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HOW IS INJURY REHABILITATION MANAGED?. REHABILITATION PROCEDURES. Rehabilitation can take a long time depending on the injury. A doctor or physiotherapist should supervise the process. Rehabilitation aims to: Restore function to the injured area.
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REHABILITATION PROCEDURES • Rehabilitation can take a long time depending on the injury. • A doctor or physiotherapist should supervise the process. • Rehabilitation aims to: • Restore function to the injured area. • Return athlete quickly and safely to competition. • Prevent re-injury. • Glue in figure 19.1 pg: 335 PDHPE Application and Inquiry
PROGRESSIVE MOBILISATION • As pain and swelling subside, slow movement through the range of motion should be carried out to promote elasticity in the scar tissue and enhance recovery time. • Joint mobilisation can be achieved through passive and active exercises that are gradually increased over time.
GRADUATED EXERCISES • STRETCHING • Controlled static and PNF stretching further promote elasticity of the scar tissue and increase the likelihood of returning to peak flexibility. • Passive stretching with machines or a partner is also very common in rehabilitation.
STRETCHING • Stretching enhances rehabilitation as it: • Reduces muscle tension • Increases circulation • Increases muscle and tendon length • Increases the range of motion.
CONDITIONING • Strength and conditioning of the injured area and surrounding body parts must be developed to reduce muscle atrophy and for support and performance reasons. • Isometric exercises are used when there is no movement at the joint. • As movement at the joint increases isotonic and isokinetic exercises using further resistance can be introduced as they will develop strength through a full range of movement.
TOTAL BODY FITNESS • Body parts and fitness components unaffected by the injury should be maintained throughout the recovery process. • As recovery improves, activities that could not be done can be gradually incorporated.
TOTAL BODY FITNESS • Flexibility, strength and endurance need to be promoted with activities that are specific to your sport. • This total body fitness will depend on the injury. Equipment for total body fitness include: treadmills, rowing/cycling machines, swimming/water resistance activites, weight training, walking or light jogging.
TOTAL BODY FITNESS • Eg: when recovery from an ankle injury, upper body strength can still be maintained with resistance training with no load being placed on the ankle. Once recovery has begun jogging at a slow pace can be performed and gradually the speed increased to further develop the strength in the ankle region.
TRAINING • An athlete who has finished a treatment and rehabilitation program is not ready to return to full competition. • If the athlete were to return to competition at this stage there would be significant risk of re-injury because specific game skills, movement skills and confidence have not be re-established.
TRAINING • A period of time devoted to normal training before returning to competition is essential. This promotes a return of specific movement patterns, coordination and skills. • A graduated sport specific program will allow the athlete to develop the physical and psychological skills required for competition. Some athletes may ask to play at a lower level.
USE OF HEAT AND COLD PACKS • Heat, cold, pressure and electrical stimulation are delivered by ice, hot packs or machines such as ultra sounds. • They are used to break down pain, muscle spasm, increase blood flow. • Heat or cold is dependent on the type of injury. • Glue in figure 11.57 Outcomes 2 pg:451
ACTIVITY • What is heat and cold used for? • What are the bodies response to heat and cold? • Complete Inquiry Activities ‘Use of Heat and Cold’ and ‘Rehabilitation of Sports injury’ pg: 451 Outcomes 2 • Practical Application – Rehabilitation program pg: 339 PDHPE Application and Inquiry is set out in a more structured way.
