{"id":1565,"date":"2015-02-18T12:36:15","date_gmt":"2015-02-18T12:36:15","guid":{"rendered":"https:\/\/andreasphysioblog.com\/?p=1565"},"modified":"2021-05-03T20:20:08","modified_gmt":"2021-05-03T20:20:08","slug":"akutte-skader-hvad-skal-jeg-gore","status":"publish","type":"post","link":"https:\/\/andreasphysioblog.com\/?p=1565","title":{"rendered":"Akutte skader. Hvad skal jeg g\u00f8re?"},"content":{"rendered":"<h1><strong>Akutte skader. Hvad skal jeg g\u00f8re?<\/strong><\/h1>\n<p><a href=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/02\/skc3a6rmbillede-2015-08-19-kl-22-56-20.png\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignright wp-image-5647\" src=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/02\/skc3a6rmbillede-2015-08-19-kl-22-56-20.png?w=273&amp;h=248\" sizes=\"(max-width: 273px) 100vw, 273px\" srcset=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/02\/skc3a6rmbillede-2015-08-19-kl-22-56-20.png?w=273&amp;h=248 273w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/02\/skc3a6rmbillede-2015-08-19-kl-22-56-20.png?w=546&amp;h=496 546w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/02\/skc3a6rmbillede-2015-08-19-kl-22-56-20.png?w=150&amp;h=137 150w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/02\/skc3a6rmbillede-2015-08-19-kl-22-56-20.png?w=300&amp;h=273 300w\" alt=\"Sk\u00e6rmbillede 2015-08-19 kl. 22.56.20\" width=\"273\" height=\"248\" data-attachment-id=\"5647\" data-permalink=\"https:\/\/physioblogandreasbjerregaard.com\/2015\/02\/18\/giver-ricem-bedre-opheling\/skaermbillede-2015-08-19-kl-22-56-20\/\" data-orig-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/02\/skc3a6rmbillede-2015-08-19-kl-22-56-20.png\" data-orig-size=\"894,814\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Sk\u00e6rmbillede 2015-08-19 kl. 22.56.20\" data-image-description=\"\" data-medium-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/02\/skc3a6rmbillede-2015-08-19-kl-22-56-20.png?w=300\" data-large-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/02\/skc3a6rmbillede-2015-08-19-kl-22-56-20.png?w=825\" \/><\/a><\/p>\n<p><em>Kom gerne med feedback til om denne artikel\u00a0har relevans for jer.<\/em><\/p>\n<p><strong>PRICEM<\/strong><\/p>\n<ul>\n<li><strong>Protect<\/strong><\/li>\n<li><strong>REST<\/strong><\/li>\n<li><strong>ICE<\/strong><\/li>\n<li><strong>Compression<\/strong><\/li>\n<li><strong>Elevation<\/strong><\/li>\n<li><strong>Mobilization<\/strong><\/li>\n<\/ul>\n<p>Der har v\u00e6ret en tildens til stor forvirring omkring R i <strong>RICEM<\/strong> er man nu g\u00e5et over til at bruge udtrykket <strong>PRICEM<\/strong>. Hvor P\u2019et st\u00e5r for Protect. Alts\u00e5, at der ikke skal ske yderligere skade mod foden. Det er der s\u00e5 adskiller P og R, at hvis vi \u00e6ndre opfattelsen af at fx. ankel mere skal beskyttes end holdes i ro, og at M kan startet umiddelbart med det samme inden for smertefrihed.<\/p>\n<p><strong><a href=\"http:\/\/bjsm.bmj.com\/content\/early\/2011\/09\/07\/bjsports-2011-090297\">POLICE<\/a><\/strong><\/p>\n<ul>\n<li><strong>Protect<\/strong><\/li>\n<li><strong><a href=\"http:\/\/bjsm.bmj.com\/content\/49\/5\/278.full.pdf+html?sid=821df0f8-4cf0-4d8c-8ecb-3d9aff38b5f8\">Optimal Loading<\/a><\/strong><\/li>\n<li><strong>ICE<\/strong><\/li>\n<li><strong>Compression<\/strong><\/li>\n<li><strong>Elevation<\/strong><\/li>\n<\/ul>\n<p>P\u00e5 denne gode l\u00f8beblog er det forsl\u00e5et at<br \/>\nskifte RICEM ud med POLICE, hvor Rest er byttet ud med <a href=\"http:\/\/bjsm.bmj.com\/content\/49\/5\/278.full.pdf+html?sid=821df0f8-4cf0-4d8c-8ecb-3d9aff38b5f8\">Optimal Loading<\/a> hvilket ogs\u00e5 giver god mening \u2013 men alts\u00e5, det er jo det samme som RICEM.