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rehabilitation of sports injuries > Power Point 7 > Flashcards

Power Point 7 Flashcards

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Sports Trivia flashcards
1
Q

periodization

A
  • series of sport-specific, basic movement patterns graduated according to the difficulty of the skill and the athlete’s tolerance
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2
Q

SAID principle or Overload prinicple

A

break down into the basic skills and movments progressed gradually as the athlete tolerates

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3
Q

benefits of functional rehab

A
  • promotes healing
  • maximizes post-injury performance
  • minimizes stress of being injured
  • enhances self confidence
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4
Q

benefits of functional rehab: promotes healing (types of laws)

A
  • davis’s law of soft tissue remodeling

- wolff’s law of bony remodeling

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5
Q

benefits of functional rehab: maximizes post-injury performance

A
  • small to large movements
  • increased intensities
  • increased complexity
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6
Q

benefits of functional rehab: minimizes stress of being injured

A
  • processes of grieving are similar to those seen in the loss of a loved one
  • loss of a “comfort zone”
  • loss of identiy
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7
Q

four principles of functional exercise

A

purpose
posture
position
pattern

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8
Q

Purpose of functional exercise

A
  • functiaonl evaluation & assessment
  • do not lose sight of what the greatest single limiting factor to function
  • track progress over time through repeated measures to ensure adequate focus
    “how is this going to improve my loss of dorsiflexio again?”
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9
Q

do not lose sight of what the greatest single limiting factor to function is

A
  • what is limited?
  • what is the cc?
  • what is the impairment?
  • what movement is limited?
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10
Q

posture of functional exercise

A
  • identification fo motor control
  • consider the entire kinetic chain and the entire patient mechanically and how dysfunction in one link can and will influence function elsewhere
  • invovles restriciton/inhibition of inappropriate motor programming and facilitation/stimulation fo appropriate motor function
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11
Q

consider the entire kinetic chain and the entire patient mechanically and how dysfunction in one link can and will influence function elsewhere

A
  • when do substitutions occur?
  • when is it difficult?
  • when is it easier?
  • when is it most noticeable?
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12
Q

posture involves restriction/inhibition of inappropriate motor programming and facilitation/stimulation of appropriate motor function

A

provide kinesthetic visual, and verbal cures to enhance learning

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13
Q

Position during functional exercise

A
  • identification of osteokinematic & arthrokinematic limiters
  • anatomic structure where impairment has been identified as well as positions wher limitations occur
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14
Q

anatomic structure where impairment has been identified as wel as positions where limitations occur

A
  • where is the impairment?
  • where in the ROM is impairment most influential?
  • where is the most beneficial position for exercise?
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15
Q

pattern of functional exercise

A
  • integration fo synergistic movement patterns
  • consider how movments do not occur in isolation but rather in space
  • PNF is a great example of how movements do not typically occur along but rather as part of a coordinated series of events
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16
Q

consider how movements do not occur in isolation but rather in space

A
  • how is it different bilaterally?

- how will this influence function?

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17
Q

the degree of “functionality” of any therapeutic exercise program depends on how will it addresses the issue at hand and the patient’s needs

A
  • what is limited?
  • when is it a problem?
  • where is the limitation?
  • how can other movmeent influence it?
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18
Q

when do you start functional exercise?

A
  • little to no swelling
  • pain is minimal
  • ROM is great enough to handle those tasks assigned to the athlete
  • must be strong enough to provide dynamic stability
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19
Q

when do you start functional exercise: strength

A
  • symmerty
  • dominant arm in through activities should be 10-15% greater than the non-dominant are
  • if used isokinetic measures (agonist/antagonist ratios, torque/output: body weight ratio)
  • identification of those muscles that are necessary for the performance of that athlete’s sport
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20
Q

program progression considerations

A
  • every athlete is unique, so each rehab program should be unique
  • evaluation of progression
  • reevaluation of progression
  • criteria need to be established for progression
21
Q

progression guidelines

A
  • slow to fast
  • simple to difficult
  • non sport specific to sport specific
  • short distances/times to longer distances/times
  • unloaded (unresisted) to loaded (resisted) skills
22
Q

program assessment considerations

A
  • necessary for the identification of those “red flags” within the program
  • where will these manifest themselves?
  • need to be done directly by you - or you need to educate the athlete/patient as to the warning signs
23
Q

assessment tools 3 C’s

A
  • carriage
  • confidence
  • control
24
Q

assessment tools 3 C’s: carriage

A

posturing and positionign required to carry the body smoothly through each step of the program (weight shift, weight acceptance, symmetry of movement)

