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Sports Medicine for Sports Trainers - E-Book

Sports Medicine for Sports Trainers - E-Book

,

(2012)

Additional Information

Book Details

Abstract

This E-book provides an easy-to-read introduction to the basic principles of sports medicine for people of all sporting backgrounds and interests. It gives readers practical knowledge in areas such as injury prevention, injury management, crisis management techniques and optimising performance. Topics covered include: management of common sporting injuries; how to conduct warm up, stretching and cool down sessions; using taping to prevent or reduce severity of injuries; and principles of sports nutrition. Examples are drawn from a wide variety of sports. Developed by Sports Medicine Australia, it provides you with the information you need to help athletes prevent injuries, to reduce the severity of injuries that occur, and to prevent injuries from re-occurring.


Table of Contents

Section Title Page Action Price
Front Cover cover
Half title page i
Logos page iii
Sports Medicine for Sports Trainers, 10/e v
Copyright Page vi
Foreword vii
Editor’s Note and Acknowledgements ix
Picture credits xi
Table Of Contents xiii
Introduction xv
About this book xv
Sports Medicine Australia Safer Sport Program xv
The SMA Safer Sport Program and the Australian Qualifications Framework xv
Recognition of prior learning (RPL) xv
Applying for recognition of prior learning xvi
Career prospects xvi
One The sports trainer in action 1
Learning outcomes 1
Introduction 2
What is a sports trainer? 2
Sports trainers and the law 3
Consent 3
Duty of care 3
Negligence 3
Scope of practice 3
Restricted practices 4
Insurance 4
Safety, health and wellbeing 4
Physical health and fitness 4
Sun protection 4
Obstructed, slippery or untidy working areas 5
Serviceability of and faulty sports medicine equipment and incorrect storage 5
Relationships with other health care professionals 5
The sports trainer and professionalism 6
Professional conduct 6
Dress and presentation 6
Communication skills 6
Hand signals and other non-verbal communication 6
Assistance required 7
Unconscious athlete 7
Athlete not breathing 7
Suspected spinal injury 7
Stretcher required 7
Additional first aid supplies required 7
Removing an athlete from play 8
Sports trainer continuing education and development 8
Sports trainer equipment 8
Documentation for sports trainers 8
Injury report form 9
Why use an injury report form? 9
Athlete medical profile forms 9
Why use a medical profile form? 9
Equity issues in sport 9
What is fair discrimination? 10
What is unlawful discrimination? 10
Sports trainer code of ethics 11
Two Functional musculoskeletal anatomy 13
Learning outcomes 13
Introduction 14
Anatomical terminology 14
Description of anatomical movements 14
The skeletal system 14
Structure of bone 15
The major bones of the skeleton 17
Injuries to bone 17
Joints 17
Classification of joints 17
Saddle joint 17
Hinge joint 17
Plane joint 18
Ellipsoid joint 18
Ball-and-socket joint 18
Condyloid joint 18
Pivot joint 18
Structure of joints 18
Injuries to joints 18
Ligaments 18
Injuries to ligaments 19
The muscular system 19
Function of skeletal muscle 19
Structure of skeletal muscle 20
Muscle contraction 20
Injuries to skeletal muscle 21
Tendons 21
Function of tendons 21
Common injuries to tendons 21
Bursae 21
Common injuries to bursae 22
Three Preventing sports injuries 23
Learning outcomes 23
Introduction 24
General injury prevention principles 24
Sports injury surveillance 24
Medical emergency planning 24
Extrinsic and intrinsic risk factors for injury 25
The sporting environment 25
Warm-up and injury prevention programs 25
Warm-up 25
Planning a warm-up – general principles and other considerations 26
Components of the warm-up 26
Maintaining flexibility and keeping warm during an event 28
