Sports Injury-Prevention and Management
On Thursday, 4th May 2017 students of Delhi Public School Patna got an opportunity to attend an interactive session on a very important topic, “Sports Injury – Prevention and Management”. This session was conducted by two of the eminent doctors from PARAS HMRI hospital Patna, namely, Dr. Arvind Gupta, MBBS (BHU), MS (BHU), MRCS(UK), DIPSICOT ARTHROSCOPY and ARTHROPLASTY FELLOW GERMANY. ORTHOPAEDIC CONSULTANT & SPORTS INJURY SPECIALIST at PARAS HMRI HOSPITAL PATNA and Dr. Gautam R Prasad, Spine Surgeon, ex associate spine consultant- Lilavati Hospital, Mumbai along with overseas training at UK, Denmark, South Korea having an experience of over 13 years in this field.
The session started with Dr. Arvind coming to the dais first and talking to the students about sports injury. He said that injuries are not just bad luck. There are errors and lack in proper the training process which cause many injuries. The preventions are that there should be a proper and adequate warm-up followed by regular effective stretching and normal muscle strength and balance exercises before jumping directly into any sport. One should be trained to use correct sports equipment’s, do adequate and correct training, and should know correct use of strapping and bracing, take optimum nutrition, and take care of the environment, normal psychological status, lifestyle and individual habits. He explained the importance of each of the above stated points. Like, he said that the warm up of 15-20 mins increases the muscle temperature by 1 degree which increases the heart rate, blood flow, body temperature, respiration rate, perspiration and decrease joint viscosity. Passive warm up increases peak stretch and decreases peak force. The active warm up increases peak stretch and peak force. Stretching is a form of physical exercise in which a specific muscle or tendon (or muscle group) is deliberately flexed or stretched in order to improve the muscle's felt elasticity and achieve comfortable muscle tone. The result is a feeling of increased muscle control, flexibility, and range of motion. Stretching is also used therapeutically to alleviate cramps. He talked about the basic principles of stretching: warm up prior to stretching, stretch before and after exercise / sport, stretch gently and slowly, stretch to the point of tension but not pain. Even the shoes that we wear during exercise /sport should be the ideal one. It should absorb or reduce impact forces, provide medio-lateral stability to ankle, avoid hyper pronation on landing, provide guidance to tahe off and avoid over pronation on take-off, should be cushioned to reduce load on the body, good friction shoes is used for better grip during stance and take off. He also specified that overuse is considered excessive and repeated use that results in injury to the bones, muscles or tendons involved in the action. Rest and recovery should be planned. When fatigued, the chance of musculoskeletal injury increases significantly.
- Drink water before, during & after event
- DO NOT rely on thirst as indicator of when to drink
- Drink COOL beverages
- Begin fluid replacement immediately
Management of acute sports injury should follow these points: P- RICE- MM Treatment-
Protections- stabilize area, Rest- stop all activity, Ice- Therapy, Compression, Elevation, Medication and Modalities.
Then Dr. Gautam took over the session and concentrated on the contact sports like kabaddi, rugby, football and non-contact sports like swimming, cricket, and explained that even the best players have suffered injuries of shoulder, back, elbow, knee, finger, toe, ankle sprain etc. He said that these types of injuries may occur because of over stretching, over doing, contact, trying beyond ones limit. So the precautions necessary are proper coaching, Sports is reflex activities…. Have good foundation, Know your sports well, Understands – your sports related injuries, Take necessary preventive measures. He stressed upon the foods one should eat every day, benefits of proper sleep, avoid fatigue, alcohol, smoking or any other kind of addictions. Towards the end there was an open session where the students put up their queries and got satisfactory answers. Staying fit is not a destination; it’s a way of life.