\u00a0<a href=\"http:\/\/www.running-physio.com\/acute\/\" target=\"_blank\" rel=\"nofollow noopener\">http:\/\/www.running-physio.com\/acute\/<\/a><\/p>\n<figure id=\"attachment_6003\" class=\"wp-caption aligncenter\" data-shortcode=\"caption\" aria-describedby=\"caption-attachment-6003\"><a href=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/02\/skc3a6rmbillede-2015-11-06-kl-05-55-22.png\"><img decoding=\"async\" class=\"size-medium wp-image-6003\" src=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/02\/skc3a6rmbillede-2015-11-06-kl-05-55-22.png?w=300&amp;h=108\" sizes=\"(max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/02\/skc3a6rmbillede-2015-11-06-kl-05-55-22.png?w=300&amp;h=108 300w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/02\/skc3a6rmbillede-2015-11-06-kl-05-55-22.png?w=600&amp;h=216 600w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/02\/skc3a6rmbillede-2015-11-06-kl-05-55-22.png?w=150&amp;h=54 150w\" alt=\"PRICE needs updating, should we call the POLICE? C M Bleakley, P Glasgow, D C MacAuley Br J Sports Med 2012;46:4 220-221 Published Online First: 7 September 2011 doi:10.1136\/bjsports-2011-090297\" width=\"300\" height=\"108\" data-attachment-id=\"6003\" data-permalink=\"https:\/\/physioblogandreasbjerregaard.com\/2015\/02\/18\/giver-ricem-bedre-opheling\/skaermbillede-2015-11-06-kl-05-55-22\/\" data-orig-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/02\/skc3a6rmbillede-2015-11-06-kl-05-55-22.png\" data-orig-size=\"790,284\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Sk\u00e6rmbillede 2015-11-06 kl. 05.55.22\" data-image-description=\"\" data-medium-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/02\/skc3a6rmbillede-2015-11-06-kl-05-55-22.png?w=300\" data-large-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/02\/skc3a6rmbillede-2015-11-06-kl-05-55-22.png?w=790\" \/><\/a><figcaption id=\"caption-attachment-6003\" class=\"wp-caption-text\">PRICE needs updating, should we call the POLICE?<br \/>\nC M Bleakley, P Glasgow, D C MacAuley<br \/>\nBr J Sports Med 2012;46:4 220-221 Published Online First: 7 September 2011 doi:10.1136\/bjsports-2011-090297<\/figcaption><\/figure>\n<p><strong>MEAT <\/strong><\/p>\n<ul>\n<li><strong>Movement, <\/strong><\/li>\n<li><strong>Exercise, <\/strong><\/li>\n<li><strong>Analgesics,<\/strong><\/li>\n<li><strong>Treatments<\/strong><\/li>\n<\/ul>\n<p><strong>Movement<\/strong>:\u00a0kontrolleret bev\u00e6gelse af de ramte led kan stimulere b<img decoding=\"async\" class=\"alignright wp-image-3641 \" src=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2014-06-09-kl-11-16-21.png?w=201&amp;h=187\" alt=\"Sk\u00e6rmbillede 2014-06-09 kl. 11.16.21\" width=\"201\" height=\"187\" data-attachment-id=\"3641\" data-permalink=\"https:\/\/physioblogandreasbjerregaard.com\/2015\/02\/18\/giver-ricem-bedre-opheling\/skaermbillede-2014-06-09-kl-11-16-21\/\" data-orig-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2014-06-09-kl-11-16-21.png\" data-orig-size=\"1164,602\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;}\" data-image-title=\"Sk\u00e6rmbillede 2014-06-09 kl. 11.16.21\" data-image-description=\"\" data-medium-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2014-06-09-kl-11-16-21.png?w=300\" data-large-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2014-06-09-kl-11-16-21.png?w=825\" \/>lodgennemstr\u00f8mning, reducerer dannelsen af uhensigtsm\u00e6ssigt kollagen v\u00e6v (arv\u00e6v), og effektivt at forbedre inddrivelsen. Et\u00a0Cochrane review (Kerkhoffs et al. 2002) viste hos patienter med ankel forstuvninger som blev behandlet med egne aktive funktionel mobiliseringer snarere end immobilisering, disse personer havde mindre h\u00e6velse.<\/p>\n<p><strong>Exercise:<\/strong>\u00a0Bleakley et al (2010) viste at styrke, AROM (aktive range of motion)-\u00f8velser og stabilitets\u00f8velser sammen med RICE forbedrede funktion og v\u00e6gtb\u00e6rende hos patienter efter akut ankel forstuvning.