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運 動 傷 害運 動 傷 害 廖雅芳 物理治療師. 定義  Sports or physical activities  Practice competition  運動而來 ?

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Presentation on theme: "運 動 傷 害運 動 傷 害 廖雅芳 物理治療師. 定義  Sports or physical activities  Practice competition  運動而來 ?"— Presentation transcript:

1 運 動 傷 害運 動 傷 害 廖雅芳 物理治療師

2 定義  Sports or physical activities  Practice competition  運動而來 ?

3 分類 (Time)  Acute stage : –Moment of onset – 可明確知道傷害發生原因、在傷害發生時可 察覺到明顯的生理改變。  Overuse/chronic/repetitive stress : – 無法明確描述傷害發生經過與機轉。會因長 時間運動而逐漸累積、或是由急性傷害後轉 化造成。

4 分類 (Sign)  Acute stage –Swelling, redness, heat, pain and disturbance of function 4 to 6 days  Subacute stage –Inflammation decrease, end range pain days last up to 6Ms  Chronic stage –No inflammation, resistance pain 12 to 18 Ms

5 Type  Bone  Muscle  Ligament  Tendon  骨折  拉傷  扭傷  挫傷 ( 傷口護理 )

6 您能做些什麼?  PRICE  Protection  Rest/Functional rest  Ice  Compression  Elevation

7 您能做些什麼?  時間 –24 小時之內  目的 –1.to protect the area from further injury –2.to reduce the effects of inflammation and promote progression to reparative stage –3.to prevent the degradation effects of immobility

8 Protection  Splinting or taping the injured joint to limit movement  In more serious injuries, crutch fitting and sling suspension may be used  Gait instruction if the lower extremity is injured

9 Rest/ functional rest  Any activity which stresses the injured tissue is avoided immediately, but other activities are allowed  protected mobilization

10 Ice  Reduce pain  Cause local vasoconstriction, thus reducing bleeding and swelling  Reduce the metabolic rate of tissue, thus lowering demands on oxygen and nutrients  Decrease inflammation and muscle spasm

11 How to use ice?  Every 1-2 hrs in the first 1-2days after injury  15 mins, rest 10 mins  Direct contact  Contraindication : Infant 、 elder 、 SLR  Allergy 、 Cardiovascular dis. To be carefully.

12 Compression  Bandaging from distal to proximal the site of bleeding  Overlapping ½  Limit the formation of edema  Check the circulation  During and after ice application

13 Elevation  The involved part should be elevated higher than the heart  Gentle isometric or short range isotonic exercise  Venous return and lymphatic drainage (muscle pumping exercise)

14 Prevention  Warm-UP  Cool-Down  Protective equipment  Suitable equipment  Appropriate surfaces  Appropriate training-preventive conditioning

15 Warm-Up  Purpose –To prevent injury –To enhance performance  Include –Gentle exercise –Stretching –Some sport-specific activities –Psychological preparation

16 Cool-Down  To prevent pooling the blood in the extremities  To prevent fainting, myocardial ischemia and arrhythmias  To enhance the recovery period with the oxidation of metabolic waste and replacement of the energy stores  To help reduce some of DOMS

17 Warm-Up V.S. Cool-Down  1.General stretching  2.Jogging: min or mild sweating  3.Stretching  4.Sport-specific activities  5.Rest period: about 10 min  6.The event  7.Post-event gentle activities:3-8 min  8.Stretching

18 Prevention  Taping and bracing  Protective equipment  Suitable equipment  Appropriate surfaces  Appropriate training-preventive conditioning

19 慢跑  選擇適當的場地。(柔軟地面)  穿著輕便、易吸汗的服裝。  穿著一雙舒適且能吸收振盪的慢跑鞋。  運動前的伸展活動必須確實完成。  正確的跑步姿勢。  依個人最適宜的運動強度,循序漸進的增加負 荷。  持之以恆的從事運動,必能夠擁有健康且愉快 的跑步樂趣。

20 DOMS  Delayed-onset muscle soreness  Post exercise 24-48hrs top  Possible factors: – 廢物堆積 –Muscle spasm theory –Microtrauma to m. fibers or connective tissue

21 Muscle creep  肌肉不自主的強直收縮現象  Possible –Dehydration –Inadequate carbohydrate intake –Electrolyte imbalance –Training faults –Muscle fatigue –Poor circulation –Excessively tight muscle

22 Muscle creep  Management –Gentle and static stretching –Contraction of the antagonist muscle (reciprocal inhibition) –Ice or heat –Massage –Electrolyte supply

23 Muscle creep  Prevention –Regular muscle stretching and strengthening –Correction of muscle balance and posture –Adequate warm-up and cool-down –Adequate fluid, carbohydrate and electrolyte intake

24 Tennis elbow( 網球肘 )  Tendinitis  Extensor carpi radialis brevis  Extensor digitorum communis  Site of pain : lateral epicondyle to proximal forearm extensors mass PS : Golfer’s elbow pronator teres and flexor carpi radialis

25 De Quervains’s disease( 媽媽手 )  Extensor pollicis brevis  Abductor pollicis longus tendons

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