Sport Physiotherapy Case Study

Athlete [edit | edit source]

Emma is a 22 year old, Female Under.23 National Team Football (Soccer) Player.

Position: Striker

Past Medical History[edit | edit source]

Asthma Controlled with Medication

Left Grade 1 Ankle Sprain

  • 18 Months Ago
  • Conservative Management
  • Return to Train 2 Weeks
  • Return to Competition 4 Weeks

Right Grade 2 Medial Collateral Ligament Tear

  • 8 Months Ago
  • Conservative Management
  • Returned to Train 5 Weeks
  • Return to Competition 8 Weeks

Drug History[edit | edit source]

Serotide Evohaler 125mg 

Ventolin Evohaler 100mg (As Required)

Social History[edit | edit source]

Full Time Student - Final Exams in 3 Months

Sport History[edit | edit source]

Played Mix Sports as Child - Athletics, Swimming and Football

Played Football since Age.12 

Specialised in Football from 16 years old 

Plays for University Team - Captain for past 2 years

Under Age. National Team Member since U.16

  • U.16 European Championships
  • U.18 European Championships
  • U.23 European Championships x 3

Training History[edit | edit source]

8 to 10 Sessions per week including:

  • Field Based Team Sessions x 3 - 4
  • Strength & Conditiong Gym Work x 3
  • Cardiovascular Fitness x 2-3
  • Mobility & Stretching Daily
  • Video Analysis

Has access to Nutrition Support, and Physiotherapy Support as member of National Team

Presenting Condition[edit | edit source]

Match Conditions[edit | edit source]

  • League Semi-Final Match
  • Second Half 15 Mins Left on Clock
  • Score 2-1 to Opposition
  • Intermitant Rain during Game - Soft Ground

Mechanism of Injury[edit | edit source]

Athlete competed for ball in the air, headed ball towards Goal, landed and tried to pivot to get around defending player to move towards the goal and then went down on the ground. Play continued and was stopped about 45 seconds later when the ball went out of play.

On Field Assessment[edit | edit source]

See[edit | edit source]

Emma was on the ground where she fell in the fetal position, holding the knee and crying

Ask[edit | edit source]

Reported an Audible 'Pop' and instability of the knee on landing

Reported Severe Pain 9/10 initially, now 7/10

Look[edit | edit source]

Gross Effusion

No Discolouration

No Bony Abnormality

No Obvious Deformity

Touch[edit | edit source]

Pain Medial Joint Line

Pain Medial Coallateral LIgament

Active[edit | edit source]

Knee Extension -10 Degress Pain 7/10

Knee Flexion 95 Degress Pain 6/10

Passive[edit | edit source]

Knee Extension -10 Degress Pain 7/10
Knee Flexion 105 Degress Pain 6/10

Special Tests[edit | edit source]

Lachmans Inconsistent secondary to Apprehension and GUarding and Hamstring Spasm

Valgus +ve