<\/p>\n<p><strong>Analgesics:<\/strong>\u00a0Det foresl\u00e5s, at atleter med h\u00f8je niveauer af smerte kan bruge\u00a0smertestillende midler\u00a0i\u00a0genoptr\u00e6ning.<\/p>\n<p><strong>Treatments:<\/strong>\u00a0atleter b\u00f8r s\u00f8ge behandlinger s\u00e5som fysioterapi (gerne <a href=\"http:\/\/mulligan.dk\/\">Mulligan terapeuter<\/a>),\u00a0med henblik p\u00e5 at f\u00e5 den rette guidance til hvordan hvorn\u00e5r man kan starte sport op igen.<\/p>\n<p><strong>Den akutte skade. Case\u00a0fra<\/strong> <a href=\"https:\/\/andreasbjerregaard.wordpress.com\/2013\/08\/16\/we-are-the-oil-behind-the-engine-here-in-homeless-world-cup\/\">Homeless World Cup<\/a>.<br \/>\nEn fodboldspiller vrider om og bliver b\u00e5ret ud til vores behandlingstelt da spilleren ikke kan st\u00f8tte p\u00e5 foden pga. smerte. Ingen ved hvor slemt det er. Tr\u00e6ner som er d\u00e5rlig til at tale engelsk peger p\u00e5 foden, fagter med armen (imitere et tryk p\u00e5 en d\u00e5se og siger samtidig Sssss og sp\u00f8rger om den er Kaput?. Spilleren gr\u00e6der nu. Jeg ved godt tr\u00e6neren mener i-cespay is. Jeg ligger compression\u00a0inden for 2-3 min efter vridet. Spiller bliver bedt om Protect\/Ro = I udelades. M bliver p\u00e5begyndt inden for smertegr\u00e6nsen og uden st\u00f8tte. Tr\u00e6neren bliver beroliget og det smitter af p\u00e5 spilleren der selv begynder at bev\u00e6ge foden minimalt. Smerteteori omkring ankelskader forklares. Der aftales, at se hvad status er senere p\u00e5 dagen (ca. 1-2 timer) og dagen\u00a0efter (ca. 15 timer efter skade). Status efter en time. H\u00e6velse, minimal smerte, humper. Status efter et d\u00f8gn. Minimal h\u00e6velse, ingen smerte, alm. gang, smerte ved fodboldbev\u00e6gelser. Foden tapes op med en <a href=\"http:\/\/instagram.com\/p\/u89adnpBgX\/?modal=true\">MWM-tape<\/a>. Spilleren er rolig og tryg ved situationen.\u00a0Ingen ved selvf\u00f8lgelig hvad status ville v\u00e6re hvis kun I og E ogs\u00e5\u00a0blev udf\u00f8rt eller hvis der havde v\u00e6ret I tilstede.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2015-02-17-kl-22-59-03.png\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-5180 alignnone\" src=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2015-02-17-kl-22-59-03.png?w=318&amp;h=212\" sizes=\"(max-width: 318px) 100vw, 318px\" srcset=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2015-02-17-kl-22-59-03.png?w=318&amp;h=212 318w, https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2015-02-17-kl-22-59-03.png?w=636&amp;h=424 636w, https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2015-02-17-kl-22-59-03.png?w=150&amp;h=100 150w, https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2015-02-17-kl-22-59-03.png?w=300&amp;h=200 300w\" alt=\"Sk\u00e6rmbillede 2015-02-17 kl. 22.59.03\" width=\"318\" height=\"212\" data-attachment-id=\"5180\" data-permalink=\"https:\/\/physioblogandreasbjerregaard.com\/2015\/02\/18\/giver-ricem-bedre-opheling\/skaermbillede-2015-02-17-kl-22-59-03\/\" data-orig-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2015-02-17-kl-22-59-03.png\" data-orig-size=\"1292,862\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Sk\u00e6rmbillede 2015-02-17 kl. 22.59.03\" data-image-description=\"\" data-medium-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2015-02-17-kl-22-59-03.png?w=300\" data-large-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2015-02-17-kl-22-59-03.png?w=825\" \/><\/a><a href=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2015-02-17-kl-23-00-59.png\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-5181 alignnone\" src=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2015-02-17-kl-23-00-59.png?w=280&amp;h=212\" sizes=\"(max-width: 280px) 100vw, 280px\" srcset=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2015-02-17-kl-23-00-59.png?w=280&amp;h=212 