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A-1143 Prevention, bracing and rehabiltation
William Geissler, USA
Thursday, June 14, 2018 · 12:17 p.m. · 06m 51s
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or good morning or things get the computer talk pulled out but uh we talk a little bit
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about the room prevention brazen rehab or in the uh in the absolute
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so i think quickly we saw earlier when you have the elite athlete the rule little bit
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different exhaust also like to miss pressure to get these people back to place as possible
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in the matter depend on the sport they play the position the time of the season starts in the in the
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season i mean use it they got left to play other senior and of course the uh injury itself
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uh in the us uh the biggest as high should
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be teenagers football to message wrestling uh in basketball
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and this is interesting what athletes really report zero injury i there
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it's time uh for uh they have reports that fifty days
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uh do when they go the doctrine have injury a four state way to her nine one day supposed to time you see
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these escaped with non union so we saw earlier in the coming pretty quick uh within a couple within a couple days
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i think we all know that's given fracture very common every come athletic injury
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i hear is usually occur about the nine percent of a sports injuries
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a remote coaches becoming the hinge really call yeah the g. and g. m. thinker
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oh so you look at the demographics of hand injuries again for us most
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the time they're in football uh basketball it is a very common
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a massive across a is a pretty common most again this can be mccorkle
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injuries uh the common to see you in the coming fairly early
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uh we look at uh uh if you if you pay means uh the turned back to sports doing pretty long
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so be gentle with if the region i try to fix these engine gonna back within two weeks of fixation
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if you don't ah uh yeah see some callous up in uh uh that
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twenty one days they be able take a hit with a cast on
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because you would have to talk the parent to talk to mom get a get permission
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uh generated from physical therapy for the z. lighting of the tendency
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generate take the finger together uh i get some gliding motion
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i want to get some healing we can start striking exercise buddy a squeeze ball
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whatever's target the straight guy gets is saying see some healing the first
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well i thought they wanted to get stiff in the but at the in p. joints has to take the these together all things together
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and do so wrapped a day for europe today uh several times to make
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sure your true emotion at the uh at the m. p. joint
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to talk about personal rehab vascular isn't stationarity motion we get the demon down
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which got motion start strengthening eventually a function of these uh most of
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these are the seven factors of for hand rehab has to be placed useful
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position got a pain free rest i get headaches staring stable from
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three point p. h. power grab the precision holder holder really switch elisa therapist
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goals uh what you the get the get the patient to them
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so basically slides a triangle start motion first watch then get straightening and eventually uh function
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as the timeline again get issue healing first start motions drake and eventually return return just for
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i got a martyr patient was earlier active motion would possible uh control the the email
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uh start repetition excise existing inpatient a patient feedback
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so the filtering to most of the rest is for reserve flexion extension if you
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degrees of precipitation is your goal of them you start your finger rehabilitation
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its whatever's early motion also you get increase prob reception you can decrease the contractors
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i get the the proper nutrition to join to prevent a ten in here it's uh with early early movement
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awesome disadvantages you uh maybe start taking down some early healing
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ah but you in the full range of motion may actually be paid some nerve injury for do if you have a nerve problem
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so basically a soft tissue response meeting exercise bases pains when we say
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uh then you start increasing of motion straight ending conditioning exercises
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so are some benefits to motivation to create a a concrete he's would actually do need that
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i can decrease pain with motion appears you can decrease the swelling
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ah and and and protection for the image in further injury
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so the motoring principle remote wise the minimum out of the patients and then i mean for the minimum them like the time consistent
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with the correct treatment of a stable component of the injury so base each rethinking recast until they they become paying for it
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well the negatives off to get ten occasions a uh that uh here
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to connective tissue atrophied correlates maybe do zero how like acid
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oh uh to the joints are probably cost a mobile station in early motion
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so basically with the press of other casting a transfer the the impact area you train for the impact your to nobody part
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ah so you get these patients back a a fairly early uh with some type of protective cast
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and us like i the spacing culture happy to closed cell foam around the cast
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uh the nice thing for us and us they they check the cast it before the game but half time they
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don't your somehow like that cell phone gets taken off of for the second half last october i said that
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ah see all sorts material supply that for these different like the cast i got
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fibreglass this of without really like the club guesses you can look at these
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patients back really early but a couple for actually for ten to plummet broadcast
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get these people back and fairly probably protected for early return to play
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gotta still play which i don't want to take the indexer small i've got into trying take the
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long reign together last allows play pretty early still able catch a ball like people on plane
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as it is prevent playing cass are are are are very easy to apply for the trainer
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uh often wrist braces yeah just raise fracture again really like the
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club cast uh in a linebacker or alignment over this work
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for back if it's the same fraction got back from a week of the modify playing cast allow him to throw
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so how long to protect i listed a the a fraction human they don't
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have pain when impact a a pain free would that be cast
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so sequences are running condition early on substance we can knock abject real tangible ball landing
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scrimmage play catch and then found probably back to a padding or throw it
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he's we recognise complications office to finger that's can break down nonunion we all vote for concern
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of uh or stay you with an athlete like appliances generate really know that much problem
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so cajun identify the injury a fire protection provided good rehab and then the arrow
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hopefully early protected return to play that
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