Rehab LL Flashcards

1
Q

What shoul be the aim of rehab?

A

Function-related

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2
Q

What are the different components of function?

A
  • Balance
    -Stability
    -Neuromuscular control/ Coordination
    -Mobility/Flexibility
    -Cardiopulmonary/Endurance
    -Muscle performance
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3
Q

Def Balance

A

The ability to align body segments against gravity to maintain or move the body (center of mass) within available base of support w/o falling

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4
Q

Def Cardiopulmonary/Endurance

A

The ability to perform low intensity, repetitive, total body mvt over an extented period of time. (jogging, walking, cycling)

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5
Q

Def Neuromuscular control/coordination

A

Interaction of sensory & motor systems that enables synergists, agonists, antagonists, stabilizers & neutralizers to anticipate or respond to proprioceptive & kinesthetic info => create coordinated mvt

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6
Q

Def Mobility/Flexibility

A

The ability of structures or segments of the body to move/be moved => allow the occurence of ROM for functional activities

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7
Q

Def Muscle performance

A

The capacity of muscle to produce tension & do physical work.

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8
Q

Def Stability

A

The ability of the neuromuscular system through synergistic muscle action to hold a proximal or distal body segment in a stationary position.

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9
Q

Objective tests for Muscle performance

A
  • Muscle strength tests
  • Muscle endurance tests
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10
Q

Objective tests for Cardiopulmonary/Endurance

A
  • Outcomes measures : eg. VO2max tests
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11
Q

Objective tests for Mobility/Flexibility

A
  • Muscle length testing
  • AROM/PROM
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12
Q

Objective tests for Neuromuscular Control/ Coordination

A
  • Agility tests
  • Functional tests
  • Observation of quality of mvt
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13
Q

Objective tests for Stability

A
  • Observation (gait)
  • Motor control assessment
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14
Q

Objective tests for Balance

A
  • Functional tests/ Special tests
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15
Q

Steps of exercise prescription during injury

A

Injury -> Acute management -> Incr. tissue load tolerance/Unload injured issues & others risks factors/ Maintain general condition -> Replicate sport-specific demands -> Return to sport -> Prevent re-injury

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16
Q

What is mechanotherapy

A

Manual therapy that provides physiological mechanical stimuli to cells converted into biomchemical responses
- physical load => c produces new p
= apply load in required direction

17
Q

What does mechanotherapy promote?

A
  • Healing of tendon, muscle, lig, cartilage & bone
18
Q

What’s the correlation between exercise & pain?

A

Exercise can induced hypoagesia = elevation of pain theshold & pain tolerance

19
Q

What causes exercise induced hypoalgesia?

A

The release of endogenous opiods & non-opiods substances (serotonin, norepinephrine)

20
Q

Which type of exercise has the most induced hypoalgesia effect?

A

Isometrics exercises

21
Q

Recommandations for isometric exercise to reduce pain

A

> 50% MVC for long periods/until failure

22
Q

Exemple of isometric exercise recommandation to reduce pain for patellar tendinopathy

A

5x 45s holds at 70% of MVC + 2min rest periods => Pain reduced for >45 mins following training

23
Q

Ex of exercises for balance/proprioception/neuromotor

A

-Flamingo stand
-Single lib stance w/ arm
- Toe the Line

24
Q

balance & fall prevention

A

-age appropriate (Supported or not)
-1min/station + 1min break => changes in balance, power, strength & function
-Supervised 2x/week for 12 weeks

25
Q

What were found about structured neuromuscular programmes?

A
  • 2x/week (20 min total)
  • reduce injury
  • impr. balance
26
Q

Neuromuscular/motor control training

A

3-4x/week (-15 mic each)
=> prevents injury in female handball & football players

27
Q

L protocol for Hamstring rehabilitation

A
  • Extender : 2x/day 7/7, 3sets x12 reps
  • Diver : 1/2 day, 3 sets x6reps
    -Glider : 1/3 day, 3sets x4 rep
28
Q

LL tendinopahties exercises ex

A
  • Eccentric calf raises (heel drops)
  • Reverse nordic curl