280w, https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2015-02-17-kl-23-00-59.png?w=560&amp;h=424 560w, https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2015-02-17-kl-23-00-59.png?w=150&amp;h=114 150w, https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2015-02-17-kl-23-00-59.png?w=300&amp;h=227 300w\" alt=\"Sk\u00e6rmbillede 2015-02-17 kl. 23.00.59\" width=\"280\" height=\"212\" data-attachment-id=\"5181\" data-permalink=\"https:\/\/physioblogandreasbjerregaard.com\/2015\/02\/18\/giver-ricem-bedre-opheling\/skaermbillede-2015-02-17-kl-23-00-59\/\" data-orig-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2015-02-17-kl-23-00-59.png\" data-orig-size=\"1106,838\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Sk\u00e6rmbillede 2015-02-17 kl. 23.00.59\" data-image-description=\"\" data-medium-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2015-02-17-kl-23-00-59.png?w=300\" data-large-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2013\/04\/skc3a6rmbillede-2015-02-17-kl-23-00-59.png?w=825\" \/><\/a><\/p>\n<p><strong>L\u00e6s ogs\u00e5<\/strong><\/p>\n<h3 class=\"r\"><a href=\"http:\/\/www.physiosinsport.org\/media\/wysiwyg\/ACPSM_Physio_Price_A4.pdf\">Acute Soft Tissue Injury Treatment\u00a0\u2013 PhysioinSport<\/a>\u00a0Guidelines<\/h3>\n<p><span class=\"userContent\"><br \/>\n<a href=\"http:\/\/simonkirkegaard.dk\/den-bedste-behandling-af-akutte-skader-hvad-ved-vi-egentlig\/\" target=\"_blank\" rel=\"nofollow noopener\">http:\/\/simonkirkegaard.dk\/den-bedste-behandling-af-akutte-skader-hvad<span class=\"text_exposed_show\">-ved-vi-egentlig\/<\/span><\/a><\/span><\/p>\n<p><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23624400\">Cold water immersion to improve postexercise recovery: a meta-analysis.<\/a><\/p>\n<p><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22820210\">Topical cooling (icing) delays recovery from eccentric exercise-induced muscle damage.<\/a><\/p>\n<p><iframe class=\"wp-embedded-content\" title=\"\u201cIce application and its use in sport \u2013 by Peter Thain\u201d \u2014 RunningPhysio\" src=\"https:\/\/www.running-physio.com\/ice\/embed\/#?secret=BhufQhM6bd\" width=\"600\" height=\"236\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\" sandbox=\"allow-scripts\" data-secret=\"BhufQhM6bd\" data-mce-fragment=\"1\"><\/iframe><\/p>\n<p>Kerkhoffs GMMJ, Rowe BH, Assendelft WJJ, Kelly KD, Struijs PAA, van Dijk CN. Immobilisation and functional treatment for acute lateral ankle ligament injuries in adults. Cochrane Database of Systematic Reviews 2002, Issue 3.<\/p>\n<p>Bleakley CT, O\u2019Connor SR, Tully MA, Rocke LG, MacAuley D, Bradbury I, et al (2010). Effect of accelerated rehabilitation on function after ankle sprain: randomised controlled trial. BMJ 340<\/p>\n<p><a href=\"https:\/\/www.youtube.com\/watch?feature=player_embedded&amp;v=yXT012us9ng#at=109\">https:\/\/www.youtube.com\/watch?feature=player_embedded&amp;v=yXT012us9ng#at=109<\/a><\/p>\n<p><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22820210\">Topical cooling (icing) delays recovery from eccentric exercise-induced muscle damage.<\/a><\/p>\n<div id=\"jp-post-flair\" class=\"sharedaddy sd-like-enabled sd-sharing-enabled\">\n<div class=\"sharedaddy sd-sharing-enabled\"><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Akutte skader. Hvad skal jeg g\u00f8re? Kom gerne med feedback til om denne artikel\u00a0har relevans for jer. PRICEM Protect REST ICE Compression Elevation Mobilization Der har v\u00e6ret en tildens til stor forvirring omkring R i RICEM er man nu g\u00e5et over til at bruge udtrykket PRICEM. Hvor P\u2019et st\u00e5r for Protect. Alts\u00e5, at der ikke skal ske yderligere skade mod foden. Det er der s\u00e5 adskiller P og R, at hvis vi \u00e6ndre opfattelsen af at fx. ankel mere skal beskyttes end holdes i ro, og at M kan startet umiddelbart med det samme inden for smertefrihed. POLICE Protect Optimal Loading ICE Compression Elevation P\u00e5 denne gode l\u00f8beblog er det forsl\u00e5et at skifte RICEM ud med POLICE, hvor Rest er byttet ud med Optimal Loading hvilket ogs\u00e5 giver god mening \u2013 men alts\u00e5, det er jo det samme som RICEM.