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1、HARMELINGPHYSICALTHERAPYFALLSPORTSINJURIESPREVENTION,RECOGNITION,ANDMANAGEMENTJULY30,2009PresentedBy:PeterHarmeling,MED,PT,SCS,ATCSteveNutter,MSPT,ATC,CSCSJimO’Brien,DPTSHINSPLINTSANATOMYINVOLVEDTIBIALISANTERIOREXTDIGITORUMLONGUS,EXTHALLUCISLONGUSANTERIORSHINSPLINTSSHINSPLINTSPOSTERIORSHINSPLINTS
2、ANATOMYINVOLVEDTIBIALISPOSTERIORSHINSPLINTSCommonCausesOveruseInjuryAggressiveRunning,JumpingActivitiesIncreasemileageorintensitytooquicklyChangeofsurfacesWeakness/OverWorkedAnteriorShinMusclesTightCalfMusclesWeakness/OverWorkedPostTibMuscleOverPronation(FlatFeet)SHINSPLINTSSymptomsPainoverfrontm
3、ediallowerleg(anterior)Painoverinnersurfaceoftibia(posterior)Painwithtoes/feetbentdownward(anterior)Painwithheelraises(posterior)MayhavetendernesstotouchoverbothareasPaindecreasesafterwarmupbutreturnsPainafterrunningatrestSHINSPLINTSPREVENTIONShoesthatfityourfoottypeChangetrainingsurfacesControll
4、edDownhillRunningtoworkanteriormusclesStrengthenandStretchbothAnteriorandPosteriorlowerlegHeelwalking,Toeextensions,AnklestabilizationSTRESSFRACTURESHAIRLINEFRACTURESOveruseInjuryCausedbyrepeatedstresstoboneWeightbearingbonessuchastibiaandmetatarsalsMusclefatiguecanleadtostressfxCommonCausesSTRES
5、S FRACTURESSTRESSFRACTURESSymptomsMainsymptomisageneralareaofpainand/ortendernessassociatedwithweightbearingRunningwillusuallycauseincreasedpainCouldhaveswelling/bruising/tendernesstotouchSTRESSFRACTURESPREVENTIONBonesgetstrongerunderstress,toomuchstress=fractureIncreasedistancebynomorethan10%per
6、weekRotateshoesStayflexibleandStrongPLANTARFASCITISANATOMYINVOLVEDPLANTARFASCIAPLANTARFASCITISCommonCausesOneofmostcommoncausesofheelpainCommoninrunnersduetopoundingFaultyfootmechanicsFlatfooted/higharchesPoororInadequateFootwearTightCalfMusclesPLANTARFASCITISCommonCausesTIGHTCALFMUSCLESPLANTARFA
7、SCITISSymptomsGradualonsetofpainLocaltendernessinheelbutcanspreadtoarchWorstinAMorwhenstandingupinitiallySometimeseasesaswewalkNoPainatrestPLANTARFASCITISPREVENTIONChangeyourshoesStretchyourcalfsStretchoutfasciaToecrun
