FALL Review Questions If a bone injury is suspected the AT should If an athlete has an Achilles rupture, he or she will be unable to…. Matching Lateral Ankle Sprain Eversion Medial Ankle Sprain Inversion HOPS stands for… Give specific example for each letter regarding inversion ankle sprain Matching… Inversion Injury Pull 1st Stirrup Out Eversion Injury Pull 1st Stirrup In Inflammation of fascia (thick connective tissue) on the bottom of the foot, results from chronic stress is an injury to the _______________ Plantar Fascia The foot is responsible for ________________ & ________________ the rest of the body. Supporting and Stabilizing When completing special testing, ATs almost always go through ______________testing (active and passive) and _____________testing. Range of Motion Strength Identify four strategies for injury prevention. Briefly explain PRICES. • Protection (use equipment, gear, attire that is appropriate to activity) • Rest (avoid activity) • Ice (20-30 mins of ice, off 40-60 mins, no more than 3x /day; no heat first 48hrs) • Compression (prevent swelling) • Elevation (10-12 inches above heart, control swelling) • Support (equipment to aid athlete) Define “Plantar” Bottom Surface of Foot What does “itis” mean? Inflammation A shin splint is typically between ___-___ inches. 2 and 6 1 inch Stress Fracture Rank in Order of Least Severe to Most Severebe prepared to support your rationale Bunion 1. Bunion Turf Toe 2. Turf Toe Achilles Strain 3. Achilles Strain/Medial Tibial Stress 2nd Degree Eversion Sprain Syndrome Ruptured Achilles 4. 2nd Degree Eversion Sprain Medial Tibial Stress Syndrome 5. Stress Fracture Stress Fracture 6. Ruptured Achilles Achilles Strain • History – Questions • Observation- Bilateral Comparison (prone position)… differences, swelling, deformity, color, bruise marks, redness • Palpation- find out where exactly it hurts, muscle or tendon • Special Tests• • • • Calf Squeeze (prone position) -foot should plantar flex at ankle if no rupture) ROM (prone position)- plantar/dorsiflexion Strength (prone position)- plantar/dorsiflexion Functional- 2 foot calf raise, 1 foot calf raise, Jump 2 feet, L/R Jump (complete multiple times) Achilles Tape • Athlete should slightly plantar flex and maintain this position during the procedure. Athlete should be in prone position. • Apply Anchor Strips • Middle of gastrocnemius, slightly higher than ankle tape (proximal) • Ball of Foot (distal) • Apply Support Strips • Apply 3 strips (X) across the ankle to limit dorsiflexion • Start at distal anchor pull towards proximal anchor • Apply heel lock (2) – one on each side • Apply Closure Strips • Close foot up • Around ankle change direction • Follow contour of foot Shin Splint Tape • HOPS • Anchor • Repeat “stabbing” feeling • 1.5 inch tape • Once shin splint occurs, it will occur more • Medial / Lateral Side to Top and Bottom of frequently Prewrap (A/B injury) • Mechanism- muscles/fascia pull away from • Support Strips bone • Create X’s anchor to anchor • Distance of Stress: 2-6 inch span of bone, 1 inch • Make sure to pull, adding tension span usually a stress fracture • Distal to proximal • Shin splint tape will not always help, • Overlap by ½ ICE and Stretch! • Closure Strips • Cover anchors (Medial, Lateral, Superior, Inferior)