\u00a0http:\/\/www.running-physio.com\/acute\/ PRICE needs updating, should we call the POLICE? C M Bleakley, P Glasgow, D C MacAuley Br J Sports Med 2012;46:4 220-221 Published Online First: 7 September 2011 doi:10.1136\/bjsports-2011-090297 MEAT Movement, Exercise, Analgesics, Treatments Movement:\u00a0kontrolleret bev\u00e6gelse af de ramte led kan stimulere blodgennemstr\u00f8mning, reducerer dannelsen af uhensigtsm\u00e6ssigt kollagen v\u00e6v (arv\u00e6v), og effektivt at forbedre inddrivelsen. Et\u00a0Cochrane review (Kerkhoffs et al. 2002) viste hos patienter med ankel forstuvninger som blev behandlet med egne aktive funktionel mobiliseringer snarere end immobilisering, disse personer havde mindre h\u00e6velse. Exercise:\u00a0Bleakley et al (2010) viste at styrke, AROM (aktive range of motion)-\u00f8velser og stabilitets\u00f8velser sammen med RICE forbedrede funktion og v\u00e6gtb\u00e6rende hos patienter efter akut ankel forstuvning. Analgesics:\u00a0Det foresl\u00e5s, at atleter med h\u00f8je niveauer af smerte kan bruge\u00a0smertestillende midler\u00a0i\u00a0genoptr\u00e6ning. Treatments:\u00a0atleter b\u00f8r s\u00f8ge behandlinger s\u00e5som fysioterapi (gerne Mulligan terapeuter),\u00a0med henblik p\u00e5 at f\u00e5 den rette guidance til hvordan hvorn\u00e5r man kan starte sport op igen. Den akutte skade. Case\u00a0fra Homeless World Cup. En fodboldspiller vrider om og bliver b\u00e5ret ud til vores behandlingstelt da spilleren ikke kan st\u00f8tte p\u00e5 foden pga. smerte. Ingen ved hvor slemt det er. Tr\u00e6ner som er d\u00e5rlig til at tale engelsk peger p\u00e5 foden, fagter med armen (imitere et tryk p\u00e5 en d\u00e5se og siger samtidig Sssss og sp\u00f8rger om den er Kaput?. Spilleren gr\u00e6der nu. Jeg ved godt tr\u00e6neren mener i-cespay is. Jeg ligger compression\u00a0inden for 2-3 min efter vridet. Spiller bliver bedt om Protect\/Ro = I udelades. M bliver p\u00e5begyndt inden for smertegr\u00e6nsen og uden st\u00f8tte. Tr\u00e6neren bliver beroliget og det smitter af p\u00e5 spilleren der selv begynder at bev\u00e6ge foden minimalt. Smerteteori omkring ankelskader forklares. Der aftales, at se hvad status er senere p\u00e5 dagen (ca. 1-2 timer) og dagen\u00a0efter (ca. 15 timer efter skade). Status efter en time. H\u00e6velse, minimal smerte, humper. Status efter et d\u00f8gn. Minimal h\u00e6velse, ingen smerte, alm. gang, smerte ved fodboldbev\u00e6gelser. Foden tapes op med en MWM-tape. Spilleren er rolig og tryg ved situationen.\u00a0Ingen ved selvf\u00f8lgelig hvad status ville v\u00e6re hvis kun I og E ogs\u00e5\u00a0blev udf\u00f8rt eller hvis der havde v\u00e6ret I tilstede. &nbsp; L\u00e6s ogs\u00e5 Acute Soft Tissue Injury Treatment\u00a0\u2013 PhysioinSport\u00a0Guidelines <a href=\"http:\/\/simonkirkegaard.dk\/den-bedste-behandling-af-akutte-skader-hvad-ved-vi-egentlig\/\" rel=\"nofollow\">http:\/\/simonkirkegaard.dk\/den-bedste-behandling-af-akutte-skader-hvad-ved-vi-egentlig\/<\/a> Cold water immersion to improve postexercise recovery: a meta-analysis. Topical cooling (icing) delays recovery from eccentric exercise-induced muscle damage. Kerkhoffs GMMJ, Rowe BH, Assendelft WJJ, Kelly KD, Struijs PAA, van Dijk CN. Immobilisation and functional treatment for acute lateral ankle ligament injuries in adults. Cochrane Database of Systematic Reviews 2002, Issue 3. Bleakley CT, O\u2019Connor SR, Tully MA, Rocke LG, MacAuley D, Bradbury I, et al (2010). Effect of accelerated rehabilitation on function after ankle sprain: randomised controlled trial. BMJ 340 <a href=\"https:\/\/www.youtube.com\/watch?feature=player_embedded&#038;v=yXT012us9ng#at=109\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?feature=player_embedded&#038;v=yXT012us9ng#at=109<\/a> Topical cooling (icing) delays recovery from eccentric exercise-induced muscle damage.