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68 Terms
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responsible for the care of athletes Negligence
responsible for the care of athletes
the failure to use ordinary or reasonable care
Scope of Practice
the procedures, actions, and processes that a healthcare practitioner is permitted to undertaken keeping with the terms of their professional license
Duty of Care
part of official job description
act of omission/ when an individual fails to perform a legal duty
act of commission/ where an individual commits an act that is not legally theirs to perform
when an individual improperly does something he or she has the legal right to do.
legal wrong committed against another
Statute of limitation
sets a specific length of time that individual may sue for damages from negligence
Assumption of risk
the individual, through expressed or implied agreement assumes some risk or danger will be involved in a particular undertaking. person takes his or her own chances.
Family Educational Rights and Privacy Act
Health Insurance Portability and Accountability Act
moral principles that govern a persons behavior or the conduction of an activity
a persons standards of behavior or beliefs concerning what is and is not acceptable for them to do
Evidence based practice (EBP)
the conscientious use of current best evidence in making decisions about patient care
a therapeutic method or agent that involves the physical treatment of a disorder
a condition which makes a particular treatment or procedure advisable, WHEN TO USE
specific situation a procedure should not be used because it may be harmful to the person
Physiological effects
what actually happens in the cell of the body
Therapeutic effects
response(s) after a treatment of any kind; how the ATHLETE FEELS after
application of heat to treat traumatic injury
application of cold for first aid of trauma
combines cryotherapy (cold application) and exercise
Protection, rest, ice compression, elevation
rest ice compression elevation
Personal ethics
what a PERSON believes about morality and right and wrong
Professional ethics
Standards of personal and business behavior, values and guiding principles
how to reduce the risk of litigation
preparation for the activity, conduct of the activity, injury management, records management
what are the 4 things that must be proved in order to be found negligent?
1. duty of care2. conduct fell short 3. caused the injury to occur4. resultant damages--personal, property, etc
how to protect yourself
liability insurance, continuing education, document, EAP, follow Dr orders, confidentiality, document, assumption of risk, build healthy relationships.
Potential hazards
failure to...-provide competent personnel-provide instruction-provide proper equipment -to warn-to supervise-improper treatment
regulates how any member of that sports medicine team who has health information about an athlete can share that information with others
HIPPA provides
-access to medical records -gives control on how info is used and disclosed- provides clear avenue of recourse if privacy is compromised
A law that protects the privacy of student educational records
FERPA gives the right to
-inspect and review students education records maintained by the school-request corrections to inaccurate or misleading records -parents have rights and then transfer to student once they are 18
Who "needs to know" about an injury
coach, parents, significant other, ATC's, directing physicians
Cold modalities
Decrease blood flow, Decrease pain
Heat modalities
Increase blood flow, Decrease pain
Increased heating, Increased blood flow
Muscle contraction, decrease pain
Increase blood flow, relaxation
decrease back and neck pain
Intermittent compression
decrease swelling
phases of healing
injury-day 4 RESPONSE day 4-week 6 REPAIR week 6- 2-3 years REMODEL
Physiological effects of cryotherapy
Decrease= muscle spasms, blood flow up to 10-15 minutes, inflammation, metabolic rate Increase= swelling prevention
Therapeutic effects of cryotherapy
Decrease pain, increase joint stiffness
Skin responses to Cryotherapy
STAGE 1= cold sensation 0-3 minutes STAGE 2= mild burning, aching 2-7 minutes STAGE 3= anesthesia 5-12 minutes
Advese conditions to cryotherapy
hypothermia, frostbite, cold allergies, Raynauds
contraindications to cryotherapy
lack of normal temperature sensability, cold hypersensitivity, Raynauds disease, CAD (coronary artery disease)
Ice massage (5-10 minutes), CWP (Ice immersion), and Ice pack (15-20 minutes)
Physiological effects of thermotherapy
Decrease= muscle spasms Increase= blood flow, metabolic rate, collagen elasticity
Therapeutic effects of thermotherapy
decrease pain, increase soft tissue extensibility
Adverse conditions to thermotherapy
burns, open wounds
Contraindications of thermotherapy
loss of sesnsations, immediately after injury, impaired circulation, directly to eyes, during acute inflammtion
heat transferred though liquid (whirlpool)
heat transfer through direct contact (heat pack)
Methods of thermotherapy
Warp WP, 98-110 degrees (10-20 minutes) Moist Heat Pack (20-30 minutes)
it is safe to switch from ice to heat when...
there is little to no chance of swelling, the injury is not tender to touch, any discoloration from injury is starting to dissipate
Electrical Stimulation
INDICATIONS= pain management, muscle RE-EDUCATION and contraction , fracture healing, increase ROM CONTRAINDICATIONS= pacemakers, thrombophlebitis, skin lesions/ hypersensitivity
INDICATIONS= soft tissue healing and repair, scar tissue, chronic inflammation, increase tissue extensibility, blood flow, protein synthesis, pain management CONTRAINDICATIONS= post acute condition, areas of decreased temperature sensation/circulation, eyes, reproductive organs, pregnancy, pacemakers, epiphysial areas in young children
INDICATIONS= acute inflammatory response, edema CONTRAINDICATIONS= diabetic conditions, heart conditions
Intermittent compression
INDICATIONS= hymphedema, traumatic edema, chronic edema, would healing after surgery CONTRAINDICATIONS= superficial infection, acute pulmonary edema, displace fractures
fascial tools
improving ROM, improving pain and function in injured patients CONTRAINDICATIONS= open wounds, high BP/ taking blood thinners, cancer, prengancy, unhealed fractures
vibe plate
INDICATIONS= improve balance, improve postural sway, recruit more muscle fibers CONTRAINDICATIONS= pregnancy, kidney/nladder stone, seizure/epilepsy, pacemaker
INDICATIONS= pain managemnt, facilitate wound healing CONTRAINDICATIONS= pregnancy, eyes
ancient technique of healing by applying cups to selected skin point and creating a sub atmospheric pressure by heat or suction
INDICATIONS= promote blood circulation, health promotion in neck, low back and knee pain, systemic disease CONTRAINDICATIONS= skin inflammation, skin lesions, eyes, open wounds, bone fractures, DVT, cancer patients, organ failure, pace makers, blood disorders,