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Injury Management

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Sport Injury

Management
STI Management
Many of the strains & sprains that occur are
preventable through the use of proper
techniques & by;
Ensuring adequate conditioning & proper care &
rehabilitation of all injuries before allowing any
resumption of training/ playing
Maintenance of flexibility & leg muscle strength
Incorporating speed, agility & balance drills amongst
other training procedures
STI Management
First 48 hours are vital it will reduce the time
spent on the sideline.
Immediate management RICER for all
ligament sprains, muscle strains & muscle
bruises

STI Management
TALK
TALK to the injured athlete
e.g. What happened? How do you feel?
Where does it hurt? Does it hurt anywhere else?
STOP
STOP the injured athlete from participating or moving
STOP the game if necessary
OBSERVE
OBSERVE whilst talking to the athlete
Is the athlete distressed?
Is the athlete lying in unusual position/ posture?
Is there any swelling?
Is there any deformity?
Is there any tenderness when touched?
Does it hurt to move the injured part?
PREVENT
FURTHER
INJURY
Severe Injury
Less Injury
Minor Injury
STI Management
Remember you should avoid the HARM factors
Heat
Such as sauna, spa, hot water bottles, hot shower bath, hot liniment rubs increase bleeding
Alcohol
Increase swelling
Running
Or exercise too soon can make the injury worse
Massage
Or the use of heat rubs in the first 48 72 hrs can increase swelling and bleeding
STI Management
Overuse injuries
Overuse injuries, such as tendonitis or muscle
soreness caused by excessive and/or repetitive use,
are also preventable. These overuse injuries may
also involve the growth centre of the bones
of young players.

Coaches should ensure to monitor the frequency
of training & competition, activities on hard
surface should be interspersed with other activities.
STI Management
Return to Sport/ Activity
Too early after an injury are more susceptible to
further injuries. Before returning to training or
competitive should ask simple questions :
1. Is the injured area pain free?
2. Can you move the injured part easily through
a full range of movement?
3. Has the injured area fully regained its strength?

Q n A
STI Management
How Why
Rest
Place the athlete in a
comfortable position,
preferably lying down.
The injured part should
be immobilized and
supported.
Further activity will
increase bleeding and
damage
STI Management
How Why
Ice
The conventional methods
are :
crushed ice in a wet
towel/ plastic bag
immersion in icy
water
cold water from the
tap
Apply for 20 min every 2 hrs
for the first 48 hrs
Caution : sensitive skin,
tolerance to ice, open wound
Ice decreases :
swelling
pain
muscle spasm
secondary damage to the
injured area
STI Management
How Why
Comp
ressio
n
Apply a firm wide
compression bandage
over a large area
covering the injured
part, as well as above
and below the injury.
Compression :
reduces bleeding and
swelling
provides support for
the injured part
STI Management
How Why
Eleva
tion
Raise injured area above
the level of the heart at
all possible times.
Elevation reduces :
bleeding
Swelling
pain
STI Management
How Why
Refer
ral
Refer to a suitably
qualified professionals
such as doctor or
physiotherapist for s
definitive diagnosis and
ongoing care.
Early referral for a
definitive diagnosis to
as certain the expert
advice on the
rehabilitation program
required.
STI Management
Dont Panic
Stay Cool
STI Management
Provide a few words
of encouragement
STI Management
If the answer to any
of the both questions is
Yes, seek a Sport
Medicine qualified,
Sport First Aider,
Sport Trainer.
STI Management
Severe Injury
Suspected Head, Facial, Spinal, Chest,
Abdominal injuries, Fracture or Major Bleeding
GET HELP

Get Professional help
Dont move the athlete, Keep onlooker away,
Comfort the athlete until professional help arrives,
Immobilize and support
STI Management
Less Injury
Soft Tissues Injuries such as sprains, strains and
Muscle bruises
RICER REGIMER

First 48 hours are vital in the effectiveness
management of STI
Rest, Ice, Compression, Elevation, Referral
STI Management
Minor Injury
Bumps and bruises which do not impair
performance
PLAY ON

A few words of encouragement will help
Monitor any such injuries
Minor injuries should also be managed using
the RICER regime
References
1. Jurulatih. Bil.1 Nov/Dis 1999

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