chapter 12 - basics of injury rehabilitation. philosophy of athletic injury rehabilitation injury is...
TRANSCRIPT
Philosophy of Athletic Injury Rehabilitation
• Injury is the nature of sport• Most injuries do not require a long term rehab• Long term rehabs must be safe and effective• Athletics are competitive and thus necessitate an
aggressive rehab• Goal is to return as soon as possible• Thin line between not pushing hard enough and
being to aggressive
Goals of a Rehabilitation Program
• Short term goals are:• 1 - Provide correct immediate first aid and management
following injury to limit or control swelling• 2 - Reducing or minimizing pain• 3 - Restore full ROM• 4 - Restoring or increasing muscular strength, endurance,
and power• 5 - Reestablishing neuromuscular control• 6 - Improve balance• 7 - Maintaining cardiorespiratory fitness• 8 - Incorporating appropriate functional progressions
Providing Correct First Aid and Controlling Swelling
• Most critical
• Should be directed towards controlling swelling
• RICE principle
Controlling Pain
• Amount of pain is determined by extent of injury, individual’s response or perception of pain, and circumstances of the injury
• RICE for acute pain
• Appropriate modalities can be used during rehab to help with pain
Restoring Muscular Strength, Endurance, and Power
• Most important factors in returning to normal activities
• Always work in a full, pain-free ROM
Isometric Exercise
• Commonly performed in early phases of rehab when a joint is immobilized
• Useful when exercises in the full ROM will make the injury worse
• Increase static strength and decrease atrophy
• May lessen swelling by pumping action
Progressive Resistance Exercise
• PRE can be done with free weights, exercise machines, or rubber tubing
• Isotonic contractions with muscle changing in length
Isokinetic Exercise
• Common in later phases of rehab
• Uses a fixed speed and accommodating resistance
• Speed can be changed
• Used for testing, more functional
Plyometric Exercise
• Often in later stages• Uses a quick eccentric stretch of a muscle
and a subsequent concentric contraction of that same muscle
• Helps the athlete develop dynamic strength (in motion)
• Ability to generate force rapidly is a critical element in athletics
Reestablishing Neuromuscular Control
• The mind’s attempt to teach the body how to control movement
• Mind must read the body and respond efficiently
• The CNS forgets how to do things
• Strengthening exercises help to retrain pathways
Regaining Balance
• Rehab must incorporate balance drills to prepare the athlete for return to competition
Maintaining Cardiorespiratory Fitness
• Usually the most neglected component of rehab
• Level decrease rapidly
• Must substitute alternate activities (pool, bike, etc)
Functional Progressions
• Purpose of rehab is to restore normal function
• Those skills necessary for a sport are broken down into component parts
• If each new activity does not produce pain or swelling, it should be advanced, introducing new activities
Functional Testing
• Uses functional progression drills to test
• Figure 8s, shuttle runs, cariocas, side stepping, vertical jumps, hopping, back pedaling