CASE STUDY ASSIGNMENT
Submitted by, Jisby Augustine 100632566 FITS- 2302 19-03-2017
Submitted to,
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Ms. Morgan sustained an injury to her left knee which is second degree ACL sprain one year ago. After receiving treatment for the two months’ client is presenting with muscle atrophy and functional anterior pelvic tilt. 1) Describe the ligament (ie: location & purpose) involved in this injury and the mechanism of injury that can compromise this ligament
- ACL (anterior cruciate ligament) is a band of dense connective tissue which courses from the femur to the tibia. Key structure in the knee joint, as it resists anterior tibial translation and rotational loads. The ACL arises from the front of the medial femoral condyle and passes through the middle of the knee to attach between the outcroppings that are located between the tibial plateaus. Most ACL injuries occur due to sports injuries. A grade 2 sprain stretches the ligament to the point where it comes loose. This is often referred to as a partial tear of the ligament.
2) Describe the symptoms that would be present at the time of injury knowing it is a second degree
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Name 2 structures you would expect to be weak?
Anterior pelvic title is when the front side of the pelvis drops and back of the pelvis rises. Shortening of hip flexors causes anterior pelvic tilt. Hip flexors (iliopsoas that rotates it forward when tightened) and quadriceps (front thigh muscles) become tightened. Hamstrings and glute muscles become weak.
6) Design a home care program for your client. Provide them with 2 exercises, 2 stretches and 1 area to perform soft tissue work. Briefly describe and justify each exercise selection of your program
- Injuries to the ligaments are the on of the dangerous injuries that can happen and it also takes a long duration of time to heal the ligament from the injury. It is because the ligaments receive only a little amount of direct blood flow. There are various kinds of exercises that can be used for the stretch of ACL sprain. Knee flexion and extension can be done to stretch the ACL. Slowly bend and extend the knee to keep the knee mobile and to improve the range of motion. Hamstring stretch, it can be done to stretch for the ACL sprain. Keep the hands on the thigh muscle and gently push it down to stretch the ACL. One of the important method to recover from the ACL sprain is to do the Soft tissue work regularly till get recovered. Soft tissue work should be done on the
Sometimes the UCL will weaken and stretch (technically a sprain), making it incompetent. Other times a catastrophic stress will cause the structure to "pop" or blow out. The injury isn't tremendously painful, and it can be incredibly diffic...
Witvrouw, E., Mahieu, N., Roosen, P., & McNair, P. (2007). The role of stretching in tendon injuries. British journal of Sports Medicine , 224-226.
The incidence and prevalence rate of anterior cruciate ligament (ACL) injuries in female athletes continues to increase over time (Prodromos, Han, Rogowski, Joyce, & Shi, 2007). With the growing rate in the amount of young women participating in sports, data has shown that the rate of ACL injury increases linearly with this participation ("The Relationship Between Static Posture and ACL Injury in Female Athletes," 1996). This epidemic of ACL injuries in female athletes, young or old, continues to be problematic in the athletic world. This problem not only affects the athlete themselves, but also the coaches and the sports medicine community.
The anterior cruciate ligament (ACL) is one of the most important of your four major knee ligaments. The function of the ACL is to provide stability to the knee and minimize stress across the knee joint. It restrains excessive forward movement of the lower leg bone (the tibia) in relation to the thigh bone (the femur). It also limits rotational movements of the knee. “Greater external knee valgus and internal rotation moments have been shown to increase loading on the ACL in vitro and are thought to be associated with the increased risk of noncontact ACL injury” (Effects 2011). A tear to the anterior cruciate ligament results from overstretching of this ligament within the knee. It’s usually due to a sudden stop and twisting motion of the knee, or a “...
In spite of this the rate of ACL injury is almost equal through all levels of sports, from beginner, to recreational, to professional athletes. The most widely publicized incident of ACL damage has come from Theresa Edwards who was a top female athlete. She was a basketball player who went to the limit with sports. She went beyond her capability and her ligament couldn’t withstand the pressure and snapped. She is not the only but just one example of many who have suffered this same problem. As female athletes continue to become more competitive and aggressive, ACL damage continues to rise.
The most common knee injury in sports is damage to the anterior cruciate ligament (ACL) through tears or sprains. “They occur in high demand sports that involve planting and cutting, jumping with a poor landing, and stopping immediately or changing directions” (University of Colorado Hospital). The ACL is a ligament that runs diagonally in the middle of the knee and found at the front of the patellar bone. Its function involves controlling the back and forth motion of the knee, preventing the tibia from sliding out in front of the femur, and providing rational stability to the knee. Interestingly, women are more prone to ACL injuries than men. The occurrence is four to six times greater in female athletes.
Anterior pelvic tilt is the top of the pelvis rotating forward such as the ASIS are forward relative to the pubic symphysis. In the frontal plane it looks as if the posterior part of the pelvis is swayed backwards. As dancers we try to work through this resistance and achieve the greatest turn out possible. In order for us to gain greater turn out while standing we often try to open the hips more by sabotaging our alignment, sending the pelvis into anterior pelvic tip. Although you can achieve greater turn out this way, it ruins the aesthetic and makes the deep outward rotators less effective. This means that if you tried to perform a simple tendu to the front, you would not be able to stay turned out through the foot during the exercise. Anterior pelvic tilt also limits a dancer’s execution when doing a back battement.
