Principles of rehabilitation continued

Question 1

Principles

Answer 1

• Individualisation
• Therapy
• Specific sequencing
• Timing
• Avoid aggravation
• Tatal patient
• Intensity
• Compliance

Question 2

Objectives of rehabilitation

Answer 2

• Prevent reconditioning
• Rehabilitate the injured part
• Outcome based of the objectives and rehab measures
• Low extremity function sale

Question 3

Components of rehabilitation

Answer 3

In order:
- Flexibility and ROM
- Strength and muscle endurance
- Proprioception/coordination
- Sport specific demands
- Plyometric, power, speed, speed endurance

Question 4

Flexibility

Answer 4

• Mobility of muscles and length to which they can extend
• Immobilisation

Question 5

Range of motion

Answer 5

• Amount of movement that is possible at a joint
• Affected by flexibility of muscles and muscle groups surrounding the joint

Question 6

Healing process

Answer 6

• As injured tissue heals collagen is laid down (proliferation)
• Need to align collagen with existing structures
• Need to compensate for collagen shrinking

Question 7

Window of opportunity for changes for scar tissue mobility

Answer 7

General - Proliferation phase 5d to end of remodelling
Ligament - 2d-50wk post key 6wk-12mo
Tendon - 1wk-2mo, up to 50wk
Muscle - 1wk-6mo
Cartilage - 5d-2mo, up to 6mo

Question 8

Strength vs endurance

Answer 8

Strength - Maximum force that can be exerted
Endurance - Ability to sustain sub-maximal force either statically or dynamically

Question 9

Isometrics

Answer 9

• 20 degree intervals through pain free range
• 5-6s holds
• 10 reps with 10s rests between each one
• Quality not quantity

Question 10

Isotonic concentric vs eccentric contractions

Answer 10

• Eccentric requires 30% more force than concentric
• Eccentric induces DOMS more readily
• Eccentric generates large tension with the series of elastic components

Question 11

Open kinetic chain

Answer 11

Distal segments move freely in space, limb is not fixed

Question 12

Closed kinetic chain

Answer 12

Distal segment is weight bearing and generally in contact with state surface, maintain contact with GRF

Question 13

When to use isometrics/isotonics

Answer 13

Isometrics - as early as possible
Isotonic - Concentric:Strength endurance
Isotonic - Eccentric:Strength endurance
Isotonic - Concentric and eccentric strength

Question 14

For strength

Answer 14

• > 85% 1RM
• <6 reps
• 2-6 sets
• 2-5min recovery

Question 15

For power

Answer 15

• 80-90% 1RM
• 1-2 reps
• 3-5 sets
• 2-3min recovery

Question 16

For hypertrophy

Answer 16

• 67-85% 1RM
• 6-12 reps
• 3-6 reps
• 30-90sec recovery

Question 17

For muscular endurance

Answer 17

• <67% 1RM
• > 12 reps (25)
• 2-3 sets
• <30sec recovery

Question 18

Balance

Answer 18

Body’s ability to maintain equilibrium

Question 19

Coordination

Answer 19

Smooth pattern of activity produced through a combination of muscles acting together

Question 20

Agility

Answer 20

Ability to control direction go body or segment during rapid movement