Return to Play Criteria Flashcards
When does rehabilitation begin?
immediately post injury
What is important to understand with regard to return to play (RTP) criteria and the individual athlete?
no one set of RTP guidelines or one method of treatment will apply to all injuries over all individuals
Short term foals of injury rehabilitation? (5)
- control pain
- maintain/improve flexibility
- restore/increase strength
- reestablish neuromuscular control /proprioception
- maintain cardiorespiratory fitness
long term goal of injury rehabilitation?
return to practice/competition as quickly and safely as possible
When should you start functional progressions?
As soon as possibly in the rehab program
Functional Progressions: Slow ---> \_\_\_\_ Simple --> \_\_\_\_\_ Short --> \_\_\_\_ \_\_\_\_\_ Light --> \_\_\_\_\_ \_\_\_\_\_
Fast
Complex
Long Distance
Heavy Resistance
What type of functional progressions are good to start with?
isometric exercises
7 factors to consider while developing a RTP plan?
- Mechanism of Injury
- Age of Individual
- Major anatomical structures involved
- injury severity
- stages of tissue healing
- type of sport or activity
- chronicity of the injury
Acute management goals? (4)
- manage the injury site
- prevent secondary complications
- support and stabilize the injury
- establish and implement home program
What are some factors of a home program for acute management of injury?
- RICE
- basic ROM/stretching
- rest should be active
During sleep, it is important to never sleep with what on?
tensor bandage - cuts off circulation
Vasoconstriction of blood vessels in skin and later in muscles is a physiological effect of _____. What does it cause within the body? (3)
Cold;
- decrease blood flow
- decrease inflammation
- decrease cellular waste production
when would you recommend an ice bath?
for places that are weirdly shaped or if you need full body ice
does an ice bath increase or decrease the time you need to ice an injury?
decrease
what is C-BAN?
Physiological Effects of Cold: Cold Burning Aching Numb
The _____ response is the body’s responsive reaction to the application of ice (>__-__ minutes) or when skin temperature reaches about ___ degrees
hunting; 20-30; 10
The hunting response results in ___ followed by another period of ____
vasodilation; vasoconstriction
Additional effects of cryotherapy?
- decrease local metabolic rate
- decrease conductivity of pain receptors
- decrease tissue extensibility
- decrease spasticity
don’t ___ after you ice
stretch
____ is a circulatory insufficiency, so ice might not be the best idea
anemia
What is cold urticaria?
allergy or hypersensitivity to cold
What is Raynauds Phenomenon?
Vasoconstriction at the capillary region - DON’T ice these people
You need to be careful when icing people with _____ skin or advanced ____
anesthetic; diabetes
Scar is forming and pain is decreasing with active and passive ROM. Goal is to control pain and remaining swelling using ____. These are goals for ____ ____ Phase.
Cyrotherapy; Fibroblastic Repair
Maintenance of CV fitness and restoring ROM, strength, and neuromuscular activities are all goals of what phase?
Fibroblastic Repair
Why is using a treadmill before running on the ground good for rehabilitation purposes?
the belt helps initiate your movement along
During the maturation-remodeling phase, what is the ultimate goal?
return to activity
what is the longest phase of rehabilitation?
Maturation and Remodeling - can last up to years
“no longer tender to tough; may have residual pain with motion” What phase is this?
maturation - remodeling phase
During the maturation-remodeling phase, ____ fibers need stresses and strains to align
collagen
In the maturation-remodeling phase, you can push the ____ barrier
pain
“repeated performance of athletic skill for purpose of perfecting that skill”
functional training
functional testing should be done to determine ___ ____ ____ that still need to be addressed prior to full return
specific skill weaknesses
During M&R _____ can be used to improve power and explosiveness
plyometrics
During strengthening exercises, what should you progressively impose?
stress and strain as per sport
