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HMS, BM EQ-Bank 140

Explain how the muscular and nervous systems are affected when a tennis player repeatedly serves with poor technique, and describe appropriate first aid responses.   (5 marks)

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Sample Answer

  • Rotator cuff muscles strain from repetitive overuse and incorrect loading patterns during the serve action. This occurs because poor technique places excessive stress on shoulder stabilisers, leading to micro-tears in muscle fibres and inflammation.
  • Neural pathways activate continuous pain responses through the peripheral nervous system as protective feedback. This triggers muscle guarding and altered movement patterns, which creates a cycle of compensation and further tissue damage.
  • Localised inflammation in the shoulder region compresses surrounding nerves and blood vessels. Consequently, the player experiences referred pain down the arm and reduced range of motion, preventing normal serving mechanics.
  • First aid requires immediate ice application in 20-minute intervals with compression bandaging. This works by causing vasoconstriction to reduce blood flow and swelling, thereby limiting inflammatory response and pain signals.
  • A 48-72 hour rest period from serving is essential while maintaining gentle mobility exercises. This combination enables tissue repair without complete immobilisation, which prevents adhesions and maintains flexibility for return to play.
Show Worked Solution

Sample Answer

  • Rotator cuff muscles strain from repetitive overuse and incorrect loading patterns during the serve action. This occurs because poor technique places excessive stress on shoulder stabilisers, leading to micro-tears in muscle fibres and inflammation.
  • Neural pathways activate continuous pain responses through the peripheral nervous system as protective feedback. This triggers muscle guarding and altered movement patterns, which creates a cycle of compensation and further tissue damage.
  • Localised inflammation in the shoulder region compresses surrounding nerves and blood vessels. Consequently, the player experiences referred pain down the arm and reduced range of motion, preventing normal serving mechanics.
  • First aid requires immediate ice application in 20-minute intervals with compression bandaging. This works by causing vasoconstriction to reduce blood flow and swelling, thereby limiting inflammatory response and pain signals.
  • A 48-72 hour rest period from serving is essential while maintaining gentle mobility exercises. This combination enables tissue repair without complete immobilisation, which prevents adhesions and maintains flexibility for return to play.

Filed Under: Role of First Aid Tagged With: Band 3, Band 4, smc-5527-15-Inefficient movement

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