Rehab LL Flashcards
What shoul be the aim of rehab?
Function-related
What are the different components of function?
- Balance
-Stability
-Neuromuscular control/ Coordination
-Mobility/Flexibility
-Cardiopulmonary/Endurance
-Muscle performance
Def Balance
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
Def Cardiopulmonary/Endurance
The ability to perform low intensity, repetitive, total body mvt over an extented period of time. (jogging, walking, cycling)
Def Neuromuscular control/coordination
Interaction of sensory & motor systems that enables synergists, agonists, antagonists, stabilizers & neutralizers to anticipate or respond to proprioceptive & kinesthetic info => create coordinated mvt
Def Mobility/Flexibility
The ability of structures or segments of the body to move/be moved => allow the occurence of ROM for functional activities
Def Muscle performance
The capacity of muscle to produce tension & do physical work.
Def Stability
The ability of the neuromuscular system through synergistic muscle action to hold a proximal or distal body segment in a stationary position.
Objective tests for Muscle performance
- Muscle strength tests
- Muscle endurance tests
Objective tests for Cardiopulmonary/Endurance
- Outcomes measures : eg. VO2max tests
Objective tests for Mobility/Flexibility
- Muscle length testing
- AROM/PROM
Objective tests for Neuromuscular Control/ Coordination
- Agility tests
- Functional tests
- Observation of quality of mvt
Objective tests for Stability
- Observation (gait)
- Motor control assessment
Objective tests for Balance
- Functional tests/ Special tests
Steps of exercise prescription during injury
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
What is mechanotherapy
Manual therapy that provides physiological mechanical stimuli to cells converted into biomchemical responses
- physical load => c produces new p
= apply load in required direction
What does mechanotherapy promote?
- Healing of tendon, muscle, lig, cartilage & bone
What’s the correlation between exercise & pain?
Exercise can induced hypoagesia = elevation of pain theshold & pain tolerance
What causes exercise induced hypoalgesia?
The release of endogenous opiods & non-opiods substances (serotonin, norepinephrine)
Which type of exercise has the most induced hypoalgesia effect?
Isometrics exercises
Recommandations for isometric exercise to reduce pain
> 50% MVC for long periods/until failure
Exemple of isometric exercise recommandation to reduce pain for patellar tendinopathy
5x 45s holds at 70% of MVC + 2min rest periods => Pain reduced for >45 mins following training
Ex of exercises for balance/proprioception/neuromotor
-Flamingo stand
-Single lib stance w/ arm
- Toe the Line
balance & fall prevention
-age appropriate (Supported or not)
-1min/station + 1min break => changes in balance, power, strength & function
-Supervised 2x/week for 12 weeks
What were found about structured neuromuscular programmes?
- 2x/week (20 min total)
- reduce injury
- impr. balance
Neuromuscular/motor control training
3-4x/week (-15 mic each)
=> prevents injury in female handball & football players
L protocol for Hamstring rehabilitation
- Extender : 2x/day 7/7, 3sets x12 reps
- Diver : 1/2 day, 3 sets x6reps
-Glider : 1/3 day, 3sets x4 rep
LL tendinopahties exercises ex
- Eccentric calf raises (heel drops)
- Reverse nordic curl
