sprains and sasains power point

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    Sprains & Strains

    PPT-053-01 1

    Bureau of Workers CompPA Training for Health & Safety

    (PATHS)

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    Topics

    PPT-053-01 2

    Sprains and strains what are they?

    Causes

    Difference etween sprains and strains

    Co!!on types

    "ow and where they occur

    Si#ns$ sy!pto!s$ treat!ent

    %ays to preent

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    %hat are Sprains & Strains?

    PPT-053-01 3

    Sprains and strains are two types of 'SDs$ ormusculoskeletal isorers

    !S"s arein(uries or disorders of the)o !usc*es$ neres$ tendons$ (oints$ carti*a#e$ ando supportin# structures of the upper and *ower

    *i!s$ nec+ and *ower ac+ that are caused$precipitated$ or e,acerated y sudden e,ertionor pro*on#ed e,posure to physica* factors

    e.#. force$ repetition$ iration or aw+wardposture/

    - CDCS"

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    Causes of Sprains & Strains?

    PPT-053-01 4

    They are caused y e,cessiereachin#$ endin#$ *iftin#$#rippin#$ suattin#$ or twistin# ofhands$ shou*ders or ody

    Caused y any wor+ perfor!edwith hi#h force$ with !anyrepetitions$ or in an aw+wardposition

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    Causes of Sprains & Strains?

    PPT-053-01 5

    6 sprainis a stretch or tear of a*i#a!ent and of firoustissue that connects two or!ore ones at a (oint/7stretched too far fro! nor!a*

    position

    ne or !ore *i#a!ents!ay e in(ured at the sa!eti!e

    'ost co!!on)

    - sprained an+*e

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    %hat8s the Difference?

    PPT-053-01 9

    6 strainis an in(ury to a !usc*e or tendon thic+$tou#h firous cord of tissue that connects a !usc*eto a one/

    Can e as si!p*e as oerstretchin# a !usc*e ortendon$ or it can e a partia* orco!p*ete tear

    'ost co!!on) strained ac+

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    Types of Sprains & Strains

    PPT-053-01 :

    ;ac+ in(uries$ inc*udin# pu**ed ac+ !usc*es andruptured discs

    Suashed neres causin# seere pain$ such ascarpa* tunne* in wrist or sciatic *e# pain fro! ac+

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    "ow Do They ccur?

    PPT-053-01 =

    Carryin#$ ho*din#$ or restrainin# ite!s$ peop*e orani!a*s

    epetitie tas+s such as reachin# to *ift or *owero(ects$ or to #rip too*s continuous*y

    %or+in# in aw+ward positions ino*in# endin# or

    twistin# your ody to reach ite!sirations throu#h the ody *i+e driin# a truc+ orusin# a powered hand too*

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    %here Do They ccur?

    PPT-053-01 @

    Construction

    6#ricu*ture

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    %here Do They ccur?

    PPT-053-01 10

    Truc+in#transportation

    Aood serices

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    %here Do They ccur?

    11

    De*iery serices

    Custodia* serices

    PPT-053-01

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    %hat are the Si#ns & Si#na*s?

    PPT-053-01 12

    Aor a sprain) Pain$ swe**in#$ruisin#$ not ein# a*e to !oethe (oint

    Aor a strain) Pain$ !usc*espas!s$ !usc*e wea+ness$

    swe**in#$ cra!pin#$ trou*e!oin# the !usc*e

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    Treat!ents for Sprains & Strains

    PPT-053-01 13

    A>ST ST6B to reduce swe**in# and pain >C therapy >est$ ce$ Co!press$ *eate/ forthe first 24 to 4= hours

    1. >est the in(ured area reduce re#u*ar e,ercise oractiities as needed/

    2. ce the in(ured area$ 20 !inutes at a ti!e$ four toei#ht ti!es a day co*d pac+$ ice a#$ or p*astic a#fi**ed with crushed ice and wrapped in a towe* can eused/

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    Treat!ents for Sprains & Strains

    PPT-053-01 14

    3. Co!press the in(ured area$ usin# anda#es$ casts$

    oots$ e*astic wraps or sp*ints to he*p reduce swe**in#

    4. *eate the in(ured area$ aoe the *ee* of the heart$to he*p decrease swe**in# whi*e you are *yin# or sittin#down

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    Treat!ents for Sprains & Strains

    PPT-053-01 15

    "ea*th care proider !ay reco!!end an anti-inf*a!!atorydru# such as aspirin ;ayer/$ iuprofen 6di*$ 'otrin/$ oraceta!inophen Ty*eno*/ to he*p decrease pain andinf*a!!ation

    f moeratesprain$ !ay reuire use of !oi*ity aids$ such as

    a cane$ crutches$ a wa*+er or whee*chair

    f se#eresprain$ !ay need sur#ery to repair torn *i#a!ents$!usc*e or tendon

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    Treat!ents for Sprains & Strains

    PPT-053-01 19

    SCD ST6B >ehai*itation

    1. Physica* therapye,ercise pro#ra!)desi#ned to he*p reduce swe**in#$ preentstiffness and restore nor!a*$ pain-free

    ran#e of !otion durin# first wee+ afterin(ury/

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    Treat!ents for Sprains & Strains

    PPT-053-001 1:

    2. ncrease stren#th and f*e,ii*ity aoutsecond wee+ after in(ury/7 usua**y !orede!andin# e,ercises to i!proe function

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    Treat!ents for Sprains & Strains

    PPT-053-01 1=

    6danced stretchin#?

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    Treat!ents for Sprains & Strains

    PPT-053-01 1@

    3. >eturn to fu** dai*y actiities$ inc*udin#sports if appropriate7 !ust wor+ c*ose*ywith physica* therapist to aoid re-in(ury

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    "ow 'uch Ti!e to "ea*?

    PPT-053-01 20

    Ti!e needed for fu** recoery)

    -'i*d sprainstrain) three to si, wee+s

    - 'oderate sprainstrain) two to three

    !onths

    -Seere sprainstrain) ei#ht to 12!onths

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    "ow Can %e Preent This?

    PPT-053-01 21

    6*thou#h we cannot preent a** sprains andstrains fro! occurrin#$ there are so!e tips on howto aoid the!)

    - Stretch efore you wor+out with

    heay ite!s

    - se proper footwear for theactiity you are doin#

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    "ow Can %e Preent This?

    PPT-053-01 22

    %ar! up adeuate*yefore actiities

    Do not run on icyuneensurfaces

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    Su!!ary

    PPT-053-01 23

    Sprains and strains are c*assified as !uscu*o- s+e*eta* disorders

    'any causes inc*udin# carryin#$ pushin#$*iftin#$ pu**in#$ doin# repetitie tas+s$ or

    wor+in# in aw+ward positions

    Treat y usin# >C>est$ ce$ Co!pression$*eation/

    Preent y stretchin#$ wearin# properfootwear$ usin# caution whi*e wa*+in#

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    >eferences

    PPT-053-01 24

    ationa* nstitute of 6rthritis and 'uscu*os+e*eta*and S+in Diseasesationa* nstitutes of "ea*th

    www.nia!s.nih.#o

    'ayo C*inic www.!ayoc*inic.co!

    6!erican 6cade!y of rthopedic Sur#eons www.aaos.or#

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    Euestions

    PPT-053-01 25