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IFAC Reflections Part 2
January 22, 2019
A review of Jerome Simian’s workshops on physical preparation for sport. I had to choose between different “strands” of coaching topics at the IFAC conference in Loughborough. A difficult choice, not wanting to miss out on some excellent speakers. I chose to attend Simian’s because of a quote I heard on the HMMR podcast: “I […]
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PRICE Guidelines for injury treatment

Current recommendations on treating injuries

After witnessing the aftermath of the parents’ races at my daughters’ school sports day last week, I decided to review  the current Executive Summary of the Management of Acute Soft Tissue Protection, Rest, Ice, Compression and Elevation (PRICE) by the Association of Chartered Physiotherapists in Sports and Exercise medicine (ACPSM).

PRICE guidelinesThe previous recommendations by the ACPSM were made based on evidence published up to 1996. These current clinical guidelines, which I have summarised below, were produced by a team of volunteers using evidence up to 2010. Each PRICE intervention has been graded as STRONG, WEAK or UNCERTAIN.

PROTECTION AND REST (STRONG)

Definitely unload soft tissue in acute phases after injury”. WHY?

  • Minimise internal bleeding
  • Prevent excessive swelling
  • Prevent re –injury

The type and duration of the protection /resting phase is not clear and will depend on the specific injury and its severity.

Progressive and mechanical loading plays a vital role in tissue healing. The transition from this protective stage needs to be supervised by a Physiotherapist.

ICE (STRONG)

Definitely apply ice after an acute soft tissue injury.” WHY?

Cooling the tissues…..

  • Can limit the extent of the soft tissue injury
  • Provides pain relief
  • Can facilitate rehabilitation

The guidelines suggest that crushed ice in a bag which is wrapped with a ‘damp barrier’ i.e. damp cloth or tea towel is applied to the area for 5 – 15 minutes every 2 hours.

During sporting events, application of ice for > 10 minutes can have an adverse effect on athletic performance and increase injury risk.

COMPRESSION AND ELEVATION (WEAK)

sports injury treatmentProbably use compression/elevation after an acute soft tissue injury. WHY?

  • to limit tissue swelling
  • can reduce pain due to increased tissue pressures

Evidence is poor to support the use of elevation and most of the research is conflicting regarding the use of compression.

The guidelines conclude, “Probably don’t use high levels of compression with simultaneous elevation.”

If compression bandages or external supports are used they must fit well. They can offer some support and give confidence to the injured when returning to normal function.

Always consult with a Physiotherapist or an appropriate medical professional after a significant soft tissue injury.

Sarah Marshall 

 

Comments

  1. […] Accumulation: Something all coaches should think about, young athletes are likely to be playing several sports leading them to train more than professional athletes, this can result in fatigue, stress and injuries. […]

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James is an excellent and experienced Strength and Conditioning Coach. He is able to draw on these experiences to adapt and meet each client’s specific needs. James is known for his engaging and dynamic style that has proved effective in producing results. Having worked with James, he is both organized and efficient. He also is an evidence based practitioner happy to engage in debate and take on new ideas. James rightly demands high standards and a good work ethic which reflects his own contribution to each situation
 
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