MPT in Sports [2nd Year]
BF/2017/09
Athletic Injuries (MPS202)
Time: 3 Hours. Max Marks =80
Note: 1.) Attempt all questions.
2.) ATTEMPT BOTH PARTS IN SINGLE ANSWER BOOK ONLY.
3.) NO SUPPLEMENTRAY SHEET SHALL BE ALLOWED/ PROVIDED
4.) The Student must write Q.P. Code in the space provided on the Title page of the Answer Book.
Section-A
Note Attempt any one question which carries 20 marks.

Long Essay. 1x20=20
1. What is the soft tissue response to the injury? Explain the principles of the rehabilitation and stages of rehabilitation.
OR
2. A 44 year old veteran basketball athlete comes to the clinic complaining of worsening abdominal and midline pelvis pain. The pain had developed gradually, and there was no report of recent direct trauma or a cute injury. The pain gets aggravated with forced flexion at the waist and the valsalva maneuver, but the patient has no pain at rest. The pain, described as a sharp, "stabbing" sensation, remained fairly localized to his upper pelvis and lower abdominal area. The patient had no history of abdominal or genitourinary diseases or surgeries, and he had not experienced similar symptoms in the past. The patient frequently participated in physical activity and played soccer, averaging four games per week, an increase from his usual level of commitment. Examination findings The patient demonstrated full range of motion of his lumbar spine without spasm. Straight leg raise testing was negative. His gait was moderately wide based, and he had full range of motion of knees and hips although FABER test is positive and produced some pubic discomfort. Femoral pulses were bilaterally. Special tests revealed palpable tenderness of the public symphysis and inguinal ligament bilaterally. The sacroiliac kinetic tests and public stress tests were positive.
Develop a physiotherapy rehabilitation plan for his return to sports.
Section-B
Note All Questions are compulsory. Each carries 10 marks.

Short Essay. 6x10=60

3. What is an unhappy athlete triad of the knee joint and mechanism of the injury for this condition? Write the physiotherapy assessment and football specific rehabilitation protocol for this condition.

4. A 22 years male basketball player had a history of fall on the back and complains of pain in the lower back with radiation to toe and is not able to do both dorsiflextion of foot. Write the assessment, probable diagnosis and management for this condition.

P.T.O
5. What are the common shoulder adaptations in the overhead throwing athletes? Write in detail about the Subacromial Impingement Syndrome progressive stages, type's special tests, treatment and physical therapy rehabilitation of the impingement syndrome.


6. Explain the physical therapy approach in low back pain- Give an overview of extension bias flexion bias. And give a brief idea about centralization peripheralization of the pain.

7. What is the difference between sprain and strain? Write in detail about acute inversion injury of the ankle joint and its management.

8. Describe "Shin Splints in Runners" as below.

Definition
Relevant anatomy
Etiology
Diagnosis
Differential Diagnosis
Treatment