PHTY206 Lecture 8: Principles of management of overusechronic injuries
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Principles of management of overuse/chronic injuries
• Understand the aetiology (cause) of overuse/chronic injuries
o Overuse injuries: an injury of the MS system that results from exposure to a repetitive
force beyond its abilities to withstand such a force
• Understand what & how risk factors may contribute to the development of overuse/chronic
injuries
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o Intrinsic
• Age
• Gender
• History of previous injury
• Biomechanics/alignment
• Aerobic fitness
• Limb dominance
• Flexibility
• Muscle strength
• Foot morphology
o Extrinsic
• Skill level
• Shoe type
• Playing surface
• Equipment
• Use of tape/brace
• Training errors
• Level of competition
• Discuss principles of physiotherapy management for overuse/chronic conditions as they relate
to stages of healing or classification, and discuss common modalities used in physiotherapy
management of overuse/chronic conditions
o Phase 1 and 2
• Treat and train while deloading tissues
• EPAS: e.g. ice after exercise
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o Phase 3 and 4
• Cease activity that produced/aggravates pain/injury
• Attend to pain +/- inflammation as priority
• Deload tissues to relieve pain and encourage normal function
o Predisposing factors
▪ Example hip strength and activation
• Exercise related leg pain
• Patellofemoral pain
• Achilles tendinopathy
• ITB friction syndrome
▪ Example training errors
• Excessive volume
• Too high of a training intensity
• Rapid increases in volume/intensity
o Orthoses
▪ An appliance to support, align, correct deformity or motion of parts of the body
▪ May be custom made or fabricated
▪ Efficacy
• Tibial stress fractures in military
• Posterior tibial stress syndrome in military
• Lower limb overuse conditions
• No significant difference between custom or prefabricated orthoses
• Plantar fasciitis
• Reduces pain and improves function
• Patellofemoral pain
• Reduces pain, stiffness, improves function
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