THE POLICE THE POLICE

Dhillon, H., Dhilllon, S., & Dhillon, M. S. (2017). Current Concepts in Sports Injury Rehabilitation. Indian journal of orthopaedics, 51(5), 529–536.
doi:10.4103/ortho.IJOrtho_226_17
 P for Protect
• Unload or restrict movement for 1 to 3 days  minimise bleeding,
prevent distension of injured fibers & reduce risk of aggravating the
injury.
• Rest should be minimised as prolonged rest can compromise tissue
strength and quality.
• Rely on pain signals to guide removal of protection and gradual
reloading.

Dhillon, H., Dhilllon, S., & Dhillon, M. S. (2017). Current Concepts in Sports Injury Rehabilitation. Indian journal of orthopaedics, 51(5), 529–536.
doi:10.4103/ortho.IJOrtho_226_17
 OL for Optimum Load
• An active approach with movement and exercise benefits most patients
with musculoskeletal disorders.
• Mechanical stress should be added EARLY AND NORMAL ACTIVITIES
RESUMED AS SOON AS SYMPTOMS ALLOW.
• Optimal loading without exacerbating pain  promotes repair,
remodeling and building tissue tolerance and capacity of tendons,
muscles and ligaments through mechanotransduction.

Dhillon, H., Dhilllon, S., & Dhillon, M. S. (2017). Current Concepts in Sports Injury Rehabilitation. Indian journal of orthopaedics, 51(5), 529–536.
doi:10.4103/ortho.IJOrtho_226_17
 I for Ice
• Ice to make vasoconstriction  reduce inflammation of the injured
tissue

Dhillon, H., Dhilllon, S., & Dhillon, M. S. (2017). Current Concepts in Sports Injury Rehabilitation. Indian journal of orthopaedics, 51(5), 529–536.
doi:10.4103/ortho.IJOrtho_226_17
 C for Compress
• External mechanical pressure using
taping or bandages helps limiting
intra-articular edema and tissue
hemorrhage.
• Despite conflicting studies,
compression after an ankle sprain
seems to reduce swelling and
improve quality of life.

Dhillon, H., Dhilllon, S., & Dhillon, M. S. (2017). Current Concepts in Sports Injury Rehabilitation. Indian journal of orthopaedics, 51(5), 529–536.
doi:10.4103/ortho.IJOrtho_226_17
 E for Elevate

• Elevate the limb higher than the heart to

promote interstitial fluid flow out of
tissue.
• Despite weak evidence supporting its use,
elevation is still recommended given its
low risk-benefit ratio.

Dhillon, H., Dhilllon, S., & Dhillon, M. S. (2017). Current Concepts in Sports Injury Rehabilitation. Indian journal of orthopaedics, 51(5), 529–536.
doi:10.4103/ortho.IJOrtho_226_17
Dhillon, H., Dhilllon, S., & Dhillon, M. S.
(2017). Current Concepts in Sports Injury
Rehabilitation. Indian journal of
orthopaedics, 51(5), 529–536.
doi:10.4103/ortho.IJOrtho_226_17