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Athletic Training Corner

Welcome to the Athletic Training Corner. Here you will find information on pertinent topics related to athletic injuries and/or performance. This information is updated monthly by Thompson Health's athletic training staff.
Each month’s topic will be relevant to the types of sports going on at the time.
You can read the topic here or download a copy and share it.

Preventing hockey injuriesIce Hockey requires a unique combination of speed, power, and teamwork.  Due to the large volume of contact, many injuries can occur.  Some of them are avoidable. 

Most Common Hockey Injuries are:

  • Concussion – Serious head injury which should result in immediate termination of play.  Must be symptom free for 24 hours, cleared by a physician, and follow the Graduated Return to Play Protocol.  These result from hits to the head and/or body and are commonly seen in hockey.
  • Shoulder Injuries – The most common are shoulder separation and a broken collarbone.  These injuries result from contact, either with another player, the ice, or the boards.  Treatment includes a sling, rest, and in some cases surgery.
  • Elbow Injuries – Bursitis is when the bursa sac becomes inflamed.  This can be prevented by wearing properly fitted elbow pads.
  • Wrist Injuries – These result from a fall on an outstretched hand or a hit into the boards.  To help prevent wrist injuries, brace yourself with your forearms and not your hands. 
  • Back Injuries – These can occur because of the flexed posture of skating and the hyperextension stress.  Low back pain and muscle pulls are common.  Stretching of the lower extremities as well as strengthening exercises can help prevent these injuries. 
  • Hip Injuries – The hips are often injured due to the mechanics of skating.  Groin and hip flexor strains are fairly common.  These can be prevented by taking part in a good off-season strengthening program as well as a good stretching and maintenance program in-season.  Other injuries are hip pointers and bursitis.  These are the result of a direct blow to the hip.  Proper equipment with padding can help prevent these conditions.
  • Knee Injuries – The MCL is the most commonly sprained ligament due to the leg position during skating.  While skating you push off the inside edge of the blade.  In addition, most hits would occur to the outside of the knee.  ACL and meniscus injuries can also occur but are less common in hockey than football, soccer, and basketball.

PREVENTION TIPS:

  1. Obtaining a preseason screening by ATC or Physician to identify existing injuries and uncover any weaknesses.
  2. Participation in a sports specific conditioning program
  3. Obtaining quality equipment that is properly fitted and maintained.
  4. Enforcing the rules.  Players and coaches should demonstrate sportsmanship and respect for other players, coaches, and officials.   

 

January 2013

PREVENTING WRESTLING INJURIES

Wrestling is one of the world’s oldest sports and is offered at various levels of competition.  Athletes are paired against each other according to their weight class.  This decreases the risk for injury.  The most common injuries that occur are to the knee, shoulder, skin, and head.

Most Common Injuries

  • Concussions
  • Abrasions
  • Contusions
  • Cuts
  • Cauliflower Ear

·      Knee and Shoulder injuries occur with more severity and are responsible for the most lost time, surgeries, and treatment

Cauliflower ears - Caused by severe bruising of the ear structure.  When this occurs the injury may need to be drained and the ear wrapped in a casting material.  Wearing properly fitted headgear is the best way to prevent this injury. 

Concussions – Wearing headgear with a frontal pad can help minimize the impact of the forehead and can help prevent concussions.  Wearing a mouth guard can not only prevent tongue and tooth injuries, but can also help to prevent concussions. 

Prepatella Bursitis – Inflammation of the bursa sac in the front of the kneecap.  This injury is a result of constant contact with the mat.  This can result in sharp pain and swelling.  This is treated with NSAID’s such as ibuprofen, ice, and rest.  The use of knee pads can help to prevent this injury or make it more manageable once it occurs.

Ligament Injuries – Most common are to the MCL or LCL.  These injuries are the result of the knee twisting outward from the midline of the body.  A 1st degree sprain can be treated with Rest, Ice, Compression, and Elevation.  Often times an athlete can return to play quickly as the pain subsides.  If the sprain is more severe, the athlete will need to be treated by a physician, although surgical intervention is rare.  Prevent these injuries by maintaining good quad and hamstring strength, as well as flexibility. 

Skin Infections – Wrestlers can suffer from skin infections, and they can spread from all the skin-to-skin contact.  Some of the main infections in wrestling are herpes simplex, ringworm, and impetigo.  However, MRSA, which is much more serious, can also occur. 

Minimize the risk of a skin infection by:

  • Practicing good hygiene
  • Taking showers before and after practice/matches
  • Wearing clean clothing
  • Sanitizing mats and gear

If you suspect an infection, see your athletic trainer.  If it is an infection, you will need to see your physician promptly to get a prescription for antibiotics.  When infected, should avoid bodily contact until it is resolved. 

Monitoring Weight Control This can be achieved through proper control of diet and sound nutritional advice.  New York goes through minimum weight certifications in order to establish a weight that is safe for each wrestler to participate at.  This is calculated based on weight and percent body fat.  All wrestlers must pass a hydration test prior to certification. 

Preventing Injuries

  • Promoting Good Hygiene
  • Taking care of minor injuries before they become more significant
  • Proper Technique
  • Solid Strength and Conditioning Program
  • Proper, well-fitted equipment (knee pads, head gear, etc)
  • Clean Mats
  • Proper Officiating