condition?
Follow the RICER principal for the first 48-72 hours. This involves Rest, Ice, Compression, Elevation, and a Referral for medical management. In addition to this it to limit bleeding and swelling into the joint: No Heat, Alcohol, Running or Massage. 2. You are a high school soccer coach. One of the players sustains an injury during a scrimmage at the end of practice. The player attempts to get up and continue, but he appears to be in pain. a. What questions would you ask as a part of the history component of an assessment of this condition? What’s wrong? What happened? What were you doing? Was there a direction a direct blow? Was your foot fixed on impact? Were you decelerating, cutting, pivoting? Did you fall? Where is the pain? Can you describe the pain? Can you point to the location where it hurts the most? Are you able to demonstrate how it happened? Describe the pain on a scale 1-10. Did you hear anything? Have you injured this before? How old are you? Which leg is dominant? Have you made any changes in performance? Have you changed your weight training workouts? Are you able to perform normal motions/ADLs? Is there anything else you would like to tell me about your condition? b. Following your assessment, you suspect that the individual has sustained a grade II inversion sprain. Describe how this athlete would present to make you suspect this? In other words, what are typical signs and symptoms that would lead you to believe this player is suffering from a grade II inversion sprain. The individual reports a “POP” suggesting the tearing of a ligament. The individual can bear weight but walks with a limp. c. How would you manage this condition? Wrap with wet elastic compression. Apply ice to both sides of the joint over the compression wrap and secured. Elevate the leg above 45 degrees. Crutches if they cannot bear weight. Referral to a physician. 3. During a first period physical education class, a 9th grade student is participating in a basketball scrimmage. As part of a set play, he runs toward the foul line, decelerates, and attempts to cut to the lane line when he suddenly falls. Based on your assessment, you suspect that the student has either torn the ACL or dislocated the patella.
a. How might you be able to differentiate between the two injuries? The ACL is frequently subject to deceleration injuries can bear weight and no abnormal findings on initial observation. Dislocation of the patella occurs when you see deformity and loss of function. b. You believe the student is suffering from a dislocated patella, how would you manage the condition? Coach should not attempt to reduce. Ice Immobilization/crutches Immediate physician referral 4. You are the coach of a high school cross country team. You suspect that one of the female runners has iliotibial band friction syndrome. a. What anatomical factors could predispose the female runner to the condition? Predisposing factors could include: Genu, excessive pronation in feet; and leg- length discrepancy. b. As a coach, what training errors should you make sure the runner avoids to decrease her susceptibility to the condition? Training errors too avoid include excessive distance in a single run, increasing mileage too quickly, inadequate warm-up, and running on the same side of a crowned road. 5. You are a high school volleyball coach. Following a practice, one of the players reports anterior knee pain that has been progressively worse for the past two weeks. In completing the history component of an assessment, you learn the following: There was no specific incidence of trauma rather onset of pain was insidious. The pain is primarily to the distal end of the patellar tendon Initially, the pain was present after activity. In the past two days, the pain was present at the beginning of activity, subsided after the first 10-15 minutes of activity, and returned at the end of practice. a. What condition should be suspected? What makes you think this? The sign and symptom suggest patellar tendinitis (aka jumper’s knee). Initial pain was present after activity then as days passed the pain was present before activity and returned after activity. b. How should you manage the condition? The condition warrants referral to a qualified healthcare practitioner for a definitive diagnosis and treatment. The individual should not be permitted to continue activity until released by a qualified healthcare practitioner. The application of cold to the area should be encouraged as it will aid in reducing inflammation. 6. You are a fitness specialist. You have been working with a 50-year-old male client for two weeks. Prior to coming to you, he had not engaged in an exercise program for approximately 30 years. In today’s work-out, he began to experience a cramp-like sensation in the anterior compartment of both lower legs. He stopped the treadmill
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with the intention of walking to a nearby chair and sitting. He had difficulty walking to the chair because his left foot stayed in a dropped position. a. A. Once seated for about 15 minutes, his pain no longer exists. You ask him to walk and he is able to do so without a problem (i.e., no drop foot). Based on the information provided, what injury would you suspect? Why? Anterior compartment syndrome. Due to him not exercising in thirty years so his muscles are not use to the vigorous exercise. There is not room to accommodate the swelling and pressure rises from the blood flow. b. Should you encourage the individual to resume his work-out on the treadmill? Explain your response. No, the immediate care involves ice and total rest to avoid a onset of a hemorrhage. This requires Immediate referral to the hospital or summons of EMS.