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466 Final Paper

Words: 2017, Paragraphs: 141, Pages: 7

Paper type: Essay , Subject: Golf

Final Exam ATEP 466

Ross Miller

1. You are spending the summer working with the USOC when a BMX athlete comes to you c/o

pain in his anatomical snuffbox. She reports that while on the supercross course she fell during a

jump and broke her fall with her hand. You suspect a Scaphoid fx. What will your initial

treatment look like? It is now 10 days post injury and radiogra phs have confirmed your suspicion

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and there is a Scaphoid fx. What criteria would indicate that this patient will need surgery to

repair? What procedure will be performed? It is now 14 days post op and you will be facilitating

the rehabilitation for this p atient. Please design a program for the next 2 weeks. (30)

Response: Initial treatment is going to consist of icing for the swelling as well as a splint to

stabilize the hand and sending to get an x -ray to confirm fracture. After radiographs if the

patien ts fx is displaced then we would want to proceed with surgery, because there is a high rate

of nonunion, and avascular necrosis. They will perform an internal fixation on the scaphoid, in

which they will put in wires and a pin, and pull the two pieces back together, and then the patient

will be casted for 4, 6, 8, or even 12 weeks.

Week 1:

Exercise Sets Reps

Elbow Isometrics (flexion, extension) 4 15

Forearm Isometrics 3 10

Stationary bike 1 20’

Ice 1 20’

Week 2:

Exercise Sets Reps

Elbow Isometrics (flexion, extension) 4 15

Forearm Isometrics 3 10

Shoulder flexion, adduction,

extension, and abduction w/ red

TheraBand

4 12

Ice 1 20’

Final Exam ATEP 466

2. Write a SOAP note for a daily treatment of a college tennis player whom you are treating in

the athletic training clinic. The patient has an acute hamstring strain 3 days post injury. Make up

objective measurements. (10)

Subjective: Female, 20y/o, collegiate tennis player. Suffered a hamstring strain 3 days ago.

Pain is a 7/10 at the time of inj ury is currently a 4/10. No numbness and

tingling. Pain is sharp when walking sometimes. When walking it shoots up leg

on posterior side. Some swelling remains visible but has decreased since injury.

Objective: Gait is still altered. Palpated some swelli ng on posterior side. Palpation was

painful on biceps femoris near the back of the knee. Some pain on palpation in

the muscle belly still. AROM: flexion was limited, because of pain, extension

was decreased only a slight bit because of contracture and musc le guarding, felt

tight. PROM: flexion was WNL, extension was decreased only a slight bit

because of contracture and muscle guarding, felt tight. MMT: Flexion, 3+/5,

extension, ? , stretching feeling in posterior leg. ST: ( -) Lachman’s, ( -) anterior

drawer, (-) posterior drawer, ( -) McMurray’s.

Assessment: Dx: grade 2 hamstring strain

Ddx: hamstring avulsion, full rupture of hamstring, popliteus strain

Plan: Continue rehab as, ice and compression with elevation to remove swelling,

ankle pumps, and quad sets to help with swelling, keep working on getting to

extension.

3. You have been treating a cross -country runner with IT band friction syndrome in the athl etic

training clinic. What types of things do you take into consideration when deciding when he may

return to training with the team? Are there any restrictions to running as he returns? (20)

Response: The patient must have full, pain free, ROM with full strength. They need to start out

light, don’t jump back in full force, as to not aggravate the IT band again, and slowly build back

up to where he was before injury. I would set a mileage restriction to begin with to help ensure

that he doesn’t push to o ha rd initially.

Final Exam ATEP 466

4. A basketball player has suffered a grade II inversion ankle sprain. Progress her

proprioception/balance training from non -weight bearing to full function over the course of 2 -3

weeks. (30)

Response:

Week 1:

Exercise Sets Reps

BAPS board 4 20

cw/ccw

Alphabet 5x

Ankle pumps 4 30

Dorsiflexion towel

stretch

3 10

Week 2:

Exercise Sets Reps

BAPS board 4 20

cw/ccw

Heel Raises 3 15

SL balance eyes closed 3 30”

4-way hip standing on

uninjured side

3 12

Week 3:

Exercise Sets Reps

SL balance Airex 3 30”

SL heel raises 3 10

SL balance on 4 12

Wobble board circles 3 20 cw/ccw

5. A right -handed member of the high school golf team injured his right elbow when he swung

the club and hit a tree root instead of the ball. He now has pain with full passive elbow extension

and supination, as well as resisted manual muscle testing of pronation and elbow flexion. What

do you think he has done to his elbow and what would you tell him to do for his HEP only over

the next two weeks? *pt. will be doing supervised rehabilitation along with HEP. (15)

Response: I suspect the patient of having a UCL sprain. For his home exercise plan over the next

2 weeks we are going to focus on removi ng swelling, and regaining pain free ROM.

