Intro to rehab

Question 1

what’s the issue with just rest

Answer 1

muscle = weak, decrease ROM of injured part

Question 2

what are the issue with no rest

Answer 2

irritate the injury, increase risk of injury, compensation

Question 3

what’s the number 1 reason an athlete want treatment

Answer 3

pain

Question 4

what are the s/s of inflammation

Answer 4

Swelling
Heat
A
Redness
Pain

Question 5

what can be a result of fluid accumulation, blood. flow obstruction and decrease O2 may lead to

Answer 5

Secondary metabolic injury :Ischemia and hypoxia
Secondary enzymatic injury: Break down living cells

Question 6

how long is it considered an acute injury

Answer 6

7-10 days

Question 7

how long is considered a subacute conditions

Answer 7

10 days to 7 weeks

Question 8

how long is considered chronic

Answer 8

7 week +

Question 9

what are the 3 phases of soft tissue healing

Answer 9

1. inflammatory phase (0 to 6 days)
2. proliferative phase (day 3 to 21)
3. remodelling or maturation phase (2 week to 1 years)

Question 10

in which phase does Structures are rebuilt and regeneration occurs

Answer 10

proliferative

Question 11

in which phase Fibroblasts begin to synthesis scar tissue

Answer 11

proliferative

Question 12

in which phase Type III collagen is formed
* Random and immature in its fiber orientation

Answer 12

proliferative

Question 13

in which phase

Answer 13

Capillary budding begins
* Crosslinking of collagen begins

Question 14

with what does proliferative phase end up with

Answer 14

This phase ends with beginning of wound contracture and shortening of margins of the injured area

Question 15

why does proliferative phase may be a tricky phase to rehab

Answer 15

The absence of pain may tempt the athlete to return to training or competition before the injured tissue has been fully rehabilitated

Question 16

what the maturation phase is characterized with

Answer 16

Characterized by the remodelling of collagen to improve the functional capabilities of the tendon, ligament and muscle

Question 17

in which phase the orientation of fibers occurs

Answer 17

maturation

Question 18

in which phase

Answer 18

Crosslinking and shortening of collagen fibers promote formation of a tight and strong scar

Question 19

how to apply the evidence-based medicine

Answer 19

1. create relevent question
2. read (find evidence)
3. is it good
4. apply evidence
5. does it works

Question 20

what is evidence based medicine

Answer 20

Integration of the best research evidence with clinical expertise and patient values to make clinical decisions

Question 21

how can we verify that our client has progress ?

Answer 21

At the beginning of every session you should do a quick re-test of any exercise you gave the athlete to take home
Complete a quick re-check at the end of your session

Question 22

at the end of your program what should the athlete have in the inflammation phase

Answer 22

decreased swelling, no heat felt, pain should be
decreased

Question 23

at the end of your program what should the athlete have in the proliferative phase

Answer 23

Complete exercises with proper technique, full strength(for that exercise), full ROM (for that exercise) and no pain
* Athlete should be confident in their ability to complete exercises in a controlled environment

Question 24

at the end of your program what should the athlete have in maturation phase

Answer 24

Complete sport specific exercise/drills with control, full strength, full ROM
and confidence
* Injured tissue is at least 90% the strength of uninjured tissue

Question 25

how to know if your program was to aggressive

Answer 25

Increased pain, especially post exercise
Diminished function from the previous treatment
Did your patient regress?
Increased edema, especially if it lasts 1+days after treatment
Pain during rehab
* Try to figure out what pain is coming from
* Do not want, sharp, shooting pain
* Dull, achy okay
* 3-4/10
* Patient is still able to relax, or do exercises correctly without compensation