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Dr Sahir Pall
Consultant Sports Medicine
Sports Medicine is the
medicine of exercise or
the total medical care of
an Exercising individual.
 The subject of Sports medicine is a amalgam
of many subjects like.
◦ Sports Physiology( Exercise Physiology).
◦ Sports Anthropometry.
◦ Sports Biomechanics( Training Methods).
◦ Sports Psychology.
◦ Nutrition.
◦ Traumatalogy (Forms the main part of sports
medicine dealing with prevention, diagnosis,
treatment and rehabilitation of the injury).
◦ Physiotherapy.
EXERCISE
PHYSIOLOGIST
TRAINER COACH
PSYCHOLOGIST
DIETITIAN
SPORTS MEDICINE
SPECALIST
PODIATRIST
PHYSIOTHERAPIST
MASSEUR
Sports Medicine
 OVERALL MANAGEMENT- BASED ON SIX
PRINCIPLES
◦ Minimize the extent of initial damage.
◦ Reduce associated pain and inflammation.
◦ Promote healing of damaged tissues.
◦ Maintain or restore
flexibility, strength, proprioception and overall
fitness during the healing phase.
◦ Functionally rehabilitate the injured athlete to
enable return to sport.
◦ Assess and correct any predisposing factors in
order to reduce likelihood of recurrence.
 INITIAL TREATMENT
◦ R-Rest
◦ I-Ice
◦ C-Compression
◦ E-Elevation.
 TO MOBILIZE OR IMMOBILIZE
◦ Immobilization
◦ Protected Mobilization
◦ Continuous Passive Motion.
 THERAPEUTIC DRUGS
◦ Analgesics
◦ Topical Analgesics
◦ Topical Anti Inflammatory Agents
◦ NSAID
◦ Corticosteroids
 Local Injections
 Iontophoresis.
 ELECTROTHERAPEUTIC MODALITIES
◦ Ultrasound Therapy
◦ Transcutaneous Electrical Nerve Stimulation
( TENS)
◦ Interferential Stimulation
◦ High Voltage Galvanic Stimulation(HVGS)
◦ Low Voltage Stimulation
◦ Neuromuscular Electrical Stimulators
◦ Point Stimulators/Hyper stimulation Analgesia
◦ Laser
◦ Diathermy
◦ Magnetic Field Therapy.
 HEAT AND COLD THERAPY
◦ Cryo Therapy
◦ Superficial Heat
◦ Contrast Bath.
 MANUAL THERAPY
◦ Joints-Mobilization, Manipulation, Traction
◦ Muscles-Soft Tissue Technique (Massage), Muscle
Energy Technique
◦ Neuromeningeal Structures- Neural Stretching.
 SURGERY
◦ Arthroscopic Surgery
◦ Open Surgery.
 DEFINATION-
◦ Restoration To a Former Capacity Or
Standing Or To a Rank, Rights And
Privileges Lost Or Forfeited.
 THIS IS THE ESSENCE OF SPORTS
MEDICINE REHABILITATION
 IMPORTANT COMPONENT OF
REHABILITITION
◦ Muscle Conditioning
◦ Flexibility
◦ Proprioception
◦ Functional Exercises
◦ Sports Skills
◦ Correction Of Bio-Mechanics
◦ Maintenance Of Cardiovascular Fitness
◦ Psychology.
RETURN
TO SPORT
MOTOR
RELEARNING
ENDURANCE
FLEXIBILITY-STRENGTH-PROPRIOCEPTION
 MUSCLE CONDITIONING
◦ Effect Of Injury Upon Muscle
◦ Principle Of Muscle Conditioning
 Specific Adaptation To Imposed Demand
 Overload
◦ Component Of Muscle Conditioning
 Muscles Strength Training
 Isometric Exercises
 Isotonic Exercises
 Isokinetic Exercises
 Muscle Power Training
 Muscle Endurance Training
 Motor Re-education.
 FLEXIBILITY
◦ Regaining Full Flexibility Of Joint And Soft
Tissues- A Essential Component
 Joint Range Of Motion
 Continuous Passive Motion
 Passive Mobilization
 Passive Exercises
 Active Exercises
 Active Assisted Exercises
 Musculotendinous Flexibility.
 Proprioception Exercises
 Sports Skills
 Correction Of Biomechanical Abnormalities
 Cardiovascular Fitness
 Hydrotherapy
 Progression Of Rehabilitation
◦ Type Of Activity
◦ Duration Of Activity
◦ Frequency
◦ Intensity
◦ Complexity Of Activity.
 STAGES OF REHABILITATION
◦ Initial Stage
◦ Intermediate Stage
◦ Advanced Stage
◦ Return To Sport
 Monitoring Rehabilitation Programme
◦ Pain
◦ Tenderness
◦ Range of Motion
◦ Swelling
◦ Redness
◦ Ability To Perform Exercises And Functional
Activities
 Psychology and Rehabilitation of Injury.