25
Q

assessment tools 3 C’s: confidence

A

determined by facial expressions and speed and diliberatencess with which a skill is performed

26
Q

assessment tools 3 C’s: control

A

smooth, unrestricted, automatic movement wtih percise performance of a given task

27
Q

assessment tools 3 C’s: Other

A
  • perceived instability of the involved area during performance of a skill
  • pain
  • anxiety
  • inability to perform
  • decreased ROM following activity, pain after activity
28
Q

in order for full return to activity to occur, rehab must target:

A
  • regaining/restoring ROM
  • flexibility
  • strenght
  • endurance
  • coordination and agility
29
Q

program should be geared to meet the two basic goals of rehab:

A
  • minimize additional trauma to injured structures

- safely and quickly return athlete to prior levels of compeition

30
Q

benefits of the program

A
  • muscular strength
  • muscular endurance
  • flexibility
  • muscle relaxation
  • motor skills
31
Q

benefits of the program: muscular strength

A

SAID & Overload principles

32
Q

benefits of the program: muscle relaxation

A

education in progression so athlete can target tension and learn to control or remove it

33
Q

benefits of the program: motor skill

A
  • coordination, agility, and motor skills are complex aspects of normal function requiring appropriate contraction at the most opportune time and with the appropriate intensity
  • serves as the connection between strength, flexibility, and endurance and full speed performance
  • traditional exercise cannot retrain the athlete for return to sport because they lack the training needed for coordination and agility
34
Q

external considerations

A
  • physician expectations/orders
  • athlete expectations
  • total disability
  • parameters of physical fitness
35
Q

activity considerations

A
  • assessment oif the individuality of the athlete
  • positive, not negative activities (i.e. no increased S/S)
  • orderly stair-step progression
  • varied to avoid monotomy
36
Q

activity considerations: varied to avoid monotomy

A
  • vary exercise technique
  • alter the program at regular intervals
  • maintian fitness base
  • set achievable goals
  • use clinical, home and on-field activities
37
Q

demands of the sport

A
  • call for the complete break-down of the sport activity
  • arrangement of those components on a continuum form easiest to most difficult
  • constant reevaluation of that activity and the progression through those components
38
Q

5 main principles of a sport specific rehab

A
  • focus on teh therapeutic objectivies
  • vary the exercises and challenges
  • properly utilize the kinetic chain
  • K.I.S.S. principle
  • always provide a progression
39
Q

funcation exercise pyramid

A
  • it is an attempt to organize the functional stage of rehab

- there are four levesl or phases within the pryramid: Level I, II, and III, Level IV (return to play)

40
Q

level I

A
  • begin patterned movement under very low or no-load conditions
  • level I exercises shoudl be performed slowly with emphasis ont eh execution of the pattern of movement (FORM)
  • exercises may include joint repositioning, into PNF technqiues, and various wt. bearign techniques
41
Q

level I primary objective

A

restoration of proprioception

42
Q

level I secondary objectives

A
  • normalize motion
  • establish muscle balance
  • decrease pn & inflammation
43
Q

level II

A
  • progressionf rom level I to level II may occur when there is no pain swelling, &/or excessive fatigue
  • you may continue with the same exercises as in level I but you may progress the variables such as speed, distance, time, or load
  • when progression from a low-load, slow speed, low repetition exercise only one parameter should be increased at a time
  • exercises may include more advanced PNF techniques and more dynamic yet controlled activities
44
Q

level II primary objective

A

restoration fo stabilization (co-contractions)

45
Q

level II secondary objective

A
  • optimize neuromuscular control
  • restore muscle balance
  • maintain normalized motion
46
Q

level III

A
  • this is the final level of the functional exercises that will bring the athelte to the intensity necessary for return to play
  • increase challenges
  • work with the coaches to be sure you are doing suitable drills that are sport specific
  • exercises may include more advanced PNF technqiues and numerous dynamic and increasingly sport specific drills and skills
47
Q

level III primary objective

A

develop reactive stability

48
Q

level III secondary objectives

A
  • enhance dynamic stabilty
  • improve power & endurance
  • graudal return to activities
49
Q

level IV (Return to play)

A
  • monitor the athlete/patient’s reintroduction

- continue maintenance program prn

rehabilitation of sports injuries (4 decks)

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