Injury prevention programs 28
Stretching and flexibility 29
When and how to stretch 29
Types of stretching used in sport 29
Static stretching 29
Dynamic stretches 30
PNF stretches 30
Stretches and exercises to avoid 30
Cool-down and recovery 31
Prevention of re-injury 31
Introduction to sports massage 31
Basic massage strokes 31
Protective equipment 32
Preventive taping and bracing 32
Shin and leg guards 32
Wrist, elbow and knee guards 32
Shoulder padding and body protectors 33
Eye protection 33
Helmets/headgear 33
Gloves 34
Mouthguards 34
Footwear 35
Torsion of the shoe 35
Flexion of the shoe 35
Mid-sole density 35
Heel counter 36
Traction characteristics of the sole 36
Four Sports nutrition 37
Learning outcomes 37
Introduction 38
Food for Health dietary guidelines 38
Energy sources and nutrients for sport 39
Carbohydrate 39
Protein 40
Fats (lipids) 41
Vitamins 41
Vitamin A 41
B group vitamins 41
Vitamin C 42
Vitamin D 42
Vitamin E 42
Vitamin K 42
Minerals 42
Sodium 42
Potassium 42
Calcium 42
Iron 42
Zinc 42
Water 42
Sports drinks 43
Dietary fibre 43
Pre-event and recovery nutrition 44
Pre-event nutrition 44
Nutrition during and after exercise 44
Hydration 45
Food labelling 45
Five Drugs in sport 47
Learning outcomes 47
Introduction 48
What is a drug? 48
General classification of drugs 48
Effects 48
Stimulants 48
Depressants 48
Hallucinogens 49
Availability of drugs 49
Illegal drugs 49
Legal drugs 49
Prescription drugs 49
Over-the-counter drugs 49
Why athletes take drugs 49
Which athletes can be tested for drugs? 50
Doping 50
Inadvertent doping 50
Prohibited substances and procedures 50
Prohibited classes of substances 50
Prohibited procedures 51
Classes of prohibited substances in certain circumstances 51
The therapeutic use of banned medications (Therapeutic Use Exemptions) 52
Advice for sports trainers and other coaching staff 52
ASADA 52
Other useful websites and resources 52
Six Principles of injury management 53
Learning outcomes 53
Introduction 54
Chain of survival 54
DRSABCD principles 55
Dangers? 56
Responsive? 57
Send for help 57
Open airway 57
Breathing? 58
Start CPR 58
Attach a defibrillator (AED) 58
Approach to the management of an injured athlete 59
On-field assessment (STOP principles) 59
Complete assessment (TOTAPS principles) 60
Talk 60
Observe 61
Touch 61
Active movement 61
Passive movement 62
Skills test 62
Handover to other medical personnel 62
SAMPLE principles 62
Seven Common sporting illnesses and injuries 65
Learning outcomes 65
Introduction 66
Shock 66
Causes of shock 66
Signs of shock 66
Symptoms of shock 66
Management of shock 66
Serious bleeding 66
Hard tissue injuries 67
Fractures 67
Signs of a fracture 67
Symptoms of a fracture 67
Management of fractures 67
Management of skull fractures 68
Management of upper and lower arm fractures 68
Management of upper and lower leg fractures 68
Management of hip fractures 69
Management of pelvic fractures 69
Management of rib fractures 69
Hard tissue injuries in young athletes 70
Dislocations 70
Signs of a dislocation 70
Symptoms of a dislocation 70
Management of a dislocation 70
Rules for managing dislocations 70
Subluxation 70
Soft tissue injuries 70
Strains 71
Signs of a strain 71
Symptoms of a strain 71
Sprains 71
Signs and symptoms of a sprain 71
Contusions 71
Signs of a contusion 71
Symptoms of a contusion 71
Process of injury and repair in soft tissue injuries 71
Initial tissue damage 71
Capillary bleeding 71
Clot formation 72
Secondary tissue damage 72
Inflammation 72
Healing of tissue 72
Regaining function 72
Management of soft tissue injuries 72
RICER principle 72
Rest 72
Ice 72
Compression 73
Elevation 73
Referral 73
NO HARM principle 73
Heat 73
Alcohol 73
Running 73
Massage 73
Medications available for management of soft tissue injuries 74
Topical NSAIDS 74
Oral NSAIDS 74
Overuse injuries 74
