7. sports injuries

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    Sports Injuries

    Boardworks Ltd 20061 of 33

    These icons indicate that teachers notes or useful web addresses are available in the Notes Page.

    This icon indicates that the slide contains activities created in Flash. These activities are not editable.

    For more detailed instructions, see the Gett ing Startedpresentation.

    KS4 Physical

    Education

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    Learning objectives

    What we will learn in this presentation:

    Lea

    rningo

    bjective

    s

    How to classify injuries as chronic or acute

    How to classify injuries as soft tissue or hard tissue

    Different types of skin damagecuts, grazes,

    blisters and chafing

    The causes and treatment of strains, sprains,

    dislocations and torn cartilage

    How to identify and treat fractures

    The treatment of injuriesR.I.C.E.The causes and treatment of unconsciousness

    D.R.A.B.C., resuscitation and the recovery position

    The causes and treatment of concussion,

    dehydration and hypothermia. Boardworks Ltd 20062 of 33

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    Injuries

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    Chronic injuries

    Chronic injuries are caused by continuous

    stresson a body part over a long time.

    Here are some common chronic injuries:

    Injuries can be classed as chronic or acute.

    First, we will consider chronic injuries.

    Chronic injuries can be caused by training

    too hard, not allowing time for recovery,

    poor footwear and bad technique.

    tennis elbow

    golfers elbow

    shin splints.

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    Chronic injuries: tennis and golf elbow

    Overuseinjuries can occur due to repeated powerful

    muscle movements.

    These injuries should be treated by

    applying an icepack and resting for

    several weeks.Physiotherapy treatment may be

    needed and possibly cortisone

    (steroid) injections to relieve the pain.

    Golf and tennis put a lot of strain on

    the elbow.

    In golfand tennis elbow, the tendons

    that attach muscles to the elbow jointbecome inflamed, sore and painful.

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    Chronic injuries: shin splints

    Shin splintsare pains in the

    lower leg, caused by continuousstress over a long period of time.

    Either the tendons around the

    tibia become inflamed, or stress

    fractures develop these arecracks along the length of the

    bone.

    Shin splints should be treated

    with ice and plenty of rest.Cushioned footwear and special

    insoles can help to prevent the

    injury returning.

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    Acute injuries

    Acute injuries occur when there is sudden stresson the body.

    There are three main causes:

    1. Collisionswith

    opponents or obstacles.

    3. Fallingfrom a

    height or at speed.

    2. Being struck

    by an object.

    EMPICS

    Ltd

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    Acute injuries

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    Hard and soft tissue injuries

    Injuries can also be classified as soft tissueor

    hard tissueinjuries.

    Hard tissue injuries

    are bone injuries.

    Soft tissue injuriesinvolve damage to

    skin, muscles, tendons,

    ligaments or cartilage.

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    Soft tissue injuries

    Soft tissue injuries can be openor closed.

    An open injurymeans that the skin has been brokenblood usually escapes.

    Open injuries include cuts,

    grazes, blisters and chafing.

    A closed injuryoccurs

    beneath the skin

    there is no external

    bleeding.

    Closed injuries include

    bruising, pulls, strains

    and sprains.

    EMPICSLtd

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    Open injuries: cuts and grazes

    Cutsrequire

    immediate attention tostop bleeding and

    allow the blood to clot.

    After the cut is

    cleaned, plasters anddressings can be used

    to control bleeding and

    protect the wound.

    Grazesor abrasionswhere skin is scraped off the

    body, need to be cleaned carefully. Grazes that

    result from falls can often contain dirt and grit.

    Deep cuts may need stitches to hold the skin together.

    EMPICSLtd

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    Open skin damageblisters and chafing

    Blistersare caused by the skin

    rubbing on other surfaces.They most commonly occur on the

    feet, due to ill-fitting shoes, and on

    the hands, due to excessive wear and

    tear (e.g. from rowing and archery).

    Chafingis caused by ill-fitting clothing or material. Long-

    distance runners are particularly prone to chafing in areas

    like the armpits, where clothing may rub.

    A bubble of liquid forms just under

    the skin to protect the area while new

    skin is grown underneath. Never burst the bubble, as the

    blister may then become infected.

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    Closed injuries

    Bruisesoccur when small

    blood vessels are damaged byan impact or sudden wrenching

    movement.

    This causes bleeding beneath

    the skin, leading to swelling anddiscolouration.

    Strained(pulled) muscles result from muscles being

    suddenly and forcefully overstretched.

    This tears the muscle fibres, usually where they attach to thetendon. The muscle is painful and its strength is reduced.

    Bruises and strains should be treated

    with ice to reduce the swelling.

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    Sprained/ twisted ankle

    Sprainsare different to strains

    they involve ligaments rather thanmuscles and tendons.

    Sprains occur when ligaments at

    joints get stretched and torn. A

    sharp twist of the foot can give youa sprained or twisted ankle. Severe

    sprains result in torn ligaments.

    Sprains are more serious than strains, and result in

    considerable pain and loss of function at the joint.The symptoms are similar to a fracture or dislocation.

    Sprains should be treated with ice and rest.

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    Dislocation

    A dislocationoccurs when a bone is pulled or

    twisted out of place at a joint.

    When the shoulderis dislocated,

    the humerus is pulled out of the

    socket on the scapula.

    The injured person is usually

    unable to move their arm, and the

    shoulder loses its rounded shape.

    Dislocations are very painful. They require hospitaltreatmentto move the bone back into position.

    The ligaments and tissue around the joint can take a

    long time to recover.

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    Cartilage tear of the knee

    Cartilageaids friction free

    movement at the knee joint andprovides some shock absorption.

    Cartilage can tear if the knee is

    twistedexcessively. This is a

    common football injury, causedwhen players change direction

    quickly.

