Introduction to rehab principles

Question 1

What is the purpose of rehabilitation?

Answer 1

• Teach basic motor control
• Decrease compensations
• Prevent stress on structures
• Prevent injury from happening again
• Proper healing
• Guide healing
• Educate athlete
• Decrease/manage pain
• Return to play

Question 2

Describe rehabilitation

Answer 2

interventions that assist the person in improving their limitations

Question 3

What are the issues with just rest?

Answer 3

m. weaken, can’t support the structures
ROM is decreased
creates compensations due to bad m. activation

Question 4

What are the issues with no rest?

Answer 4

too much stress on the body, can increase pain and create other issues in the body

Question 5

Describe pain

Answer 5

subjectively unpleasant and negative sensory and emotional experience occurring following activation of nociceptive stimuli that damage the tissue

Question 6

What role does pain play

Answer 6

positive forewarning and protecive

Question 7

What is the number 1 reason athletes seek treatment

Answer 7

pain

Question 8

what is the goal of rehab early on in process

Answer 8

break the pain spasm cycle

Question 9

what is the pain spasm cycle

Answer 9

pain
guarding
muscle spasm and inflammation
restricted mobility
muscle weakness
loss of normal function
anger, frustration and helplessness

Question 10

what is the difference between swelling and inflammation

Answer 10

swelling=symptom that can happen with inflammation, if swelling stays too long can block nutrients from getting to injured area = hypoxia
inflammation= process

Question 11

what is a primary injury

Answer 11

an injury that affects multiple different structures simultaneously

Question 12

what leads to a secondary injury

Answer 12

fluid accumulation
blood flow obstruction
decreased oxygen

Question 13

what are the consequences of edema (secondary injury)

Answer 13

puts pressure on structures and nerves = decreased ROM, pain and discomfort

Question 14

what are the different types of injuries

Answer 14

acute
subacute
chronic
acute on chronic

Question 15

what are the phases of soft tissues healing

Answer 15

inflammatory phase(0-6)
proliferative phase (3-21)
remodeling or maturation phase (2weeks to 1 year)

Question 16

proliderative phase

Answer 16

structures are rebuilt and regeneration occurs
fibroblast begin to synthesis scar tissue
type 3 collagen is formed
capillary buddings begin
crosslinking of collagen begins

Question 17

how does the proliferative phase end

Answer 17

beginning of wound contracture and shortening of margins of the injured area

Question 18

can there be absence of pain in the proliferative phase

Answer 18

yes

Question 19

remodeling/maturation phase

Answer 19

crosslinking and shortening of collagen fibers promote formation of a tight and strong scar
remodelling of collagen to improve the functional capabilities of the tendon, ligament, muscle

Question 20

when does the orientation of the fibers occur

Answer 20

in the maturation phase

Question 21

what are the aims of treatment

Answer 21

pain
guide inflammation
dec. risk of secondary complications
rom/flex/mob
proprioception
strength/endurance
cv fitness
core/posture
psych readiness
education

Question 22

when can you see patient progression

Answer 22

at beginning of session with re-testing
re-check at end of session

Question 23

what are the general guideline in the inflammation phase

Answer 23

athlete should have decreased swelling, no heat, pain should be decreased

Question 24

what are the general guidelines in the proliferative phase

Answer 24

complete exercises with proper technique
full strength for that exercise
full rom for that exercise
no pain
athlete should be confident when completing the exercises

Question 25

what are the general guidelines in maturation phase

Answer 25

complete sport specific exercise/drills with control, full strength, full rom, confidence
injured should be at 90% of strength