Week 1:

Exercise Sets Reps

Elbow Isometrics (flexion,

extension)

3 15

Passive ROM 3 12

Stress ball squeeze 2 25

Ice and NSAIDs

20’

Week 2:

Exercise Sets Reps

Elbow Isometrics (flexion,

extension)

3 20

Passive ROM 3 15

Stress ball squeeze 2 25

Ice and NSAIDs

20’

Final Exam ATEP 466

6. Progress a high school volleyball player through an eight -week plyometrics program. He is

three months post lateral ankle sprain. (30)

Response:

Week 1:

Exercise Sets Reps

Line Hops, fwd/bck,

cw/ccw, diagonal

4 30”

Bounding jumps 4 8

Step -ups with high knee 5 15

Jump Rope 3 1’

Week 2:

Exercise Sets Reps

Line Hops, fwd/bck,

cw/ccw, diagonal

4 30”

Bounding jumps 4 10

Step -ups with high knee 5 15

Jump Rope 4 1’

Week 3:

Exercise Sets Reps

Line Hops, fwd/bck,

cw/ccw, diagonal

4 30”

Bounding jumps 4 10

Step -ups with high knee 5 15

Jump Rope 4 1’

Week 4:

Exercise Sets Reps

Resistance band jumps 4 10

Box Jumps 4 12

Squat Jumps 4 10

Ski slalom (side to side) 3 8

Week 5:

Exercise Sets Reps

Resistance band jumps 4 10

Box Jumps 4 12

Squat Jumps 4 10

Ski slalom (side to side) 3 8

Week 6:

Exercise Sets Reps

Resistance band jumps 4 12

Box Jumps 4 15

Squat Jumps 4 12

Ski slalom (side to side) 3 10

Week 7:

Exercise Sets Reps

Running figure 8’s

(full court)

3 5

Cutting drills (full

court)

3 5

Hoping lunges

(half court)

3 5

Dot Jumps 4 15

Week 8:

Exercise Sets Reps

Running figure 8’s (full court) 3 5

Cutting drills (full court) 3 5

Hoping lunges (half court) 3 5

Dot Jumps 4 15

Final Exam ATEP 466

7. The university President has come to you requesting that you help with the rehabilitation of

her frozen shoulder. She was diagnosed recently (Stage III) and has severely lost ROM in

external rotation, abduction and internal rotation. What manual techniques would you perform,

and what would you avoid? (15)

Response:

We can apply a posterior glide to improve Glenohumeral internal rotation. We can apply an

anter ior glide to improve Glenohumeral external rotation. We can apply an inferior glide to

improve Glenohumeral abduction. All of these joint mobes can be performed using a grade 3 or

4 movement to increase the mobility of the joint. Although we will want to b egin with grade 1

and 2 mobes to help reduce pain and facilitate relaxation. We will probably start with a grade 1

of movement in the ROM because it is so limited, so we want to stay within the current available

ROM and work our way up to going through all the available ROM of the shoulder.

8. List and describe ten exercises you would use in a Lumbar Stabilization program. Be sure to

explain proper form. (10)

Response:

Exercise Description/Instructions

Hallowing Laying on back, bring knees up, and keep feet flat on table, attempt to

touch bellybutton to table or to spine. Make sure the patient continues to

breathe during this exercise. When hallowing, make sure back stays flat

on the table and doesn’t arch, and ho ld for 3 -5” before relaxing.

Quadruped In a quadruped position (on all fours); keep head straight with knees bent

to 90 degrees. Engage your core to keep back straight during entire

exercise and use your hamstrings, glutes, and low back muscles to lift

your leg straight while simultaneously lifting opposite arm .

