INTRODUCTION TO SPORTS MEDICINE Mr. Chandrasekar.L PHT 333 – 2nd SEM – 1435-1436H LECTURE OUTLINE 2 This lecture deals about introduction of sports medicine in following subcategories; 1. Sports medicine team 2. Sports medicine models 3. Classification of sports injuries 4. Sports medicine assessment sheet & RICE principle PHT 333 - Introduction to Sports Medicine 7/1/2016 5:39 AM LECTURE OUTCOME 3 At the end of the lecture the student should able to know; Definition of sports medicine. Who are all in the sports medicine team. Different types of models in sports medicine. Classification of Sports by Extent of Contact, Classification of Sports by Dynamic and Static Status & Classification of sport injuries. RICE principle. PHT 333 - Introduction to Sports Medicine 7/1/2016 5:39 AM Introduction 4 In a diverse world like ours, it is not surprising to see that there is no single definition of sports medicine that is accepted by all interested in the field. Millions of people throughout the world perform physical exercise and play sport. These people have specific medical needs. To cater for these people a branch of medicine known as 'sports medicine' has evolved. PHT 333 - Introduction to Sports Medicine 7/1/2016 5:39 AM Definition – 1- In an editorial for the Journal of Sports Medicine and Physical Fitness published in 1977; 5 “as the application of medical knowledge to sport with the aim of preserving the health of the athlete while improving his or her performance”. PHT 333 - Introduction to Sports Medicine 7/1/2016 5:39 AM Definition – 2 - In 1988, Professor Wildor Hollmann, summarized the main aspects or sports medicine as follows: 6 “medical treatment of injuries and illnesses; medical examination before starting a sport to detect any damage that could be worsened by the sport; medical performance investigation to assess the performance capacity of the heart, circulation, respiration, metabolism and the skeletal musculature; performance diagnosis specific to the type of sport; medical advice on lifestyle and nutrition; medical assistance in developing optimal training methods; and scientifically based control training”. PHT 333 - Introductionof to Sports Medicine 7/1/2016 5:39 AM Definition – 3 - According to Brukner and Khan (1993), clinical sports medicine includes 7 “management of medical problems associated with physical activity and exercise; the role of exercise in the treatment and rehabilitation of chronic disease states; performance enhancement through various interventions such as physiological training, and nutritional alterations; prevention, diagnosis, treatment and rehabilitation of sports injuries; special and specific needs of the pediatric, female and older populations of physically active people; healthcare needs of the traveling sports team; and the use and abuse of substances prohibited in7/1/2016 sports (doping)”. PHT 333 - Introduction to Sports Medicine 5:39 AM Sports medicine includes: 8 Injury prevention, Diagnosis, treatment and rehabilitation; Performance enhancement through training, nutrition & psychology; Management of medical problems; PHT 333 - Introduction to Sports Medicine 7/1/2016 5:39 AM Sports medicine includes: 9 Exercise prescription in health and in chronic disease states; the specific needs of exercising in children, females, older people and those with permanent disabilities; The medical care of sporting teams and events; Medical care in situations of altered physiology, such as at altitude or at depth; and ethical issues, such as the problem of drug abuse in sport. PHT 333 - Introduction to Sports Medicine 7/1/2016 5:39 AM Human Performance Injury Management Exercise Physiology Practice of Medicine Biomechanics Sports Physical Therapy Sport Psychology Athletic Training Sports Nutrition Sports Massage 10 PHT 333 - Introduction to Sports Medicine 7/1/2016 5:39 AM The Sports Medicine Team 11 Sports medicine lends itself to being practiced by a multidisciplinary team of professionals with specialized skills who provide optimal care for the athlete. PHT 333 - Introduction to Sports Medicine 7/1/2016 5:39 AM The Sports Medicine Team 12 Family physician Psychologist Physiotherapist/physical therapist Sports trainer/athletic trainer Sports physician Other professionals such as osteopaths, Massage therapist Orthopedic surgeon chiropractors, exercise physiologists. biomechanists, nurses, occupational therapists, orthotists, optometrists Radiologist Podiatrist Dietitian/nutritionist Coach Fitness adviser. PHT 333 - Introduction to Sports Medicine 7/1/2016 5:39 AM 13 PHT 333 - Introduction to Sports Medicine 7/1/2016 5:39 AM The traditional medical model 14 PHT 333 - Introduction to Sports Medicine 7/1/2016 5:39 AM The Sports Medicine model 15 PHT 333 - Introduction to Sports Medicine 7/1/2016 5:39 AM Table 12.9 -- Classification of Sports by Extent of Contact Extent of Contact Non-Contact Limited Contact Contact-Collision Archery Baseball Basketball Badminton Bicycling Boxing Body building Cheerleading Diving Canoeing/kayaking (flat water) Canoeing/kayaking (white water) Field hockey Football Curling Fencing Flag Dancing Field events Tackle Field events High jump Ice hockey Discus Pole vault Lacrosse Javelin Floor hockey Martial arts Shot put Gymnastics Rodeo Golf Handball Rugby PHT 333 -riding Introduction to Sports Medicine 7/1/2016 5:39 AM 16 Orienteering Horseback Ski jumping Powerlifting Race walking Riflery Rope jumping Rowing Running Sailing Scuba diving Strength training Swimming Table tennis Tennis Track