Introduction to rehab principles Flashcards
What is the purpose of rehabilitation?
- 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
Describe rehabilitation
interventions that assist the person in improving their limitations
What are the issues with just rest?
m. weaken, can’t support the structures
ROM is decreased
creates compensations due to bad m. activation
What are the issues with no rest?
too much stress on the body, can increase pain and create other issues in the body
Describe pain
subjectively unpleasant and negative sensory and emotional experience occurring following activation of nociceptive stimuli that damage the tissue
What role does pain play
positive forewarning and protecive
What is the number 1 reason athletes seek treatment
pain
what is the goal of rehab early on in process
break the pain spasm cycle
what is the pain spasm cycle
pain
guarding
muscle spasm and inflammation
restricted mobility
muscle weakness
loss of normal function
anger, frustration and helplessness
what is the difference between swelling and inflammation
swelling=symptom that can happen with inflammation, if swelling stays too long can block nutrients from getting to injured area = hypoxia
inflammation= process
what is a primary injury
an injury that affects multiple different structures simultaneously
what leads to a secondary injury
fluid accumulation
blood flow obstruction
decreased oxygen
what are the consequences of edema (secondary injury)
puts pressure on structures and nerves = decreased ROM, pain and discomfort
what are the different types of injuries
acute
subacute
chronic
acute on chronic
what are the phases of soft tissues healing
inflammatory phase(0-6)
proliferative phase (3-21)
remodeling or maturation phase (2weeks to 1 year)
proliderative phase
structures are rebuilt and regeneration occurs
fibroblast begin to synthesis scar tissue
type 3 collagen is formed
capillary buddings begin
crosslinking of collagen begins
how does the proliferative phase end
beginning of wound contracture and shortening of margins of the injured area
can there be absence of pain in the proliferative phase
yes
remodeling/maturation phase
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
when does the orientation of the fibers occur
in the maturation phase
what are the aims of treatment
pain
guide inflammation
dec. risk of secondary complications
rom/flex/mob
proprioception
strength/endurance
cv fitness
core/posture
psych readiness
education
when can you see patient progression
at beginning of session with re-testing
re-check at end of session
what are the general guideline in the inflammation phase
athlete should have decreased swelling, no heat, pain should be decreased
what are the general guidelines in the proliferative phase
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
what are the general guidelines in maturation phase
complete sport specific exercise/drills with control, full strength, full rom, confidence
injured should be at 90% of strength
