Scientific Management of Sports Injuries

ENS 365

Spring 2002

3 Units T/TH 0800 (ENS 291)

Prerequisites: *Bio 202, ENS 265, 265L, 303, credit or concurrent in ENS 306

(*new to fall 2000 catalog)

Instructor: Carolyn Peters, MA, ATC, CSCS (topics I, II, III, IV)

Office Hours: SDSU Aztec Athletic Center 1400

(call 594-7660 for appointment or e-mail cpeters@mail.sdsu.edu)

Instructor: Gary Johnson, MS, ATC, PT (topics V, VI, VII)

Office Hours: SDSU Aztec Athletic Center 1400

(call 594-7650 for appointment or e-mail johnso38@mail.sdsu.edu)

DESCRIPTION: This course is a discussion of the scientific management of sports injury. Emphasis will be on

those parameters most important in understanding the common pathological conditions in athletic injuries and planning

and implementing prevention plans. This is an upper division professional course for athletic training and pre-physical

therapy students and will be conducted accordingly. The course is the foundation for the professional courses (ENS

367 368 462, 463, 464, and 465). It is assumed that the student has completed the majority of the preparation for

major courses' in the athletic training and pre-physical therapy specializations. Those students advancing towards the

Athletic Training Professional Program must receive a grade of B or better in ENS 365 to proceed to ENS 462,463,

465.

OBJECTIVES: The student will be able to:

1.  Identify the phases of management of sports injury.

2.  Identify and analyze the causes/mechanisms of sports injury.

3.  Identify and discuss the primary events in the inflammation and healing processes, and the relationship to

 athletic training/physical therapy procedures.

4.  Identify the processes that enable the musculoskeletal system to accept and distribute mechanical forces.

5.  Discuss muscle as a mechanical system.

6.  Identify and discuss the various theories of pain and develop a comprehensive theory of pain.

7.  Identify the principles of neuromuscular physiology pertinent to sports injury management.

TOPICS:

I.     Cause and Prevention of Sports Injury

II.    Physiology of Healing

III.   Physiology of Connective Tissue

IV.   Advanced Concepts in Arthrology

V.    Myokinetics/Kinematics

VI.   Advanced Concepts in Neurophysiology

VII.  Pain Theory

 

REQUIRED TEXTS AND MATERIALS:

1.  Arnheim, D. and W. Prentice, Modem Principles of Athletic Training, 10th ed. (2000), Boston: McGraw Hill

2.  Lecture Outlines, Peters, C. & Johnson, G. (purchase from K.B. Books)

3.  Library Assignments, Library Reserve Room or Electronic Reserves

 

OPTIONAL SUGGESTED TEXT:

1.  Gallaspy, J.B., and J.D. May, Signs and Symptoms of Athletic Injuries, ^1996), St. Louis: Mosby.

*Note: At this time, each student should own his/hers own anatomy, kinesiology, and exercise physiology texts.

COURSE REQUIREMENTS:

1.  Class Participation                                                             .  .

2.  Written examinations (3) and written quizzes (3) will cover all assigned material including: text,

handouts, lecture notes, and library assignments.

GRADING:

1.  Written examinations (100 pts: each). A = 90, B = 80, C = 70, D = less than 70. (%of total

points earned). Make-up examinations may be given at the discretion of the instructor and must be arranged

prior to the exam day.

2.  Written quizzes (25 pts. each).  A = 90. B = 80, C = 70, D = less than 70. No make-up quizzes.

3.  Final course grade based on total points earned from written examinations and quizzes. A = 90, B =

80, C = 70, D = less than 70.

Note: No extra credit assignments


ENS 365

Reading and Study Assignments

Note:  All lecture material; class handouts, course syllabus, and reading assignments are required.  All journal articles

and reading assignments (other than the Text) are on Library Reserve or Electronic Reserves. Additional materials

may be assigned during the semester.

Key (A) = Amheim, D. and W. Prentice, Modern Principles of Athletic Training, 10th ed. (2000)

Week                              Topic                                                                                                                      Assignment                                                    

1, 2                   Introduction to Course                                                                             (A) Ch. 1 (pgs. 8-15)

Topic I: Cause and Prevention of Sports Injury                                             (A) Ch. 2/3 (pgs. 46 - 53, 63, 64)

(A) Ch. 12 (pgs. 274 - 291)

2                        lecture/quiz

3, 4                    Topic II: Physiology of Healing                                                                        (A) Ch. 10 (pgs. 238 - 248)

Hardy, M. "The Biology of Scar Formation,"

Physical Therapy 69:1014-1023,

Dec. 1989.

Houglin, P. "Soft Tissue Healing and Its

Impact on Rehabilitation," Journal of

Sport Rehabilitation, 1:19-39, Feb.

1992.

Prentice, W. "Using Therapeutic Modalities to

Affect the Healing Process,"

Therapeutic Modalities in Sports

Medicine, 4th ed. McGraw-Hill.

5                        EXAM I-Topic I, II

5, 6, 7                Topic III: Physiology of                                                                                      Price, H. "Connective Tissue in Wound Healing,"

Connective Tissue                                                                                         Wound Healing... 1990

Nordin, N. & Frankel, V. "Biomechanics of

Bone," Basic Biomechanics of the

Musculoskeletal System, 2nd ed. Lea &

Febiger.

Nordin, N. & Frankel, V. "Biomechanics of

Articular Cartilage," Basic

Biomechanics of the Musculoskeletal

System, 2nd ed. Lea & Febiger.

Nordin, N. & Frankel, V. "Biomechanics of

Tendons and Ligaments," Basic

Biomechanics of the Musculoskeletal

System, 2nd ed. Lea & Febiger.

7                   lecture/quiz

8, 9                  Topic IV: Arthrology                                                                                           Smith, et al. Bnmnstrom's Clinical Kinesiology

                                                                                                                                                       5th ed, pgs 11 -17

Kessler, "Arthrology, Chapter 2"

Norkin, C. & Lavangie, P. "Joint Structure and

Function," Joint Structure & Function,

2"1 ed. F.A. Davis Co.

10                     SPRING BREAK

11                     EXAM II - Topics III, IV

 

11, 12, 13         Exam review/Topic V:                                                                               Norkin, C. & Lavangie, P. "Muscle Structure and

Myokinetics/Kinematics                                                                                                    Function," Joint Structure & Function,

2nd ed. F.A. Davis Co.

                  13, 14             quiz/Topic VI: Neurophysiology

 

15                   Topic VII- Pain                                                                                            Starkey, C "The Injury Response Process,"

pgs. 23 - 35, Therapeutic Modalities for

Athletic Trainers, F.A. Davis Co.

16                               Final Exam