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Concepts of Rehabilitation Program. Team Approach. Primary Group Members Communication, Communication, Communication ATC IS IT. ATC IS IT!!. A = Avoid Aggravation Eustress rather than Distress T = Timing When do you begin? C = Compliance How can you improve compliance?
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Team Approach • Primary Group Members • Communication, Communication, Communication • ATC IS IT
ATC IS IT!! • A = Avoid Aggravation • Eustress rather than Distress • T = Timing • When do you begin? • C = Compliance • How can you improve compliance? • I = Individualization • NO COOKBOOK • S = Specific Sequencing • How is this determined • I = Intensity • Challenging but safe • T = Total Patient
Rehabilitation Objectives • Requires Knowledge of: • Injury • Healing process • Pathomechanics and normal biomechanics • Anatomy • Rehabilitation Knowledge • Neuromuscular Concepts • Assess and Reassess • Progression • Outcomes based
Components of Goal-oriented Rehabilitation Program • Provide immediate care • Reduce pain • Mobility and flexibility • Strength • Muscle endurance • Neuromuscular control • Cardiovascular endurance • Relaxation • Return to play criterion
Evaluation & Assessment • SOAP Notes • Subjective Findings • Objective Findings • Assessment • Plan
Evaluation & Assessment • SOAP Notes • Subjective Findings • Objective Findings • Assessment • Plan
Evaluation & Assessment • SOAP Notes • Subjective Findings • Objective Findings • Assessment • Plan
Evaluation & Assessment • SOAP Notes • Subjective Findings • Objective Findings • Assessment • Plan
Evidence-based Rehabilitation • “Evidence-based medicine is the conscientious, explicit and judicious use of current evidence in making decisions about the care of individual patients. The practice of evidence-based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research” • Sackett et al, British Medical Journal 1996
Good EBR • Awareness • Consultation • Judgment • Creativity