Rehabilitation Principles

Question 1

What are the fundamental goals of rehabilitation?

Answer 1

Restore ROM
Re-establish neuromuscular control
Regain muscular strength, endurance and power

Question 2

When returning to work, or sport, it is important that the client achieves what 4 criteria in the Ax?

Answer 2

1 - release from physician
2 - painfree and no swelling of injured limb
3 - normal ROM and strength - symmetry index > 85% of uninjured limb
4 - successful completion of functional tests minus adverse effects.

Question 3

In your own words, what are the specificity, overload, reversibility and individualisation principles?

Answer 3

Specificity - train specific to the actions required
Overload - progressive overload of stimulus to impose positive adaptation
Reversibility - whatever you train can be undone
Individualisation - ExRx should be unique to the client and their goals/needs.

Question 4

Corrective Exercise (CEx) techniques allow the professional to identify contracted and tight, along with stretched and weak muscle imbalances through assessing Movement, ROM and strength in inhibitory, lengthening, activating and integrating techniques. T/F?

Answer 4

True

Question 5

The order of CEx training is inhibition of affected muscle (myofascial release), then muscle activation (isometric,then isotonic activation), followed by lenghtening (static/dynamic stretching), and finally movement integration (movement retraining). T/F?

Answer 5

False:
Inhibition
LENGTHEN
ACTIVATE
Integrate

Question 6

What are the 4/5 phases of traditional rehabilitation?

Answer 6

1/2 - Acute: Early exercise (control of inflammation)
3 - Repair: Intermediate exercise (restoration/lengthening of motion)
4 - Remodelling: Advanced exercise (strength)
5 - Return to work/sport (integration)

Question 7

Within the first phase of rehabilitation, it is important to initiate joint ROM, and muscular activation exercises (isometrics), as well as incorporate inhibitory techniques. T/F?

Answer 7

True - lasting for the first 3-7 days.

Question 8

The repairing phase of rehabilitation focuses on controlled activities directed towards restoring ROM. This typically lasts up to 3 weeks. Give 3 examples of exercises to incorporate for an ACL reconstruction in this phase of rehab, along with appropriate goals of this phase.

Answer 8

Goals: Initiate NM control activities (BAPS) and continue inhibitory techniques. Incorporate more activation and cardiovascular exercise.
Exercises:
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Question 9

Dynamic functional activities and what other goals/factors are to be worked in phase 4 of rehabilitation?

Answer 9

Sport/Work-directed strengthening, further ROM and NM control, cardiovascular exercise and self-myofascial release.
Lasting up to 3 weeks (days 28-49 of rehab)

Question 10

Integration for return to sport/work, in phase 4 rehab, incorporates force interplay exercises, such as…

Answer 10

Eccentric loading patterns of movements (i.e. hopping); plyometric exercises for force production/reducation, dynamic postural control.
This is along with continued ROM, NM, SMR and CV exercises.