An immediate on field assessment must be taken as soon as the athlete is unable to continue playing. The TOTAPS regime is used to identify information and allow the athlete to know whether they can continue the match or not.
Managing the injury at the acute stage
During the acute stage, the ‘RICER’ regime should be followed. Firstly the injured area must be rested. If there is any stress or pressure on the injured quadricep, the recovery process will prolong and may cause further injury. Secondly, the quadricep should be iced. This can be done by a cold pack, ice or frozen items. Icing the injured quadricep will reduce swelling and pain. The use of ice during this process, will help by constricting …show more content…
Following the use of the ‘RICER’ regime, it is crucial that movement be restored to the injury as quickly as possible. Progressive mobilization must commence as early as possible, in order to prevent scar tissue and to speed up the recovery process. The gradual increase in the joints range of motion should be pain free and it must involve both active and passive movement. Generally, passive movement is performed first. Progressive mobilization utilizes a variety of stretches such as, dynamic, static and proprioceptive neuromuscular facilitation (PNF) stretching. This does not include ballistic stretching as this may cause further harm. Firstly, static stretches are performed before PNF stretches, reason being, the added force during rehabilitation requires greater healing of the quadricep. Dynamic stretching is generally used throughout rehabilitation with gradual passive movements in the beginning then followed by active and faster movements towards the end. Progressive mobilization is required because of the contraction of the muscles and stiffening of the joint. Progressive mobilsation gradually stretches the muscle, permitting for a slow increase in the full range of motion at the joint. The slow progression also assists the movement in the ligaments around the