In November of 2010, I was playing basketball in the fifth game of my senior season. It was just like any other game. However, I would soon find out otherwise. It was late in the game; I drove into the lane and got fouled hard. I was knocked so off-balance that I speared the floor with my knee. As soon as my knee hit the floor I heard a “snap” that I will never forget for the rest of my life. Little did I know at the time, that would be the last shot of my high school basketball career. Not long after my injury, I consulted a doctor. After getting an x-ray and an MRI, the doctor informed me that I had completely torn my ACL and would need to have surgery. An ACL tear can be a very devastating injury. The anterior cruciate ligament (ACL) is one of the four major ligaments within the knee. The ACL is one of the most commonly injured ligaments, injured by an estimated 200,000 patients each year. Of the 200,000 annual ACL injuries, surgery is performed in approximately 100,000 cases. There are many types of reconstructive surgery on the ACL. However, there is an alternative to surgery in the form of physical therapy.
The quality of the home care must meet the essentials of the patients or service seekers. But it never means to fulfil the basic needs or requirements of the individuals who are seeking the service. On the other hand, if the home care is not able to meet the basic needs of the patients then this is important to analyse the certain reasons behind this (Janamian, et. al., 2014).
All injuries are a serious matter, but upper body injuries are more delicate. “Although the majority of contusions to the most parts of the body result injuries that are self-correcting and without serious consequence, even relatively
There are many injuries in general, but sports injuries? Sprains and Strains are the most common injuries in sports. “Sprains are injuries to ligaments, the tough bands connecting in a joint. Suddenly stretching ligaments past their limits deforms or tears them” (Hoffman 1). Ligaments are like springs in a sense that when you stretch a spring, it will return to it’s normal state unless they are
The majority of ACL injuries suffered during athletic participation are of the noncontact variety. Three main noncontact mechanisms have been identified planting and cutting, straight-knee landing and one-step stop landing with the knee hyperextended. Pivoting and sudden deceleration are also common mechanisms of noncontact ACL injury. Basketball, soccer, and volleyball consistently produce some of the highest ACL injury rates across various age groups. Other activities with a high rate of injury are gymnastics, martial arts, and running. In most sports, injuries occur more often in games than in practice. Many injuries have occurred during the first 30 minutes of play. One-reason physicians are seeing more ACL injuries in female patients that more women play sports, and they play more intensely. But as they continued to do more studies, they are finding that women's higher rate of ACL is probably due ...
A 16 year old, female high school soccer player, Lindsey Robinson tore her anterior cruciate ligament (ACL) from a soccer game. Interestingly, she was not the only one in her team who injured her ACL, but also several of her teammates have torn the same ligament as well during the soccer season. Lephart (2002) found that women involved in physical activity are more susceptible to acquire the ACL injuries than men who are involved in the same physical activity (as cited in Ogden, 2002). According to “ACL Injury Prevention” (2004), the numbers on female ACL ruptures have been increased for the past ten year. Over 1.4 million women have been suffered from the ACL rupture which is twice the rate of the previous decade. Therefore, female ACL injuries are now a growing problem in the nation (Anonymous, 2004). Back in 1950s and 1960s, female participation in sports was rare; therefore, the rate of injuries was very low. However, according to “ACL Injuries and Female Athletes” (n.d), as Title IX was implemented in 1972, female participation in numerous sports has dramatically increased. Moreover, the rate of acquiring injuries to the ACL also has dramatically increased (Anonymous, n.d). In terms of comparing the rate of acquiring ACL injuries between two genders, females have higher rate than males do. According to the “Physical Therapy Corner” (2007), “women suffered anterior cruciate ligament injuries more often than men, nearly 4 times as often in basketball, 3 times as often in gymnastics, and nearly 2 and a half times as often in soccer” (Knee Injuries section, para.1). There are various risk factors that contribute to the high rate of acquiring injuries to the ACL for female athletes. External factors such as improper sh...
Anterior knee pain plagues the athletic community, the most common being runner’s knee or patellofemoral pain syndrome (PFPS). One point or another in an athlete’s career they have experienced this kind of pain. When comparing between male and female athletes and who has the higher chance of knee pain, female athletes have a higher prevalence than male athletes (Dolak KL). There are several different mechanisms of patellofemoral pain a few being: pes planus,an increased Q angle, weak, tight or an imbalance in the quadriceps or hip muscles. Recently in my clinic site as the spring sports such as, baseball, soccer and track and field the athlete’s perform a lot of squatting, running, and kneeling which load the patellofemoral joint. We are now starting to see several and treat several athletes with patellofemoral knee pain. Each of them experiencing the pain from a different mechanism. As an athletic trainer we want to treat not only the symptoms, but the mechanism of injury to prevent further injuries down the road. If patellofemoral pain syndrome is not properly treated it can develop into chronic diseases such as chondromalacia or arthritis, maybe eventually leading to a total knee plan. (Lee SE) Treatment while the athletes are young and symptoms aren’t severe is key to preventing further injury.
Staff, Mayo Clinic. "Self Injury." Mayo Clinic. Mayo Foundation for Medical Education and Research, 03 Aug. 2010. Web. 10 Apr. 2012. .