Document Detail


Acute soft tissue injuries--a review of the literature.
MedLine Citation:
PMID:  3534506     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The classification, pathology, and management of acute soft tissue injuries are reviewed. Classifications based on etiology and severity are outlined. The pathological processes at a cellular level are described in three phases: acute inflammatory, repair, and remodelling. the management of acute soft tissue trauma is embodied in the acronym RICE for rest, ice, compression, and elevation during the first 48 to 72 h. Additional benefit from anti-prostaglandin medications has not been clearly demonstrated in clinical trials, and if used, these medications should be restricted to the first 3 days. Cryotherapy (crushed ice) for 10 to 20 min, 2 to 4 times/day for the first 2 to 3 days is helpful in promoting early return to full activity. Early mobilization, guided by the pain response, promotes a more rapid return to full activity. Early mobilization, guided by the pain response, promotes a more rapid return to full functional recovery. Progressive resistance exercises (isotonic, isokinetic, and isometric) are essential to restore full muscle and joint function. Rehabilitation is complete when the injured and adjacent tissues are restored to full pain-free functional capacity under competitive conditions in association with the necessary level of cardiovascular respiratory fitness.
Authors:
J Kellett
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Medicine and science in sports and exercise     Volume:  18     ISSN:  0195-9131     ISO Abbreviation:  Med Sci Sports Exerc     Publication Date:  1986 Oct 
Date Detail:
Created Date:  1986-12-08     Completed Date:  1986-12-08     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8005433     Medline TA:  Med Sci Sports Exerc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  489-500     Citation Subset:  IM; S    
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adrenal Cortex Hormones / therapeutic use
Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
Athletic Injuries / drug therapy,  therapy*
Cryosurgery
Dimethyl Sulfoxide / therapeutic use
Early Ambulation
Humans
Muscles / injuries*
Physical Therapy Modalities
Sprains and Strains / therapy
Chemical
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Anti-Inflammatory Agents, Non-Steroidal; 67-68-5/Dimethyl Sulfoxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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