Lecture #1 (Concepts of Rehab) Flashcards
Who are the primary team members of the reahb team? (x8)
Rehab clinician (AT, PT, OT), physician (ortho, podiatrist, opthalmologist), patient, psychologist/counselor, students, parents/family/spouse, coach/CSCS/personal trainer, and the school nurse
Who are the secondary rehab team members? (x11)
Orthotist, pharmacist, kinesiologist/biomechanist/exercise physiologist, nutritionist, attorney, work supervisor/employer, case manager, peers/team members, teachers, equipment managers, athletic administer
What is the rehab clinician?
The medical professional who rehabilitates musculoskeletal injuries–they coordinate the work/program with the primary and secondary members
True or false:
Family can play a huge role in the rehab of their loved one.
True. They can be more involved with serious injuries, minors, may need to assist with the exercise programs at home, and can help ensure that the patient is compliant with rehab
True or false:
The physician doesn’t have to be updated regularly on a patient’s treatment and progress.
False: they do need to be updated regularly. There may be protocols after the injury or surgery that need to be followed and they assist in important decisions (RTP, RTwork, etc)
True or false:
A coach can be an ally in the rehab process.
True: they can help to make sure that the player still feels like a part of the team, and they can help make RTP s smoother and easier transition.
Who is the focus of the rehabilitative team and how is the coordinator?
Focus= patient (*should be self-motivated to RTP but may be somewhat fearful as well) Coordinator= rehab clinician (*must interact appropriately with other team members in the best interest of the patient)
What are some reasons for why a patient may not be progressing with rehab?
Non-compliance, lack of motivation, nutrition choices, they smoke, etc.
Who is the center of communication for the rehab team?
Clinician
True or false:
Physicians don’t want the clinician asking them questions in regards to a patient’s rehab.
False. They do want the communication! They would rather answer your questions than have you do something that is wrong.
How often is written communication usually required in order to keep the physician informed of a patient’s progress?
Every 2-4 weeks
True or false:
Patients over 18 have to give consent for there to be communication with parents, regardless if the parent’s insurance is paling for the rehab
True
True or false:
The clinician doesn’t need to be active in gaining CEUs.
False…it is very good for them to continue their education so as to use evidence-based practice medicine. It is also good for them to become specialized in certain techniques and different procedures.
True or false:
The patient is always in charge of their rehabilitation.
True. When the patient says no, it means no. Try to encourage and explain why it’s important or why you’re doing it, or try different exercises or modify the program. But the patient does have the ability to say no.
When is consent from a patient assumed during a rehab program?
Consent is assumed until the patient says otherwise
What has been shown to improve outcomes by showing the patient that you care about them?
The power of touch
What is touch necessary for (besides showing the patient that you care)?
Determining the extent of the injury, assessing progress, assisting with exercises, and just about every aspect of rehabilitation
What is the mnemonic for the seven principles of rehab?
ATC IS IT
What are the seven principles of rehab?
Avoid aggravation Timing Compliance Individualization Specific sequencing Intensity Total patient
What is the general guideline for the first priniciple of rehab (avoid aggravation)?
“Do no harm”–it is important to know how the body responds to injury, healing, and the rehab process. There is also always something that can be worked on during rehab besides the injury (cardiovascular system, kinetic chain)
How much strength is lost per week of inactivity?
3-4%
Why is early exercise crucial after injury?
Avoid prolonged immobilization and loss of strength, and to help speed up the rehab process and RTP
What does compliance mean?
That the patient attends rehab and does what is asked of the clinician to the best of their ability. It also means following the exercise regimen outside of the rehab setting
What is the specific sequence that the rehab process follows in order to follow the physiological healing process of the body? (x10)
ROM Flexibility Muscular strength Muscular endurance Muscular power Balance Coordination Agility Plyometrics Functional exercise
What is cross talk?
When a limb is immobilized, atrophy can be battled by performing exercises on the other side of the body
True or false:
It is important to rehab the complete kinetic chain.
True because limbs function as a whole kinetic chain, and they must all be rehabed together to help avoid deconditioning and atrophy from a lack of use due to the injury (for example, the hand, wrist, and elbow after a shoulder injury)
True or false:
Goals should be challenging but achievable.
True–these will help the keep the motivation high from the patient
How should goals be formed?
They should be objective and measurable and should be discussed with the patient to receive their input
What time-frame would be considered a short term goal?
1 day to 4 weeks
What would be considered a long term goal?
Full return to previous or current maximal level
How often should STGs be reassessed?
Daily or every two weeks
How often should LTGs be reassessed?
Every four weeks or when the STGs are met
What are the two main elemetns of rehab?
Therapeutic exercise (more important) and therapeutic modalities
What needs to be addressed to have a successful rehab program?
ROM and flexibility
Strength and muscular endurance (power too)
Proprioception (balance, coordination, agility)
Functional progression