‘Tennis elbow’ (lateral epicondylitis) 75
‘Golfer’s elbow’ (medial epicondylitis) 75
‘Runner’s knee’ 75
‘Shin splints’ (medial tibial stress syndrome) 75
Overuse injuries and young athletes 75
Spinal injuries 76
Signs of spinal injury 76
Symptoms of spinal injury 76
Management of spinal injuries 76
Immobilisation 76
Brain and head injuries 76
Brain injury in sport 77
Concussion 77
Contusion and compression 77
Direct trauma 77
Signs of brain injury 77
Symptoms of brain injury 77
Management of brain injury 77
Assessing brain injuries in athletes 78
Head injury form 78
Dental injuries 78
Tooth avulsion 78
Management of tooth avulsion injuries 78
Chipped or broken teeth 79
Tooth loosened or pushed out of position (luxation) 79
Tooth is pushed into the gum (intrusion) 79
General rules relating to dental injuries 80
Chest and abdominal injuries 80
Chest injuries 80
Respiratory distress 80
Common sport-related chest injuries 81
Abdominal injuries 81
Internal abdominal bleeding 81
Signs of internal abdominal bleeding 81
Symptoms of internal abdominal bleeding 81
Management of internal abdominal bleeding 81
Winding 81
Signs of winding 81
Symptoms of winding 81
Management of winding 81
Injuries to male external genitalia (testes and scrotum) 82
Signs of injury to male genitalia 82
Symptoms of injury to male genitalia 82
Management of injury to genitalia 82
Environmental influences on sporting injuries 82
How the body loses and gains heat 82
Evaporation 82
Radiation 82
Convection 82
Conduction 84
Regulating body temperature 84
Changing the amount of blood flow to the skin 84
Sweating 84
Shivering 84
Heat illness 84
Heat cramps 84
Heat exhaustion 84
Heat stroke 84
Dehydration 85
Factors affecting heat illness 85
Environmental factors 85
1 Temperature 85
Ambient temperature 86
Wet Bulb Globe Temperature (WBGT) index 86
2 Duration and intensity of an event 86
3 Conduct of competition and training (hydration and interchange opportunities) 86
4 Time of day 86
5 Local environment 86
Host (personal) factors 87
1 Clothing 87
Protective clothing 87
2 Acclimatisation of the participants 87
3 Fitness levels/athletic abilities of participants 87
4 Age and gender of participants 87
5 Predisposing medical conditions 88
6 Other factors to consider 88
Cold illness 88
Hypothermia 88
Frostbite 88
Symptoms of frostbite 88
Signs of frostbite 88
First aid for frostbite 88
Thawing the affected area 89
Factors affecting cold illness 89
Weather conditions 89
Clothing 89
Age, physical condition and period of exposure 89
Wound management in sport 89
Blood rules 89
Types of wounds 89
Treatment of wounds in sport 90
Eight Common medical conditions affecting athletes 91
Learning outcomes 91
Introduction 92
Common medical conditions 92
Asthma 93
Signs of an asthma attack 93
Symptoms of an asthma attack 93
Management of a severe asthma attack 93
Reliever medication with a spacer 94
Reliever medication without a spacer 94
First asthma attack 94
Asthma medications 94
Reliever medications 94
Preventive medications 95
Combination medications 95
Asthma and the athlete 95
Pre-exercise advice 95
During exercise advice 95
Post-exercise advice 95
Further information 96
Diabetes 96
Types of diabetes 96
Signs of low blood sugar (hypoglycaemia) 96
Symptoms of low blood sugar (hypoglycaemia) 96
Management of low blood sugar (hypoglycaemia) 96
Travelling with diabetic athletes 97
Further information 97
Epilepsy 97
Management of a seizure 97
Considerations for athletes with epilepsy 98
Cardiovascular emergencies 98
Assessing perfusion status 99
Pulse 99
Conscious state 99
Skin and temperature 99
Diving emergencies 99
Signs of an air embolism 100
Symptoms of an air embolism 100
Signs of decompression illness 100
Symptoms of decompression illness 100
Management of diving emergencies 100
Before diving 100
Viral infections 100
