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Per HIPAA (the Federal Health Information Privacy and Accountability Act) Regulations, this Information is to be held in strict

CONFIDENCE, to be used only making participation plans for the


student-athletes. Information should not be passed to any other individual or group of individuals.

Indiana University

MOCK INJURY REPORT


STATUS FOR: 4/6/2015
DAILY STATUS REPORT:
NAME

INJURY

COMMENTS

MEN
Athlete "A"

STATUS

Cyst Removal

Athlete not cleared to practice. Will schedule regular


appointments to have cyst drained.

NO

Athlete "B"

Stress FX

Athlete will be non-weight bearing for 6 weeks. Will follow


up with doctor after 6 weeks to be cleared for limited
activity.

NO

Athlete "C"

UCL sprain

Athlete can participate in throwing activities below the


shoulders.

LIMIT

Athlete "D"

Hamstring Strain

Will re-evaluate to determine strength next week. Will be


cleared for practice if strength is 5/5 bilaterally.

LIMIT

Athlete "E"

Shoulder sprain

Limit overhead throwing.

WOMEN
Athlete "F"

Partial torn patella tendon

Athlete "G"

achilles tendinitis

Athlete will practice as tolerated. Will continue with


AS CAN
rehabilitation program.
Athlete will continue to practice as tolerated. Will continue AS CAN
to increase mileage weekly.

Athlete "H"

Ankle Sprain--grade 2 (week 2)

Athlete has not attended treatments regularly. Will


continue to work on ankle ROM. Start biking next week.

Athlete "I"

Concussion

Athlete "J"

Heel Contusion

Athlete was able to perform light activity without issues.


LIMIT
Will continue to increase intensity as long as
asymptomatic.
No practice on the track and NWB until appointment with AS CAN
Dr. Porter. She will see Dr. Porter on Thurs.

AS CAN

NO

NOTES:
.

Cannot participate at this time.

NO

Has limitations or restrictions. LIMIT


All activity is as tolerated. AS CAN
No restrictions at this time. FULL

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