<\/p>\n","protected":false},"author":1,"featured_media":1566,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"postBodyCss":"","postBodyMargin":[],"postBodyPadding":[],"postBodyBackground":{"backgroundType":"classic","gradient":""},"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_hide_featured_image":false,"_jetpack_featured_image_duplicate_dismissed":0,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[227,2,12],"tags":[17],"class_list":["post-1565","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ankel-sprains","category-ankle-injuries","category-recovery","tag-ankle"],"blocksy_meta":{"styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":7}},"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.3 - aioseo.com -->\n\t<meta name=\"description\" content=\"Akutte skader. 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Hvad skal jeg g\u00f8re? - Physioblog by Andreas Bjerregaard","og:description":"Akutte skader. Hvad skal jeg g\u00f8re? Kom gerne med feedback til om denne artikel har relevans for jer. PRICEM Protect REST ICE Compression Elevation Mobilization Der har v\u00e6ret en tildens til stor forvirring omkring R i RICEM er man nu g\u00e5et over til at bruge udtrykket PRICEM. Hvor P\u2019et st\u00e5r for Protect. Alts\u00e5, at der ikke","og:url":"https:\/\/andreasphysioblog.com\/?p=1565","article:published_time":"2015-02-18T12:36:15+00:00","article:modified_time":"2021-05-03T20:20:08+00:00","twitter:card":"summary","twitter:title":"Akutte skader. Hvad skal jeg g\u00f8re? - Physioblog by Andreas Bjerregaard","twitter:description":"Akutte skader. Hvad skal jeg g\u00f8re? Kom gerne med feedback til om denne artikel har relevans for jer. PRICEM Protect REST ICE Compression Elevation Mobilization Der har v\u00e6ret en tildens til stor forvirring omkring R i RICEM er man nu g\u00e5et over til at bruge udtrykket PRICEM. Hvor P\u2019et st\u00e5r for Protect. 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Bjerregaard","author_link":"https:\/\/andreasphysioblog.com\/?author=1"},"rttpg_comment":0,"rttpg_category":"<a href=\"https:\/\/andreasphysioblog.com\/?cat=227\" rel=\"category\">ankel sprains<\/a> <a href=\"https:\/\/andreasphysioblog.com\/?cat=2\" rel=\"category\">Ankle injuries<\/a> <a href=\"https:\/\/andreasphysioblog.com\/?cat=12\" rel=\"category\">Recovery<\/a>","rttpg_excerpt":"Akutte skader. Hvad skal jeg g\u00f8re? Kom gerne med feedback til om denne artikel\u00a0har relevans for jer. PRICEM Protect REST ICE Compression Elevation Mobilization Der har v\u00e6ret en tildens til stor forvirring omkring R i RICEM er man nu g\u00e5et over til at bruge udtrykket PRICEM. Hvor P\u2019et st\u00e5r for Protect. Alts\u00e5, at der ikke&hellip;","_links":{"self":[{"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/posts\/1565","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1565"}],"version-history":[{"count":3,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/posts\/1565\/revisions"}],"predecessor-version":[{"id":1662,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/posts\/1565\/revisions\/1662"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=\/wp\/v2\/media\/1566"}],"wp:attachment":[{"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1565"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1565"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/andreasphysioblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1565"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}