1. Introduction and taking a history
MSK Clinical Skills
Introduction and taking a history
July 27th 2010
Mark Ridgewell
Mark Davies
Iain Burns
Hannah Stockham
    

2. Introducing the APP’s
Iain Burns
Hannah Stockham

3. Prevalence of Sports Injury
In the UK 18m people take part regularly in sport
22m sports-related injuries sustained by 13.4 m individuals
Barclays Spaces for Sports survey (Aug ‘05)
10m days off work through sports injury
25 % receive treatment in NHS

4. Types of Sports Injury Acute (40-45%) Overuse (55-60%) Usually trauma
Attract most publicity and research
Contact sports
Overuse (55-60%)
Harder to diagnose and treat
25-50% of visits to sports med clinics
Commoner in top athletes
80% in endurance sports

5. Future Plans Government paper “Game Plan” 2003
Aims to increase level of physical activity of all kinds in the UK from its present 30% to 70% by 2020.
In Wales “Climbing Higher” 2005
Consequence will be a higher than ever number of sport and exercise related injuries.

6. History-taking

7. Current Symptoms Pain – site, associated symptoms, referred
Aggravating and Easing
Any swelling, stiffness, locking, giving way, crepitus, clicking or catching

8. Onset of symptoms Sport played, level Acute or insidious
Mechanism of injury
Able to continue or play on at time of injury?
Treatment
Able to train or compete now?

9. Behaviour/pattern of symptoms
Did the injured area swell?
Immediate or delayed?
Initial neurological deficits?
Immediate management
RED FLAGS

10. Extrinsic Factors Playing surface Footwear Equipment
Point of game, competition, training
Any changes to normal routines/training

11. Past injury history Related to current injury Relevant other injuries
Previous treatment or intervention
On-going interventions i.e tape

12. Past medical history
General health
Family history
Medications

13. Aspirations
Next competition or game?
Priorities
Goals