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Therapeutic Exercises RC- STD. 17. Standard 17.
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Standard 17 • List and define goals, indications, contraindications, and various techniques of therapeutic exercise, including both general and specific exercise regimes relative to treatment of soft tissue, bony, neurological disorders/diseases, and post-surgical complications.
To Use or Not to Use… • Indications are any signs/symptoms that support the use of certain therapeutic exercises or modalities- no further harm will come • Contraindications are any signs/symptoms that do NOT support the use of certain therapeutic exercises or modalities due to the increased chance of further harm
Therapeutic Exercises • Goal is to return injured athlete to pain-free full function participation. • Areas of Focus: • Pain Modulation Muscular Strength • Normal ROM Endurance • Kinematics Coordination • Flexibility Power
Rehabilitation Areas • Psychological • Physical • Emotional • Social • Performance
Kubler-Ross Emotional Stages • Denial • Isolation • Anger • Bargaining • Depression • Acceptance
Specific and measurable Positive rather than negative Challenging yet realistic Established time table for completion Integration of short- intermediate- and long term goals Personalized and internalized Monitored and evaluated LINKED TO LIFE GOALS!!! Goal Setting
Factors that Inhibit Progress • Lack of Knowledge • Lack of Skill • Lack of Risk-Taking Ability • Lack of Social Support
Psychological Influences • Confidence • Motivation • Anxiety • Focus • Management of Pain
Rehabilitation Guidelines • Intensity • Duration • Frequency • Specificity • Speed • Progression
Soft Tissue Injuries • Exercises and Treatments: • Stretching • Massage • Passive ROM, Active ROM • Electrical stimulation • Ultrasound • Cryotherapy • Thermotherapy
Bony Injuries • Exercises and Treatments: • Stretching • PROM, AROM • Cryotherapy • Thermotherapy • Contrast Bath
Neurological Disorders/Diseases • Exercises and Treatments: • Stretching • Massage • PROM, AROM • Cryotherapy (dependent on D/Dx) • Thermotherapy (dependent on D/Dx)
Post-Surgical Complications • Exercises and Treatments: • Inflammation/Swelling: Cryotherapy, Stretching, PROM, AROM • Scar Tissue: Massage, E-stim, Ultrasound • Infection: Antibiotics, no further treatment until release by Dr.