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Sports medicine treatment and rehabilitation-Dr Sahir Pall

  • 1. Dr Sahir Pall Consultant Sports Medicine
  • 2. Sports Medicine is the medicine of exercise or the total medical care of an Exercising individual.
  • 3.  The subject of Sports medicine is a amalgam of many subjects like. ◦ Sports Physiology( Exercise Physiology). ◦ Sports Anthropometry. ◦ Sports Biomechanics( Training Methods). ◦ Sports Psychology. ◦ Nutrition. ◦ Traumatalogy (Forms the main part of sports medicine dealing with prevention, diagnosis, treatment and rehabilitation of the injury). ◦ Physiotherapy.
  • 5.  OVERALL MANAGEMENT- BASED ON SIX PRINCIPLES ◦ Minimize the extent of initial damage. ◦ Reduce associated pain and inflammation. ◦ Promote healing of damaged tissues. ◦ Maintain or restore flexibility, strength, proprioception and overall fitness during the healing phase. ◦ Functionally rehabilitate the injured athlete to enable return to sport. ◦ Assess and correct any predisposing factors in order to reduce likelihood of recurrence.
  • 6.  INITIAL TREATMENT ◦ R-Rest ◦ I-Ice ◦ C-Compression ◦ E-Elevation.  TO MOBILIZE OR IMMOBILIZE ◦ Immobilization ◦ Protected Mobilization ◦ Continuous Passive Motion.
  • 7.  THERAPEUTIC DRUGS ◦ Analgesics ◦ Topical Analgesics ◦ Topical Anti Inflammatory Agents ◦ NSAID ◦ Corticosteroids  Local Injections  Iontophoresis.
  • 8.  ELECTROTHERAPEUTIC MODALITIES ◦ Ultrasound Therapy ◦ Transcutaneous Electrical Nerve Stimulation ( TENS) ◦ Interferential Stimulation ◦ High Voltage Galvanic Stimulation(HVGS) ◦ Low Voltage Stimulation ◦ Neuromuscular Electrical Stimulators ◦ Point Stimulators/Hyper stimulation Analgesia ◦ Laser ◦ Diathermy ◦ Magnetic Field Therapy.
  • 9.  HEAT AND COLD THERAPY ◦ Cryo Therapy ◦ Superficial Heat ◦ Contrast Bath.  MANUAL THERAPY ◦ Joints-Mobilization, Manipulation, Traction ◦ Muscles-Soft Tissue Technique (Massage), Muscle Energy Technique ◦ Neuromeningeal Structures- Neural Stretching.  SURGERY ◦ Arthroscopic Surgery ◦ Open Surgery.
  • 10.  DEFINATION- ◦ Restoration To a Former Capacity Or Standing Or To a Rank, Rights And Privileges Lost Or Forfeited.  THIS IS THE ESSENCE OF SPORTS MEDICINE REHABILITATION
  • 11.  IMPORTANT COMPONENT OF REHABILITITION ◦ Muscle Conditioning ◦ Flexibility ◦ Proprioception ◦ Functional Exercises ◦ Sports Skills ◦ Correction Of Bio-Mechanics ◦ Maintenance Of Cardiovascular Fitness ◦ Psychology.
  • 13.  MUSCLE CONDITIONING ◦ Effect Of Injury Upon Muscle ◦ Principle Of Muscle Conditioning  Specific Adaptation To Imposed Demand  Overload ◦ Component Of Muscle Conditioning  Muscles Strength Training  Isometric Exercises  Isotonic Exercises  Isokinetic Exercises  Muscle Power Training  Muscle Endurance Training  Motor Re-education.
  • 14.  FLEXIBILITY ◦ Regaining Full Flexibility Of Joint And Soft Tissues- A Essential Component  Joint Range Of Motion  Continuous Passive Motion  Passive Mobilization  Passive Exercises  Active Exercises  Active Assisted Exercises  Musculotendinous Flexibility.
  • 15.  Proprioception Exercises  Sports Skills  Correction Of Biomechanical Abnormalities  Cardiovascular Fitness  Hydrotherapy  Progression Of Rehabilitation ◦ Type Of Activity ◦ Duration Of Activity ◦ Frequency ◦ Intensity ◦ Complexity Of Activity.
  • 16.  STAGES OF REHABILITATION ◦ Initial Stage ◦ Intermediate Stage ◦ Advanced Stage ◦ Return To Sport  Monitoring Rehabilitation Programme ◦ Pain ◦ Tenderness ◦ Range of Motion ◦ Swelling ◦ Redness ◦ Ability To Perform Exercises And Functional Activities  Psychology and Rehabilitation of Injury.