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Rehabilitation

Rehabilitation. Rehabilitation. Restore to an appropriate level of competitive fitness Each program must be individualized Programs influenced by Severity of injury Stage of tissue healing Type of treatment Sport demands. Guidelines. Restore of function in the shortest time possible

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Rehabilitation

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  1. Rehabilitation

  2. Rehabilitation • Restore to an appropriate level of competitive fitness • Each program must be individualized • Programs influenced by • Severity of injury • Stage of tissue healing • Type of treatment • Sport demands

  3. Guidelines • Restore of function in the shortest time possible • Be aggressive, without causing harm • Involve athlete with team • Program needs to be progressive • Use variety of equipment

  4. Equipment

  5. Common Mistakes • Treat the cause not only the symptoms • Fail to focus on all muscles involved, and only a single muscle • Fail to improve and correct technique, anatomical misalignment and biomechanics

  6. Goals • Must be realistic • Must be reachable If you don’t know where you are going you’ll end up someplace else - Yogi Berra

  7. Program Components • Joint stability / structural integrity • Surgery • Immobilization, bracing • Decrease pain, inflammation and swelling • RICE • Modalities

  8. Program Components • ROM and flexibility • Stretching exercises • Muscular strength • Resistance training

  9. Program components • Muscular endurance • Bike, jog, run • Speed • Bike, jog, run

  10. Program components • Muscular Power • Plyometrics • Power lifts • Agility, coordination and sport specific skills • Balance • Sport drills

  11. Program Components • Maintain cardiovascular Endurance • Should begin immediately • X-training- bike, swimming, UE ergo

  12. 3 Phase Approach to RehabPhase 1 • Symptoms • Inflammation, swelling and loss of function • Goals • Decrease pain, swelling and inflammation • Increase ROM • Maintain strength of unaffected limb • X-over effect • Maintain cardiovascular conditioning • Examples • Immobilization • Braces • Crutches • Isometric exercises • Cross Train • Bike or pool • Modalities • Muscle Stimulation • RICE

  13. Phase 2 • Symptoms • Pain and swelling are controlled • Immobilization is not necessary • Goals • Restore ROM • Increase muscle strength • Begin to work on muscle endurance and power • Maintain CV fitness • Examples • Passive, active and resistive exercises • Cross training • Bike • Pool • Modalities • Muscle stimulation • Thermotherapy before therapy session • Cryotherapy after therapy session

  14. Phase 3 • Symptoms • Tissue repair and remodeling is occurring • Goals • Functional exercise • Sport Specific skills • Correct technique and biomechanical problems • Restore balance and proprioception • Evaluate the need for protective taping, bracing or padding • Return to Play • Examples • Strength training continues to progress • Heel raises, single leg stands • Balance boards • Plyometrics • Sport drills • Return to practice • Return to competitive event • Modalities • Ultrasound • Massage

  15. Principles of Rehabilitation • Overload • To facilitate improvement the system involved MUST be progressively CHALLANGED • Implement by increasing: • Resistance • Repetitions • Sets • Rate / intensity • Duration • SAID • Specific Adaptations to Imposed Demands • Principle of Specificity • Conditioning program are specific to the type of stress applied during competition • Practice how you want to perform

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