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Rehabilitasi Olahraga: Cedera Anggota Tubuh Bagian Bawah

Pembicara: Dr. Murtuza Sabuwala

Pendiri Ultimate Performance, Pusat Rehabilitasi Olahraga.

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Keterangan

Sports activities play an important role in today’s society. However, as many people become involved in these activities, the number of sports-related injuries for football players also increases drastically.

Sports injuries are common and can occur throughout our body to bones, muscles, tendons, ligaments and other structures.Minor sports Injuries can be treated at home with rest, ice, compression, elevation and OTC pain medications. But some major injuries require medical treatment,physical therapy and surgery.

Our Speaker Dr Murtuza Sabuwala Founder of Ultimate Performance Rehabilitation gives an in-depth analysis on lower limb injury scenarios that he sees regularly in his Rehabilitation center.

Ringkasan

  • Injuries in sports can be categorized as acute traumatic injuries or cumulative overuse injuries, along with conditions like muscle cramps, sprains, strains, fractures, and unconsciousness. Common examples include ankle sprains, knee strains, hamstring issues, shin splints, and tendinopathies. Players often hide injuries due to fear of being sidelined, leading to repeated muscle strain and growth impairment. Injury types vary with age and intensity, with younger players experiencing abrasions and sprains, while older players may face fractures.
  • Psychological factors play a significant role in athletic injuries. A significant percentage of athletes experience distress following injuries, which can increase their risk. Rehabilitation can negatively affect confidence and create anxiety. Psychological readiness is crucial before returning to play, as athletes with fear and anxiety are more prone to re-injury. Surveys among professional players reveal high rates of both contact and non-contact injuries, with mild to moderate injuries being the most common. Re-injury rates are also significant.
  • Injury prevalence varies by player position, with strikers being most susceptible, followed by midfielders. The highest injury rates are observed in players aged 21 to 25. Hamstring muscles are most frequently injured, followed by calf muscles and quadriceps. Recurrent injuries often lead to longer recovery periods and occur more frequently towards the end of each half. Moreover, muscle injuries can extend shift times compared to training.
  • Research on hamstring injuries shows a correlation between the position of players and their susceptibility to certain injuries. Defenders are most vulnerable to ankle injuries, often due to improper landings, while forward players are prone to hamstring injuries due to repeated sprints. Risk factors for hamstring injuries include previous injuries, inflexibility, and muscle imbalances. Proper injury prevention programs are crucial, as players who do not follow them have a significantly higher risk of re-injury.
  • The "TAP" protocol (Talk, Assess, Passive movement, Special tests) can be employed to assess injuries, involving open communication with the player to understand the nature and location of the pain. Compare the injured area with the non-injured side, looking for abnormalities. Then, assess pain-free active and passive movements. Rehabilitation requires a realistic and personalized approach, providing clear explanations of the process and expected outcomes.
  • Rehabilitation principles include avoiding aggravation, prioritizing timing, ensuring compliance, individualizing the program, specific sequencing, appropriate intensity, and focusing on the total patient. Rehabilitation components consist of pain management, improving flexibility and joint range of motion, strengthening and endurance, restoring proprioception, functional rehabilitation, and addressing the psychological aspects of the injury. Modalities can aid in pain relief, while flexibility techniques improve range of motion.
  • Strength and endurance are vital for return to play. Regaining coordination requires improving awareness of body position and movement. Functional rehabilitation focuses on returning the athlete to their active role through sport-specific exercises. Practical return-to-play decisions consider the player's position, the type of injury (new vs. recurrent), and the tactical demands of their role.
  • Hamstring injury prevention can be enhanced through Nordic exercises, which significantly reduce re-injury rates. Copenhagen adduction exercises are effective for preventing groin injuries. Preventative training programs can reduce non-contact injuries. For ankle injuries, the emphasis is on mobility, strength, proprioception, and lifestyle. After an ankle injury, the athlete should avoid full load for around 4–6 months, because it takes significant time for the ligaments to regain their original tensile strength.
  • Before return to play, a thorough well-being assessment should consider the player's physical and mental state. All first aid and training equipment should be easily accessible, including ambulance access, parental contact information, and medical professionals. In summary, the comprehensive approach to sports injury prevention and rehabilitation involves a multi-faceted assessment and treatment, considering physical and psychological readiness, as well as sport-specific demands.

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