WOUND OF SPORT

Wounded of Sport is injuring at muscular system and body frame which is caused by activity of sport.

Wounded of sport often happened is:

1. Broken bone because pressure
2. Shin Splints
3. Tendinitis
4. Runner knee
5. Wounded of knee blood-vessel
6. Back weight lifting atlet
7. Nudge tennis player
8. Wounded of head
9. Wounded of foot/feet

CAUSATIVE
Wounded of sport caused by:

1. Wrong practice method
2. Structural disparity depressing part(division of certain body more than part(division of other body
3. Weakness at muscle, tendon and ligament.

Mostly this wounded caused by long-range usage, where happened recuring movement depressing sensitive area.

Wrong Practice Methods

Wrong practice method is causative very often from injuring at muscle and joint. Patient do not give recovery time enough sport having taken steps or do not stop to exercise when arising pain in bone.

Every time muscle depresses by intensive activity, some muscles experience wounded and other muscle to use its energy reserve on file as carbohydrate gliycogen.

Curative of muscle fibre and replacement of gliycogen requires time more than 2 day.

Most of sport program is carried out in rotation; today perform practice heavy, the next day to rest or performs light practice.

Only swimmer which able to perform practice which heavy and light every day without experiencing wounded. Possibility of energy ampung from water assists to protect muscle and joint the swimmers.

Structural Disparity

Structural disparity can cause more sensitive someone to injuring sport caused by not quite the ticket pressure at part of certain body.

For example, if second length tungkai unegual, then hip and knee at longer cruris will get larger pressure.

Bichemistry factor causing wounded of foot/feet, cruris and hip is pronation of foot/feet into after comes into contact to ground.

Pronation to certain degree is normal and prevents wounded by the way of helping to channel strength jerks to all foot/feet.

Pronation of abundant able to cause pain in bone at foot/feet, knee and cruris. Ankle hardly elastic so that when run or running, transverse arch comes into contact to ground and foot/feet becomes plane.

If someone owned stiff ankle, then there will be on the contrary, that is pronation less.

Foot/feet seems to have curve very high and has no convulsion exsiccant carefully, so that increase risk of the happening of small barst in foot/feet bone and cruris (fracture because pressure).

Hemiparese, Tendon & Ligament

If getting larger pressure than its natural strength, then muscle, tendon and ligament will experience having . More sensitive joint to injuring if muscle and ligament contributing weak.

Brittle bone because osteoporosis easy to experience broken bone (fracture).

Practice reinforcement of can assist to prevent the happening of injuring.

The only way to strengthen muscle is exercise to fight against prisoner, which step by step more and more the strength is added.

SYMPTOM

Pain in bone first time emerges if muscle fibre or tendon the numbers limited to start to experience having tears.

Stop practice at the time of pain in bone happened, will lessen wounded at the fibre, so that cure quicker happened. If practice do not be soon stopped, then amount of fibre tearing will be more, so that the damage broader and the healing becomes longer.

DIAGNOSE

Diagnose upheld based on symptom, description from patient about activity which is performed by by and result of physical examination.

Diagnostic inspection which is performed to cover:

1. CT Scan
2. MRI
3. Arthroscopy
4. Electromyography

Inspection with help of other computer to value of function of muscle and joint.

CURATIVE

Curative soon for most all injuring sport is taking a rest, ice cube compress and lifting.

Side injuring soon taken a rest to minimize haemorrhage in and edematous and to prevent to increase hard wounded.

Ice cube causes venous to wrinkle, assist to lessen inflammation and pain in bone.

Wrap area experiencing wounded with elastic band and ablates it up to be to by heart, will assist decongestive.

Compress with ice cube is performed by during 10 minute. An elastic band can be girded loosely in around stone ice bag.

Side experiencing wounded still be lifted, but ices compress is discharged by during 10 minute, then compress again during 10 minute. This thing is performed in rotation within 1-1,5 hour.

Action to can be repeated the counted several times during first twenty-four hours.

Ices to lessen pain in bone and edematous through some ways.

Area experiencing wounded to experience edematous because dilution seeps from within vein. By causing to wrinkle it venous, then cool will lessen tendency seeps it dilution so that lessens amount of dilution and edematous in impacted by area.

Drop temperature skin around area which is impacted by able to lessen pain in bone and muscle spastic.

Cool will also lessen damage of network because process of slow seluler. But too long compressing with ice cube can destroy network.

If very low temperature (reach around 15 degree Celcius), skin will give reaction of on the contrary, that is causing to widen venous. Skin seems to red, feel warm and itchs, also able to injure.

The effect usualy happened within 9-16 minute after was compress performed and will decrease during around 4-8 minute after ice was lifted.

In consequence ices must be lifted by before this effect happened or after 10 minute, has just been compress again 10 minute later.

Inoculation corticosteroid into joint injuring or network in vinicity can lessen pain in bone and edematous.

But this inoculation can slow down curative, increase risk of the happening of damage of tendon and cartilage and makes worse wounded because enabling patient used its joint injuring before recovering total.

Therapy physical of poison in the form of warm-up, refrigeration, electricity, sound wave, withdrawal (traction) or practice in water, can performed in addition to practice therapy.

The duration are performed by therapy physical of depended to heavy and the complex wounded which happened.

Activity or sport causing wounded better avoided up to injure really recovers.

Better to change sport type than not performs activity physical of at all, because not at all perform activity of can cause muscle losing of mass, the strength and resilience.

PREVENTIVE

Warm-up before doing practice which heavy can assist to prevent the happening of injuring.

Light practice during 3-10 minute will heat muscle so that more resistant and elastic muscle to injure.

More effective active warm-up method than uliginous passive method to heat, heater pad, ultrasonic or infrared lamp. Passive method do not cause increasing of hemodynamic in means.

Refrigeration is lessened practice step by step more and more before practice was stopped.

Refrigeration prevents the happening of confused by taking care of blood stream. If practice which heavy was stopped in a sudden, blood would collected in legs vein and for the time being causes the lessen of blood stream to head.

Refrigeration also assists to throw away metabolik waste (for example, lactic acid from muscle), but refrigeration seems to do not prevent ill of muscle at the next day, which is caused by damage of muscle fibre.

Stretching practice seems to do not prevent wounded, but functioning to lengthen muscle so that muscle can having contraction more effective and works better.

To avoid damage of muscle because stretching, stretching shall be performed by after warm-up or after sport, and every stretching movement arrested during 10 calculation.

Layering shoe (orthotic) often can improve;repair problem of foot/feet like pronation.

The layer is in character can flex, rather stiff or stiff and length varies, adapted for used by shoe.

Good spikes to have:

1. Angle of stiff heel to control movement foot/feet backside
2. A prop alongside layer to prevent abundant pronation
3. A shoe hole which give pad to contribute ankle.

Orthotic measure usually 1 number smaller than used by shoe measure.

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Related Notes:

• KOMPETENSI DOKTER LAYANAN PRIMER
• SIMPLE TRIAGE & RAPID TREATMENT