Weightlifting 17 Racquetball Skating Ice In-line Roller Skiing Cross-country Downhill Water Softball Squash Ultimate Frisbee Volleyball Windsurfing, surfing PHT 333 - Introduction to Sports Medicine Soccer Team handball Water polo Wrestling 7/1/2016 5:39 AM Table 12.10 -- Classification of Sports by Dynamic and Static Status Low Dynamic/Low Static Low Dynamic/High Static High Dynamic/Low Static High Dynamic/High Static Bowling Archery Badminton Boxing Cricket Auto racing Baseball Cross-country skiing Curling Diving Basketball Golf Equestrian events Field hockey Cycling Riflery Field events (jumping, throwing) Gymnastics Lacrosse Downhill skiing Orienteering Fencing Karate, judo Race walking Football Motorcycling Racquetball Ice hockey Rodeo Soccer Rowing Sailing Squash Rugby Ski jumping Swimming Running (sprints) Water skiing Table tennis Speed skating 18 Weightlifting Tennis PHT 333 - Introduction to Sports Medicine Volleyball Water polo 7/1/2016 5:39 AM Wrestling 19 PHT 333 - Introduction to Sports Medicine 7/1/2016 5:39 AM The goals of the pre-participation evaluation are as follows: 1 2 20 3 4 5 6 7 8 9 To gather baseline data for future reference [2] [3] To detect manageable medical conditions that may interfere with sports participation [2] [3] To determine whether there are contraindications to participation [2] [3] To discover predispositions to injury, including previous athletic injuries from inappropriate conditioning programs [2] [3] To assess an athlete's current fitness level to help prevent injuries from inappropriate conditioning programs [2] [3] To fulfill legal and insurance requirements [2] [3] To provide an opportunity for health education[3] To establish a doctor–patient relationship with the athlete, identifying the physician and training staff as part of the athletic team To provide an opportunity for training programs to educate residents, student therapists, and 333 - Introduction to Sports Medicine 7/1/2016 5:39 AM medical students about aspects of thePHT physical examination in healthy individuals. History Injury history Have you had a medical illness or injury since your last check-up or sports physical? Do you have an ongoing or chronic illness? Have you ever been hospitalized overnight? Have you ever had surgery? Do you use any special protective or corrective equipment or devices that are not usually used for your sport or position (e.g. knee brace, special neck roll, foot orthotics, retainer on your teeth, hearing aid)? Are you currently taking any prescription or non-prescription (over-the-counter) medications or pills or using an inhaler? Performanc e-enhancing supplements Have you ever taken any supplements or vitamins Pulmonary, Do you cough, wheeze, or have trouble breathing allergies Do you have asthma? and asthma Cardiac and pulmonary 21 Integument to help you gain or lose weight or improve your performance? during or after activity? Do you have seasonal allergies that require medical treatment? Do you have any allergies (e.g. to pollen, medicine, food or stinging insects)? Have you ever had a rash or hives develop during or after exercise? Have you ever passed out during or after exercise? Have you ever been dizzy during or after exercise? Have you ever had chest pain during or after exercise? Do you get tired more quickly than your peers do during exercise? Have you ever had racing of your heart or skipped heartbeats? Have you had high blood pressure or high cholesterol? Have you ever been told you have a heart murmur? Has a family member or relative died of heart problems or of sudden death before the age of 50? Have you had a severe viral infection (e.g. myocarditis or mononucleosis) within the last month? PHTparticipation 333 - Introduction Sportsfor Medicine 7/1/2016 5:39 AM Has a physician ever denied or restricted your in to sports any heart problems? Do you have any current skin problems (e.g. itching, rashes, acne, warts, fungus, or blisters)? Neurologic Have you ever had a head injury or concussion? Have you ever been knocked out, become unconscious, or lost your memory? Have you ever had a seizure? Do you have frequent or severe headaches? Have you ever had numbness or tingling in your arms, hands, legs, or feet? Have you ever had a stinger, burner, or pinched nerve? Metabolic Have you ever become ill from exercising in the heat? Eyes Have you had any problems with your eyes or vision? Do you wear glasses, contacts, or protective eyewear? Musculoskel Have you ever had a sprain, strain, or swelling after injury? etal Have you broken or fractured any bones or dislocated any joints? Have you had any problems with pain or swelling in muscles, tendons, bones, or joints? Eating Do you want to weigh more or less than you do now?[a] disorders Do you lose weight regularly to meet weight requirements for your sport? Psychologic Do you feel stressed out? Public health Record the dates of your most recent immunizations (shots) for tetanus, hepatitis B, measles, chickenpox Gynecologic When was your first menstrual period? (females When was your most recent menstrual period? [a] only) How much time do you usually have from the start of one period to the start of another? How many periods have you had in the past year? PHT 333 - Introduction to Sports Medicine 7/1/2016 5:39 AM 22 What was the longest time between periods in the last year? 23 PHT 333 - Introduction to Sports Medicine 7/1/2016 5:39 AM 24 PHT 333 - Introduction to Sports Medicine 7/1/2016 5:39 AM 25 PHT 333 - Introduction to Sports Medicine 7/1/2016 5:39 AM