Late stage rehab Flashcards
predisposing factors of overuse
intrinsic- age/ gender/ body biomechanics/ aerobic fitness/ limb dominance/ flexibility/ muscle strength
extrinsic- skill level, shoe type, playing level, training
return to function and sport guide
time constraints for soft tissue healing
pain free full ROM
no persistant swelling
adequate strength and endurance
good flexibility
good proprioception
adequate cardiovascular fitness
functional/ sport specific skills
reinjury risk
inadequate rehab
build up too quickly
inadequate heal time
client not lsiten
fitness not fully restored
tendinopathy
high tendon load reptitive load
sudden increase in training
muscle weakness altered absorption of forces
non-inflammatory tendinopathy
acute tensile or compressive load
proliferation of teninopathy
tendon cells activated and producing repair proteins
physiological changes to tendon
increase protein production- matrix change because H20bound to proteoglycan
no change in neurovascular structure
increase tendon diameter
tendon dysrepair
worsening pathology/ attempted healing
increase protein production
disruption of matrix
swollen tendon
degerative tendonopathy
repeated bouts of tendon pain and history of it
cell death/ matrix disorder/ vascular changes increase tendon size
tendon pain
induced by load and load dependent
well localised
treatment of tendopoathy
patient goals/ patient pain/ address impairments
effecting changes in tendon structure/ skill training
load management of tendon injuries
allow tendon to adapt
cells become less reactive
reduces pain
late dysrepair/ degeneraive stage
load modified to address contributing factors
treatment- aims to stimulate cell activity increase protein production restrucutre maitince
late dysrepair/ degeneraive stage exercise
phasic in nature
eccentric/ heavy slow resistance
increase collagen production
pain relief in 4-6 weeks
isometric exercises
decrease pain without decreasing muscle strength
use pre sport
effective for tendon rehab
