Page 100 - Hospital Authority Convention 2018

Masterclasses
HOSPITAL AUTHORITY CONVENTION 2018

M5.3 Orthopaedic Sports Injuries Revisit 16:15 Convention Hall A

Rehabilitation Journey in Public Hospital: from Injury to Return to Play
Ng RKW
Physiotherapy Department, Pamela Youde Nethersole Eastern Hospital, Hong Kong
Pamela Youde Nethersole Eastern Hospital is one of the Hospital Authority hospitals providing sports medicine and
rehabilitation service. Among the injury population, majority of them are suffering from shoulder and knee injuries, the
spectrum of injuries spreads from shoulder dislocation to ACL tear. As a public hospital, our clients are general public and
amateur sportsman rather than the elite teams; majority of them are working population and some are school team players.

Resources are both limited to medical and patient’s side, surgeries have always been as timely as possible although waiting
list is long. On the other hand, patients would not have much time for the entire rehabilitation as they have to go back to work
or school. We do not have an accelerated rehabilitation programme as in the elite sportsman stream. Physiotherapy training
will be intensive in the first few months to compensate the foreseeable decline in training compliance once patients have to
return to work or school. Pre-operative physiotherapy training is important in training up and preserving the muscle power
prior to surgeries for getting a better rehabilitation outcome. Pain management is another area that physiotherapists have to
deal with both pre- and post-operatively. In the later stage of rehabilitation, patient empowerment and education are crucial,
patients are encouraged to continue the training if they have accessibility to fitness room after they have to resume work or
school.
Monday, 7 May 2018 these amateur players may not have professional coach to guide them when they return to play after injury, training and
Patients will be recommended to return to play when the rehabilitation programme completed and/or their symptoms
subsided. Cybex assessment is one of the ways to assess and monitor patient’s performance and training outcome. Since

education on prevention of future injuries is essential.

M5.4 Orthopaedic Sports Injuries Revisit 16:15 Convention Hall A

Musculoskeletal Problems Due to Overuse, Overtraining and Overconfidence
Wun YC
Department of Orthopaedics and Traumatology, Tuen Mun Hospital, Hong Kong

Inactivity and obesity are well recognised as a global public health problem and contributing causes of many chronic
diseases. There is increasing awareness of the health benefits of sports. In Hong Kong, the number of participants in
organised and recreational sports has grown considerably over the last decade. Under the influence of health concern,
peer group pressure, popularity of social media, goals of elite-level, potential link to academic opportunity and collegiate
scholarships, sports participants commonly shifted the emphasis on competitive success and striving for excellent
performance. The unrealistic demand for performance enhancement and training errors predisposed the increasing incidence
of overuse injuries.

Overuse musculoskeletal injuries may result in growth-related disorder in child and adolescent athletes. Repetitive
microtrauma with insufficient physiological repair and recovery leads to stress fractures of bone, muscle strains and resistant
tendinopathy. In fact, the incidence of overuse musculoskeletal injuries well exceeds the number of acute sports injury. The
treatment is usually challenging and required multidisciplinary contribution, involvement of coaches and parents sometimes.

Overtraining syndrome is a well-defined clinical entity which is a maladaptive response to training overload and detrimental
not only to performance but also general health status. It is seen more commonly as an increasing number of amateur
athletes participating in endurance sports.

Overconfidence and premature return to sports after injuries is a major risk factor predisposed to re-injury and permanent
physical impairment.
Prevention of overuse sports injury is of paramount importance depends on physical fitness, appropriate training and healthy
mindset.

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