Basic locomotor examination and

injury prevention
 DIAGNOSIS

INVESTIGATION DIAGNOSIS TREATMENT

EVALUATION
 Before you make
diagnosis, you must
know what is the normal
condition of the patient
 Doctors work flow

History Physical Additional

Taking Exam Exam
LOOK FEEL MOVE
• SEE FOR ANY • TOUCH FOR ANY • ASK PATIENT TO
ABNORMALITIES  ABNORMALITIES  MOVE  measure
measure measure

COMPARE WITH NORMAL / UNAFFECTED SIDE

Basic locomotor examination and
injury prevention
Risk of having injury
 Injury in sport

This results from a single stressful or dangerous event results from repeated and prolonged exposure to highly
stressful events
 Risk factor of sport injury

Age
modifiable Gender
Training Ethnicity
Nutrition Genetics
Extrinsic Intrinsic
Equipment
factor factor
Environment Power/ strength
others Non
Flexibility
modifiable Skills
Previous injury
 tissues adapt to the stresses placed on
them over time

they can incur injury unless they have

appropriate time to heal

rate of injury simply exceeds the rate of

adaptation and healing in the tissue

Gomez M: The physiology and biochemistry of soft tissue healing. In: Rehabilitation of the Injured Knee, 2nd Edition.
Griffin L (Ed.), Mosby Company, MO, USA 34–44 (1995)
 tissues adapt to the stresses placed on
them over time

they can incur injury unless they have

appropriate time to heal

rate of injury simply exceeds the rate of

adaptation and healing in the tissue

Jess G. Snedeker, Jasper Foolen,Tendon injury and repair – A perspective on the basic mechanisms of tendon disease and
future clinical therapy,Acta Biomaterialia,Volume 63, 2017, Pages 18-36,
Trauma in popular sport in Indonesia
Trauma in popular sport in Indonesia

62.0 percent caused by the players falling or stumbling while

attempting to retrieve the shuttle

•K Krøner, SA Schmidt AB Nielsen, Badminton injuries, 1990 British Journal of Sports Medicine 24(3):169-72
Trauma in popular sport in Indonesia

medial tibial stress syndrome 13.6-20.0%

(MTSS)
Achilles tendinopathy 9.1-10.9%
patellar tendinopathy 5.5-22.7%
plantar fasciitis 4.5- 10.0%
ankle sprain 10.9-15.0%
iliotibial band syndrome 1.8-9.1%
hamstring injury 10.9%
Tibial stress fracture 9.1%

Žiga Kozinc1 and Nejc Šarabon1 , Common Running Overuse Injuries and Prevention, Monten. J. Sports Sci. Med. 6 (2017) 2: 67–74
Trauma in popular sport in Indonesia
Pelvic drop
Hip adduction

Knee valgus

Foot pronation

Žiga Kozinc1 and Nejc Šarabon1 , Common Running Overuse Injuries and Prevention, Monten. J. Sports Sci. Med. 6 (2017) 2: 67–74
Chronic repetitive trauma in popular sport in
Indonesia

Wilber, C., Holland, G., Madison, R., & Loy, S. (1995). An Epidemiological Analysis of Overuse Injuries Among Recreational Cyclists. International
Journal of Sports Medicine, 16(03), 201–206. doi:10.1055/s-2007-972992
• Injury prevention is a holistic evaluation
• There are intrinsic and also extrinsic condition to be evaluated
• Each patient , each sport / activity has its own risk
Matur
Nuwun