Simple upper respiratory tract viral infections (cold and flu) 100
Signs of simple upper respiratory tract viral infections 100
Symptoms of simple upper respiratory tract viral infections 100
Simple gastrointestinal tract viral infections 100
Symptoms of simple gastrointestinal tract viral infections 100
Signs of simple gastrointestinal tract viral infections 101
Viral illness and its effect on an athlete 101
Mild viral illness (signs and symptoms but no fever) 101
Moderate viral illness (signs and symptoms and mild fever) 101
Severe viral illness (signs and symptoms and increased fever) 101
Exercise and viral illness 101
Management of viral illness 101
Specific viral illnesses 101
Hepatitis A 101
Signs of hepatitis A 101
Symptoms of hepatitis A 101
Management of hepatitis A 101
Prevention of hepatitis A 102
Hepatitis B 102
Hepatitis C 102
Human immunodeficiency virus (HIV) 102
Glandular fever 102
Signs of glandular fever 102
Symptoms of glandular fever 102
Management of glandular fever 102
Chronic illness and injuries 103
Anaemia 103
Signs of anaemia 103
Symptoms of anaemia 103
Management of anaemia 103
Osteoarthritis 103
Signs of osteoarthritis 103
Symptoms of osteoarthritis 103
Management of osteoarthritis 103
Rheumatoid arthritis 103
Nine Moving injured athletes 105
Learning outcomes 105
Introduction 106
When a sports trainer might consider moving an injured athlete 106
Methods of moving an injured athlete 106
Moving athletes with suspected spinal injuries 106
Transporting athletes with spinal injuries 106
Scoop stretchers, spine boards and cervical collars 107
Stabilisation and transport of an athlete with a suspected spinal injury 107
Use of scoop stretchers 107
Use of spinal boards 109
Other grips for cervical stabilisation 111
Ten Sports taping 113
Learning outcomes 113
Introduction 114
Aims of taping 114
Materials 114
Adhesive tape 114
Tape grade 114
Rigid adhesive tape 114
Elastic adhesive tape 114
Tape storage 114
Tape characteristics 115
Tape selection 115
Associated materials that may assist taping 115
Elastic under-wrap 115
Gauze pads 115
Cushioning foam 115
Tape adhesive 115
Tape remover 115
Using adhesive tape for sports injuries 115
Preparation for taping 115
Appropriate positioning of the athlete for the body area to be taped 116
Proper application and method of taping 116
Tearing adhesive tape 116
Post-taping checks 116
Removing tape 117
Manual removal 117
Scissors or tape cutters 117
Chemical adhesive solvents 117
Taping of the hand (fingers and thumb) 117
Bones of the hand 117
Joints and ligaments of the hand 117
Muscles of the hand 117
Thumb muscles 118
Finger muscles 118
Considerations when taping fingers and thumbs 118
Taping fingers 119
Technique for buddy-taping fingers 119
Taping thumbs 119
Technique for taping a thumb 119
Taping of the ankle 119
Bones of the ankle 119
Joint and ligaments of the ankle 120
Muscles of the ankle 120
Taping an ankle 120
Technique for taping an ankle 121
Apply 2–3 stirrups (depending upon the size of the foot/ankle) 121
Apply a figure of 6 121
Closing down of stirrups 121
Heel locks (two complete sets) 121
Closing down 121
Ankle bracing 121
Taping of the knee 121
Bones of the knee 122
Joint and ligaments of the knee 122
Taping a knee 122
Technique for taping a knee for a medial collateral ligament injury 122
Taping of the shoulder 123
Bones of the shoulder 123
Joints and ligaments of the shoulder 123
Taping a shoulder 123
Technique for taping a shoulder 123
Appendix A Sports first aid kit contents 127
Appendix B Sports trainer management flow chart 129
Appendix C Injury report form 130
Appendix D Athlete medical profile form 131
Appendix E Useful sports medicine information resources for sports trainers 133
Glossary 135
Index 139
A 139
B 139
C 139
D 140
E 140
F 141
G 141
H 141
I 141
J 142
K 142
L 142
M 142
N 142
O 142
P 142
R 143
S 143
T 143
U 144
V 144
W 144
Y 144
Z 144