    A cartilage tear is a serious

    injury. The knee will be painful,

    may lock and will swell.

    cartilage

    An icepack can reduce swelling, but surgeryis

    sometimes needed to repair the damaged cartilage.

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    Soft tissue injuries

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    Hard tissue injuries

    Hard tissue injuries are bone fracturesthe bone

    either cracks or breaks.Fractures lead to:

    Shin splints are a form of fracture

    caused by repeated stress.

    bruising and swelling

    pain due to nerve damagethe limb or area of the body

    where the break is becomes

    immobile

    if it is a bad fracture, the areawill look obviously deformed.

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    Fractures

    A simple or closed

    fracture means that the

    bone is cracked but theskin is not broken.

    A compound or open

    fracture means that the

    skin is brokenand thebone is sticking out.

    Fractures can be open (simple) or closed (compound).

    Open fractures are more serious.

    They usually involve blood loss.

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    Fractures

    Fractures are usually caused by violent

    impacts. They are most common in contactsports like rugby, and sports where there is

    a risk of falling from height or at speed, for

    example, horse riding, skiing and climbing.

    Fractures are difficult to prevent as theyare caused by sudden and unexpected

    events or accidents. Using correct technique and playing

    by the rules can reduce the risks to some extent.

    Fractures should be treated by immobilizingthe injuredarea with a splint or sling and controlling any bleeding with

    a dressing. The casualty should not be moved until the

    ambulance arrives, unless absolutely necessary.

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    R.I.C.E.

    Whenever there is any injury to bones, joints, ligaments

    muscles or tendons, blood vesselswill be damaged.Broken blood vessels mean that blood leaks into tissues

    around the injury. This will lead to swelling, bruisingand pain.

    To combat the effects of this,

    you should follow the R.I.C.Emethod of treatment:

    R Rest

    E Elevation

    C CompressionI Ice

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    R.I.C.E.

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    Unconsciousness

    Unconsciousnesscan be caused by a number of things.

    1. Faintingcommon fainting is a temporary abnormality inblood flow to the brain. It can be caused by stress, heat or

    physical exertion.

    2. Head injuryany blow to the head can cause

    unconsciousness, whether it damages the skull or not.3. Heart attackor strokethis can interrupt blood flow to

    the brain.

    4. Asphyxiabreathing is obstructed, for example if the

    person has inhaled water.

    5. Shockcaused by blood loss, infection or heart problems.

    Unconsciousness can also be a sign of a wide

    range of illnesses, for example, diabetes.

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    D.R.A.B.C.

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    Resuscitation

    If an unconscious casualty is not breathing, rescue breaths

    (or mouth-to-mouth resuscitation) can be used.

    If a casualty has no pulse, chest compressionscan be used.

    This involves the rescuer repeatedly

    blowing air into the mouth of the casualty

    to inflate and deflate their lungs. This

    allows some oxygen into the body.

    The rescuer pushes down firmly and

    repeatedly on the casualtys chest,

    mimicking the action of the heart andcirculating some blood around the body.

    Used together, these two techniques are known

    as cardiopulmonary resuscitation, or CPR.

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    The recovery position

    An unconscious casualty who is breathing and

    has no life-threatening conditions should be

    placed in therecovery position.This keeps the airway open and prevents them

    swallowing their own tongue or choking on vomit.

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    Concussion

    Concussionis a common

    cause of unconsciousnesswhile playing sport.

    Concussion occurs when an

    individual has received a blow

    to the head, causing an injury

    to the brain. This could be

    caused by falling or being hit

    by something or someone.

    A person may be concussed without losing consciousness.

    The signs can include disorientation, loss of vision,

    vomiting, paleness, a racing pulse and shallow breathing.

    Concussion should be treated at hospital.

    EMPICS Ltd

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    Dehydration

    When we exercise, especially in

    hot conditions, the body loseswateras a result of sweating.

    If the performer does not re-hydrate

    by drinking lots of water, they may

    suffer from dehydration.

    The body also loses important

    electrolytessalts which conduct

    nerve impulses and maintain cell

    metabolism.

    This results in the performer feeling

    very tired, nauseous and faint.

    The performer should stop exercising

    and re-hydrate somewhere cool.

    H h i

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    Hypothermia

    Normal body temperature is 37C.

    If a performers body temperaturefalls below 35C, they begin to

    suffer from hypothermia.

    People who take part in activities

    in mountainous areas or on waterare particularly at risk.

    Common symptoms of

    hypothermia are shivering,

    paleness, loss of dexterity anderratic behaviour.

    A hypothermic person should be warmed-up gradually.

    They need warm, dry clothing, warm

    drinks and high energy foods.

    C d t t t

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    Causes and treatments

    Q i

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    Quiz

    E t l ti

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    Exam-style questions

    1. Explain what is meant by:

    a) a soft tissueinjuryb) a chronicinjury.

    2. Fran turns her ankle over during her ballet lesson. Her

    ankle is painful and her teacher says she may have

    damaged some ligaments.

    a) What injury does Frans teacher suspect?

    b) Describe how the injury should be treated.

    3. A hockey player is hit on the head by the ball. Theyappear to be unconscious. Describe how you would

    treat the casualty.

    C b ll th k d ?

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    Can you remember all these keywords?

    Chronic injury

    Acute injuryContinuous stress

    Overuse injury

    Soft tissue injury

    Hard tissue injury

    Open injury

    Closed injury

    Cuts

    Grazes and abrasions

    Blisters and chafing

    Bruising

    Strains / pulled muscleSprain

    Dislocation

    Fracturesimple / closed

    Fracturecompound /

    open

    R.I.C.E.

    D.R.A.B.C.Concussion

    Dehydration

    Hypothermia