quadriceps strains
DESCRIPTION
Quadriceps Strains. Predisposing Factors. Contact Sports Any cardiovascular problem that leads to decreased circulation Obesity Poor nutrition Previous thigh injury Poor muscle conditioning Muscle fatigue. Mechanism of injury. Prolonged overuse Violent single blow - PowerPoint PPT PresentationTRANSCRIPT
Quadriceps StrainsQuadriceps Strains
Predisposing FactorsPredisposing Factors
Contact SportsContact SportsAny cardiovascular problem that leads to Any cardiovascular problem that leads to decreased circulationdecreased circulationObesityObesityPoor nutritionPoor nutritionPrevious thigh injuryPrevious thigh injuryPoor muscle conditioningPoor muscle conditioningMuscle fatigueMuscle fatigue
Mechanism of injuryMechanism of injury
Prolonged overuseProlonged overuse
Violent single blowViolent single blow
Tension forces on the quad Tension forces on the quad muscles causing an muscles causing an overstretchoverstretch
Signs and SymptomsSigns and Symptoms
Pain with knee extension and passive stretchPain with knee extension and passive stretch
Muscle spasmMuscle spasm
SwellingSwelling
Loss of strength Loss of strength
CrepitationCrepitation
Point tenderness over injury sitePoint tenderness over injury site
EcchymosisEcchymosis
Defect in the muscle (third degree)Defect in the muscle (third degree)
Examination and EvaluationExamination and Evaluation
PalpationPalpation– Rectus femorisRectus femoris– Vastus lateralisVastus lateralis– Vastus medialisVastus medialis– Vastus intermediusVastus intermedius
Examination and EvaluationExamination and Evaluation
Muscle TestingMuscle Testing– A, RROM Knee ExtensionA, RROM Knee Extension– A, RROM Hip FlexionA, RROM Hip Flexion– Passive stretch quadriceps Passive stretch quadriceps
muscle (combined knee muscle (combined knee flexion and hip extension)flexion and hip extension)
ClassificationsClassifications
Mild (Grade 1) – Slightly pulled without Mild (Grade 1) – Slightly pulled without tearing of muscle tendon or fibers. No loss tearing of muscle tendon or fibers. No loss of strengthof strengthModerate (Grade 2) – Tearing of fibers in Moderate (Grade 2) – Tearing of fibers in the muscle, tendon, or attachment to the the muscle, tendon, or attachment to the bone. Strength is diminished.bone. Strength is diminished.Severe (Grade 3) – Rupture of muscle-Severe (Grade 3) – Rupture of muscle-tendon-bone attachment with separation of tendon-bone attachment with separation of fibers. Requires surgical repairfibers. Requires surgical repair
Referral/Diagnostic ProcedureReferral/Diagnostic Procedure
Orthopedic Orthopedic surgeon – surgeon –
for third degreefor third degree..
Treatment and managementTreatment and management
Cryotherapy – Cryotherapy – knee flexed positonknee flexed positon
Cold whirlpoolCold whirlpool
NSAIDSNSAIDS
UltrasoundUltrasound
MassageMassage
RehabilitationRehabilitation
StretchingStretching
Isometric muscle Isometric muscle contraction – Quad contraction – Quad setssets
Straight leg raisesStraight leg raises
Knee extensionsKnee extensions
Abduction exercisesAbduction exercises
Adduction exercisesAdduction exercises
PNFPNF
Protection and Return to Protection and Return to Competition FactorsCompetition Factors
Sport specific strength and Sport specific strength and conditioning programconditioning programWarm-up and cool-downWarm-up and cool-downProtective equipment such Protective equipment such as thigh padsas thigh padsNeoprene sleeve for Neoprene sleeve for compression and supportcompression and support
For More InformationFor More Information
http://www.http://www.injuryupdateinjuryupdate.com.au/quadriceps_strain..com.au/quadriceps_strain.htmhtm
http://www.http://www.sportsinjuryclinicsportsinjuryclinic.net/.net/cybertherapistcybertherapist/front//front/frontthighfrontthigh//quadstrainquadstrain..htm htm
http://www.http://www.worldorthoworldortho.com/.com/oxsportsmedoxsportsmed/chapt11.html#part5 /chapt11.html#part5
http://www.http://www.mdadvicemdadvice.com/library/sport/sport183.html .com/library/sport/sport183.html