Chapter 16 Flashcards
are open or closed kinetic chain exercises more sport-activity specific?
closed
Effects of Immobilization
Causes a number of disuse problems that adversely affect muscle, joints, ligaments and bones and the cardioresp system
Effects of Immobilization on Joints
loss of normal compression, causing lubrication to decrease and causing degeneration
Exercise Phases: Phase 1 - Acute Inflammatory Response Phase
- Begins when injury occurs and can last 4 months
- Primary focus is to control swelling and modulate pain by using POLICE
- Day 3-4 pt may begin active mobility exercises, pain free ROM
Exercise Phases: Phase 2 - Fibroblastic Repair Phase
- May begin as early as 4 days post injury and last several weeks
- as soon as inflame is controlled, incorporate activities that can help maintain levels of cardiorespiratory endurance, restore ROM, restore or increase strength and re-establish neuromuscular control
- modalities to control pain and swelling
Exercise Phases: Phase 3 - Maturation-Remodeling Phase
- longest phase, may last several years
- ultimate goal is to return to activity
- focus should be regaining activity-specific skills
- heating beneficial now
- massage and gentle mobilization
Exercise Phases: Preoperative Phase
applies to those getting surgery
Exercise may be used as a means to improve surgical outcome
How much does resting HR increase each day of immobilization?
One-half beat per minute
Major Components of a Rehab Program
- minimize swelling
- controlling pain
- reestablishing neuromuscular control
- establishing or enhancing core motion
- restoring or increasing muscular strength and endurance
- regaining balance and postural control
- maintaining cardiorespiratory endurance
- incorporating functional progressions
What are therapeutic exercises?
concerned with restoring normal body function after injury
Where does the greatest atrophy occur?
Type I (slow twitch) fibers
