The 10 Phase Approach To Rehabilitation

1. The 10 Phase Approach To Rehabilitation

2. The 10 Phase Approach To Rehabilitation • Structural Integrity • Pain - Free Joints and Muscles • Joint Flexibility • Muscular Strength • Muscular Endurance • Muscular Speed • Muscular Power • Skill Patterns • Agility • Cardiovascular Endurance

3. The 10 Phase Approach To Rehabilitation Structural Integrity Pain-Free Joint Flexibility Strength Endurance Speed Power Skill Patterns Agility Cardiovascular Endurance

4. The 10 Phase Approach To Rehabilitation • Structural Integrity • anatomical structures are intact • surgery • immobilization • rest • Pain - Free Joints and Muscles • ways to diminish pain • immobilization • therapeutic modalities • cryotherapy • graded exercise (quad sets, isometric contractions..)

5. The 10 Phase Approach To Rehabilitation • Joint Flexibility • Decreased joint flexibility results from: • muscle spasm, pain (Therapeutic exercise with cold) • connective tissue adhesions (Therapeutic exercise with heat) • When 80% of flexibility is restored rehabilitation emphasis moves to the development of muscular strength.

6. The 10 Phase Approach To Rehabilitation • Muscular Strength • Must perform a progressive resistive exercise on a regular basis. (DAPRE) • Each side of the body should be worked independently. • Once strength in the injured side is 90% of the non-injured side, emphasis moves to the development of muscular endurance.

7. The 10 Phase Approach To Rehabilitation • Muscular Endurance • Stationary bike • Running when tolerated (jog 400 meters first day and increase by 400 meters each 1 or 2 days) • When athlete can run 1 mile emphasis should move to next phase

8. The 10 Phase Approach To Rehabilitation • Muscular Speed • high intense stationary bike • Cybex • Muscular Power • Isokinetic devices • high- speed resistive work

9. The 10 Phase Approach To Rehabilitation • Skill Patterns • Participation in team drills at 2 speed • Sport-specific skill patterns • Agility • Participation in team drills at 3/4 speed to full speed • skill patterns are performed quickly and speedily • Cardiovascular Endurance • develop creative ways to maintain cardiovascular endurance throughout rehab.

10. Modalitiesand the 10 Phase Approach To Rehabilitation • If you use a systems approach to rehabilitation, you must have some basis for choosing which therapeutic modality to use in each phase. • The therapeutic modality must be matched with the therapeutic goal. • In the following chart, the numbers 1,2, and 3 represent: • The modality has direct effect and is a good choice during the phase of rehabilitation • The modality can be effective if used in a specific way. • The modality is somewhat effective but is not the best choice to use for developing this phase.

11. Efficacy of Therapeutic Modalities in Rehabilitation of Sports Injuries