Principles of rehabilitation Flashcards

1
Q

What is rehabilitation?

A

Activities to help a person adjust, heal and return to a full, productive life after injury or illness. Restoration of optimal form and function

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2
Q

Why is rehabilitation important?

A
  • Decreases risk of re-injury
  • Cause of injury can be identified and corrected
  • Ensures safe and timely return to sport
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3
Q

Rehabilitation team

A
  • Surgeon
  • Coach
  • Doctor
  • Psychologist
  • Performance analysis
  • Podiatrist
  • Physiotherapist
  • Sport rehabilitator
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4
Q

Principles of rehabilitation

A
  • Avoid aggravation
  • Timing
  • The whole patient
  • Individualisation
  • Intensity
  • Specific sequencing
  • Compliance
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5
Q

Aggravation

A

Knowledge and good judgement of:
- Body’s reaction to injury
- Healing process
- What exercises to use and when
- When to progress the rehab process

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6
Q

Timing

A
  • Therapeutic exercise should be used as soon as safely is possible without aggravating injury
  • 3-4% of strength is lost in the first week of immobilisation
  • Prolonged limitation of movement=tightening of joint capsule, ligaments, muscles and tendons
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7
Q

Individualisation

A
  • Everyone responds differently to injury
  • Programme design must recognise and consider individual differences
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8
Q

Factors influencing individuality:

A
  • Condition before injury
  • Type of sport
  • Level of competition
  • Support system
  • Previous injury
  • Previous rehab experience
  • Goal pre-injury
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9
Q

Specific sequencing

A

The body’s healing response is a central component in successful rehab

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10
Q

Intensity

A

Rehab programme must be challenging without aggravating the injury

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11
Q

The whole patient

A

Physically and psychologically prepare the athlete to return to sport/competition

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12
Q

Compliance

A

Poor compliance=poor recovery

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13
Q

How to encourage compliance:

A
  • Keep athlete informed
  • Tell them what is expected of them
  • Purpose of rehabilitation
  • Relationship between you and the athlete
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14
Q

Goal of rehabilitation

A
  • Restore pain-free range of motion
  • Achieve full muscle strength
  • Restore function
  • Prevent de-conditioning of uninjured areas
  • Achieve sport endurance
  • Return to sport
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15
Q

Benefits of goal setting

A
  • Increased motivation
  • Aids positive thinking
  • Helps focus
  • Provides direction
  • Increases self-confidence
  • Aids healing
  • Decreases risk of re-injury
  • Encourages compliance
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16
Q

Components of rehabilitation

A
  • Strength+power
  • Flexibility
  • Balance
  • Coordination
  • Cardiovascular fitness
  • Endurance
  • Psychology
  • Biomechanics
  • Functional exercise
  • Sports skills
  • Specificity
17
Q

Stages of rehabilitation

A
  • Early/initial
  • Mid/intermediate
  • Late/advanced
  • Return to sport
  • Return to competition
18
Q

Early initial:

A
  • Light resistance
  • Range of motion exercises
  • Isometric exercises
  • Muscle conditioning
  • Stability
  • Motor control
  • Cardiovascular fitness
  • Minimise inflammation
  • Propioception
19
Q

Mid/intermediate

A
  • Flexibility/stretching
  • Massage
  • Functional exercises
  • Power/speed exercises
  • Strengthening exercises
  • Cardiovascular fitness
  • Agility
20
Q

Late/advanced

A
  • Specific muscle conditioning
  • Power/plyometrics
  • Functional exercises
  • Biomechanics
  • Sport skills and drills
  • Confidence
  • Coordination
21
Q

Benefits of sport specificity

A
  • Aids the healing process
  • Opportunity to assess sport-specific ability
  • Increased self-confidence
  • Aids return to competition
22
Q

Factors to consider before the return to sport

A
  • Time constraints for tissue healing have been observed
  • Pain free full ROM
  • No persistent swelling
  • Adequate strength/endurance
  • Good flexibility
  • Skills regained
  • Balance
  • Psychological readiness
  • Biomechanical abnormality
23
Q

Factors to consider before returning to competition

A
  • Practising with equipment
  • Playing surface
  • Game movements
  • Contact
  • Unanticipated movements
24
Q
A