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I'm about to dip my toes into the world of sports physiotherapy for the first time by looking after an U12 football team during their weekly games. Has anyone got any tips or pearls of wisdom to hand down to a beginner like myself!!!?? I know its not very specific but thought i'd draw on some of your vast experiences for any ideas. Thanks.
:hat Hey Tiger...
This forum is very much interesting! i wish it was possible for me to sit and chat for the whole day.
Anyway...
Sports physiotherapy is a very satisfying practice Tiger.It is however very challenging also. The easiest part I think is the management of injuries that result from the activities either in training or in a match. These injuries are purely soft tissue injuries and you manage them the same way you would manage any such injury. Except with sports people you aim at the quickest recovery root as this is their livelyhood. Your undergraduate trainning has basically prepared you for sports physiotherapy. Areas you should look at however, are sports pshychology and children in sports. Also you should look at prevention of injuries in relation to correct exercise regimes including warm up and warm down, correct sports equipment,suitable playing surfaces etc.
Go out there and bring out the good Physio in you!
Cheers :hat
Share your experience tiger you got a nice chance to develop your skills in sports pt You should have a first aid kit with you & it is very essential for a sports pt. You should take decission very quickly in order to treat the injuries. For that you should watch the mechanism of injuries very carefully. Do a quick assesment based on observation, palpation, don't do any special test on the field, best of luck. sQuote:
Originally Posted by Wizard911247
When doing an on field assessment a good word of wisdom is to remember the acronym TOTAPS. This stands for
Assessing the injury
- Talk
- Observe
- Touch
- Active Movements
- Passive Movements
- Skill
Injuries need to be evaluated as soon as possible using D.R.A.B.C. (Danger, Response, Airway, Breathing, Circulation) to determine their severity. If emergency treatment is not needed, T.O.T.A.P. S. is an effective tool for further assessment.
Talk
Ask the player what happened.
Where does it hurt?
What kind of pain is it?
Observe
Look at the affected area for redness or swelling.
Is the injured side different from the other side?
Touch
Touch will indicate warmth for inflammation. Touch also assesses pain.
Active movement
Ask the injured player to move the injured part without any help.
Passive movement
If the player can move the injured part, carefully try to move it through its full range of motion.
Skill test
Did the active and passive movement produce pain? If no, can the player stand and demonstrate some of the skills from the game carefully?
If an injury is identified, remove the player from the activity immediately.
The above guidelines do not apply for assessing head injuries/concussion or suspected spinal injury. For suspected spinal injury, the player must be kept lying flat and immobile until professional help is available.
When an injury is found!
Immediate injury treatment A soft tissue injury such as a sprain, strain or bruise identified using T.O.T.A.P.S should immediately be treated with the
R.I.C.E.D. procedure:
Rest
Rest reduces further damage stop activity as soon as the injury occurs.
Avoid as much movement of the injured part as possible to limit further injury.
Dont put any weight on the
injured part.
Ice
Ice cools the tissue and reduces pain, swelling and bleeding.
Place ice wrapped in a damp towel onto the injured area dont put ice directly onto bare skin.
Hold the ice pack firmly in place with a bandage.
Keep ice on the injury for 10 minutes every hour or so for the first 48 hours.
Compression
Firm bandaging helps to reduce bleeding and swelling.
Ensure that bandaging is not so tight that it cuts off circulation or causes tingling or pain past the bandage.
Bandage the injury between ice treatments.
Elevation
Elevation helps to stop bleeding and reduce swelling.
Raise the injured area on a pillow for comfort and support.
Keep the injured area raised as much as possible.
Diagnosis or Referral
Consult the appropriate medical professional especially if you are worried about the injury, or if the pain or swelling gets worse.
If the pain or swelling has not gone down significantly within 48 hours, also seek treatment.
During the initial phase one should also avoid any H.A.R.M factors
Avoid the H.A.R.M-ful factors for 72 hours after the injury:
Heat
Heat increases the bleeding at the injury site.
Avoid hot baths and showers, saunas, hot water bottles, heat packs and liniments.
Alcohol
Alcohol increases bleeding and swelling at the injury site, and delays healing.
It can also mask the pain of the injury and its possible severity, which may result in the player not seeking treatment as early as they should.
Running
Running or any form of exercise will cause further damage.
Players should not resume exercise within 72 hours of an injury unless a medical professional says it is all right to exercise.
Massage
Massage causes an increase in bleeding and swelling, and should be avoided within 72 hours of the injury.
If the injury is massaged within the first 72 hours, it may take longer to heal.
I have also attached a simple overview document that is used as a common starting point for sports trainers etc. This gives you an overview of the types of things the sports physio or sport trainer should consider when taking on a team responsibility.
Best of Luck :)
iam too sports physiotherapist
pls let me help u
but i dont how to group chat as iam knew to this web site
any one of sports physiotherapists can contact me on [email protected]