Creating the rehab program

Question 1

clinician as detective

Answer 1

put subjective and objective info together

identify problems, diagnosis, goals, and treatment

Question 2

clinician as problem solver

Answer 2

adjusts treatment to meet patients needs

makes program interesting to increase compliance

Question 3

clinician as innovator

Answer 3

use equipment w/imagination

Question 4

clinician as educator

Answer 4

informs patients of dos and donts

instructs in proper exercise execution

provides successful rehab program

uses knowledge, skills, and abilities

applies common sense and logic

Question 5

rehab program determinants

Answer 5

magnitude of injury
type of injury
patient age
stage of healing
body segment involved
patient’s activity level
patient’s response to injury
patient’s goals

Question 6

clinicians responsibilities for all injuries

Answer 6

examine patient
identify problems
establish goals
create treatment plan
execute treatment plan

Question 7

typical rehab progression

Answer 7

exam
modalities (ie. heat)
soft tissue mobilization
joint mobilization
flexibility/ROM
strength/endurance exercises
ABCs (agility, balance, coordination)-usually in BCA order
plyometrics (explosive)
functional and performance specific

Question 8

what is phase 1 of rehab?

Answer 8

protective/inactive phase (inflammation healing phase)

goals: relieve pain, swelling, spasm, protect injured tissue, and prevent deconditioning

no exercise

PROM, low dosage joint mobilization, muscle setting, and massage

Question 9

what is phase 2 of rehab?

Answer 9

active phase (proliferation healing phase)

goals: restore ROM, flexibility, and tissue mobility

ROM/flexibility and maybe some joint mobilization

late phase may include some low resistance

isometrics

AROM

higher reps

stretching

Question 10

what is phase 3 of rehab?

Answer 10

resistive phase (proliferation and remodeling phase of healing)

goals: restore muscle strength and endurance, proprioception, balanace, and agility

exercises begin in straight plan and progress to diagonal plane activities

Question 11

what is phase 4 of rehab?

Answer 11

aggressive phase (remodeling phase of healing)

goal: restore patient to optimal performance

resistive exercises are multiplanar

plyometrics

progress to performance specific exercises