Rehab & Return to Play Flashcards
When developing a return-to-play plan, what factors should you consider?
- MOI
- age of individual
- major anatomical structures involved
- injury severity
- stages of tissue healing
- type of sport or activity
- chronicity of injury
in the acute inflammation stage, rest should be active. By which day should you be doing pain free ROM?
day 3 or 4
in the acute inflammation stage, post-surgical exercise phase begins ______ post sx
24 horus
true or false; you must ice before play if the athlete is injured
false; never ice before play
contraindication of applying cryotherapy for managing pain and swelling
- allergy or hyper-sensitivity to cold
- Raynaud’s phenomenon
- Anesthetic skin
- Advanced diabetes
What are the phases of tissue healing?
- ) Acute inflammation stage
- ) fibroblastic repair stage
- ) maturation remodeling stage
contraindication for thermotherapy
- never apply heat when there is loss of sensation
- never apply heat immediately after injury
- never apply heat when there is decreased arterial circulation
- never apply heat directly to eyes or genitals
- never heat the abdomen during pregnancy
- never apply heat to a body part that exhibits signs of inflammation
- 20 - 30 minutes
name mechanical responses to massage
- encourage venous flow
- mild stretching of superficial tissue
- positively affect scar tissue
physiological to massage
- facilitates circulation
- removes metabolites
- overcoming venostasis
- reflex effect
- relaxation
- stimulation
massage strokes
- effleurage (stroking)
- petrissage (kneading)
- tapotement (cupping/hacking/oscillation/jostling/knocking)
- friction
massage contraindication
- acute conditions
- skin conditions
- areas where clots can become dislodged
criteria for return to play
- physiological healing constraints
- pain status
- swelling
- ROM
- strength
- proprioception/kinesthesia
- CV fitness
- sport - specific demands
- functional testing
- prophylactics
- athlete responsibility
- psychological status
- athlete education & prevention
therapeutic effects of thermotherapy
- increasing extensibility of external tissues
- decreasing joint stiffness
- reducing pain
- relieving mm spasms
- reducing inflammation, edema & exudate in post-acute phase
- increase blood flow
true or false: alternating heat and cold facilitates muscle pumps
true
in conduction thermotherapy methods of transmission, you should not apply heat on the skin for more than _____ (time)
30 min