Glute Bridges Lie on your back on table or mat with hips and knees bent to 90 degrees

with feet flat on floor and arms palm -down at sides; draw in abdominal

muscles and maintain throughout exerci se; slowly raise your butt off the

table/mat by using your glutes and hamstrings until your torso is in line

with thighs; hold for 3 -5”.

Supine twist with

Physioball

Lie on your back on floor with hips and knees bent to 90 degrees over a

physioball; draw in abdominal muscles and maintain throughout exercise;

slowly and with control, rotate knees to one side keeping hips in contact

with the floor; engage obliques to pull knees back to center and repeat on

opposite sid e.

Plank Lie on your stomach on a table or mat with your forearms/elbows on the

table/mat; rise up so that you are resting on your forearms and toes;

maintain abdominal draw in; your back should be completely straight .

Prone Cobra Lie on your stomach on a table or mat with your arms at your side; lift

your head and chest off the table/mat; hold your glutes (buttock muscles)

tight and squeeze your shoulder blades together; hold briefly and return to

starting position .

Dead Bugs Lie on your back on table or mat with arms perpendicular to floor and

hips and knees bent to 90 degrees; draw in abdominal muscles and

maintain throughout exercise; extend one arm above head while

simultaneously lowering the opposite foot to the floor; contract abdominal

Final Exam ATEP 466

muscles to bring arms and legs back to star ting position; repeat on

opposite side .

Plank with hip

extension

Lie on your stomach on a table or mat with your forearms/elbows on the

table/mat; rise up so that you are resting on your forearms and toes;

maintain abdominal draw in; your back should be completely straight;

Now extend hip/leg upwards and hold, one leg at a time; alternate legs.

Glute Bridge on

Physioball

Lie facing upward on floor with knees straight, feet resting on physioball,

arms at sides; draw in abdominal muscles and maintain thro ughout

exercise; slowly lift your butt off floor until trunk is parallel to thighs;

hold for 3 -5” ; slowly return to starting position.

Russian Twist In a seated V position on a table or mat with a medicine ball in your

hands, twist your body to one side a nd then the other while maintain V

position , making sure you touch the medicine ball to the ground.

9. A high school gymnast has been diagnosed with spondylolysis. She has pain with active

lumbo -sacral extension movements. She has good flexibility in he r trunk and legs except for her

hip flexors. Explain what you would tell her regarding good form with exercises. Also explain

how tight hip flexors may affect her back pain/condition. How might you influence her to use

good posture? (30)

Response:

She wan ts to make sure that she is using and activating her core when doing any exercise. This

way she can stabilize the spine, and not cause any further damages or pain. Tight hip flexors can

make a difference here, because the origin of the psoas major is on th e lumbar vertebrae, that

means if that muscle is tight, then it will pull on its origin , which will cause low back pain to

increase. It could also cause the spondylolysis to be affected because if it is pulling on the

vertebrae it could cause even more dis placement and this could lead to compression of the spinal

cord, which could lead to numbness and tingling in the lower extremity. I would make sure she is

making an effort to sit up straight and no slouch, focus on contracting abdomen and trunk

muscles to stabilize in all motions. Get up from sitting excessively. And stretch hip flexors often,

to help reduce their tightness.

10. You are treating a wrestler in the athletic training clinic. He is one -month post anterior

shoulder dislocation and has decreased ROM in abduction, flexion and external rotation. What

manual techniques would you perform, and what would you avoid? (10)

Response:

We can apply a posterior glide to improve glenohumeral internal rotation. We can apply a

posterior glide to improv e glenohumeral flexion . We can apply an inferior glide to improve

glenohumeral abduction. We will perform a grade 3 and 4 to help improve ROM, but we will

begin with a grade 1 and 2 movement to help reduce any pain and encourage relaxation. We

would want t o avoid putting the patient in any excessive abduction and external rotation, since

that is the mechanism for his type of dislocation and that can cause guarding and further injury.

We want to make sure we aren’t doing joint mobes in a closed -packed positi on, but instead be in

the open -packed position, which is 55 degrees of abduction, horizontally adducted to 30 degrees,

and rotated so that forearm is in the horizontal plane.

About the author

This sample is completed by Emma with Health Care as a major. She is a student at Emory University, Atlanta. All the content of this paper is her own research and point of view on 466 Final and can be used only as an alternative perspective.

Emma other papers:

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