Evaluation Process - Part 3 Plan Flashcards
Purpose of plan:
- to manage the process (recovery)
- to return client back to health
- to return client to stated PA
- to achieve client’s stated or set goals
Steps to success for a plan:
- effective evaluation
- setting goals
- essential considerations of exercise component
Essential considerations of exercise component includes:
- concepts and principles of rehab programming
- concepts and principles of exercise programming
Goal setting should be…
- unique to client
- established, stated, clarified
- reasonable and attainable
- have progressive steps
- may often change with progress
- should encourage meeting sequential challenges
Use ____ and ____ findings to set goals.
- subjective
- objective
Short term goals to address (directly or pertaining to CC):
- treatment of lesion site
- prevention of secondary complications
- pain
- ROM
- strength
- neuromuscular control (education, proprioception, balance)
- posture and core stability
- CV fitness
- psychological readiness
- RTA
Lesion site:
area of abnormal damage or change in the tissue
Secondary complication:
- occurs post injury
- ex. infection, secondary inflammation, secondary cell injury
- affects tissues that were not directly related to the initial insult, pain
How to address goal of treatment of lesion site and prevention of secondary complications:
- may be related to first aid care (PRICE)
- injury management rehab with MD, emergency
- acute injury rehab (clinic based) with HCP
Extent of pain is dependent on:
- severity of the injury
- individual response and perception of pain
- the circumstances in which the injury occurred
How to address goal of pain control:
- modalities
- medications
- modifications of movement or activity
- healing
Pain may interfere with the _____ process and dictate the rate of _____.
- rehab
- progression
Limited or loss of ROM is associated with some of the following:
- resistance of musculotendinous units
- connective tissue stretch contractures; tissue scarring
- muscle imbalances; postural imbalances, neural tension
- joint dysfunction
How to address physiological movement constraints and accessory motion deficits:
- must be determined and treated accordingly
- stretching, joint mobilization, traction, movement, strength
Muscular strength, endurance, and power are essential to…
restoring pre-injury status
With muscular strength, endurance, and power, working through a full ____ ____ ROM should be emphasized.
pain free
Return to train should incorporate both…..
- single plane force production movements
- functional activities that stress tri-planar motion
With muscular strength, endurance, and power, combinations of muscle contractions should be emphasized in a variety of ways:
- isometric, concentric, eccentric
- open kinetic, closed kinetic
- functional movement
Isometric strength is used during ….
initial stages of rehab
Isometric strength is useful when…
training through a full ROM is contraindicated
Isometric strength serves to increase _____ strength.
static
Isometric strength serves to decrease _____.
atrophy
Isometric strength looks to create muscle ____ to reduce ____/_____.
- pump
- edema/swelling
Isotonic strength incorporates what type of equipment?
- free weights
- machines
- tubing
Isotonic strength utilizes what types of contractions?
- concentric
- eccentric
Isokinetic strength is used in ____ ____ of rehab.
later stages
Isokinetic strength uses ____ speeds with ______ resistance.
- fixed
- accommodating
Isokinetic strength provides _____ resistance through ____ ROM.
- maximal
- full
Isokinetic strength is commonly used as ____ for return to ____ ____.
- criteria
- functional activity
Plyometric strength is incorporated into ___ ____ of rehab.
later stages
Plyometric strength relies on quick ____ ____ to facilitate a subsequent _____ contraction.
- eccentric stretch
- concentric