wk 5- rehab prescription Flashcards
essential considerations for rehab programs
- mechanical
- functional
- social/psychological
what are mechanical things to consider
ROM impairments
muscle imbalance
joint changes
acute or chronic
type of structure
post immobilisation?
swelling
what are functional things to consider
Strength deficits
flexibility
altered NMC
what are social/psycho things to consider
training activity, load, surface, tehcnique
flags system
work, systems
healing process
inflammatory response - 0-4days
fibroblastic repair - 2 days - 6 weeks
maturation/remodelling - 3 weeks - 2 years
when to progress rehab program
- signs and symptoms
- typical time frames of healing
healing time for bone fracture
small bone - 3 weeks
long bone - 8 weeks
healing time for muscle strain
lengthier than ligament
5-8 weeks
healing time for tendons
3 weeks but not strong enough for strong pulls for 4-5 weeks
rehab goals
reduce pain
WB
muscle control
fluent movements
prevent re injury
progressive model of rehab
- control swelling (first 3 days)
- control pain
- restore integrity of soft tissue (immobilise, protect)
- restore ROM (stretching)
- restore NMC (isometric)
- restore strength/endurance (istonic)
- restore reflexes (balance/proprioception training)
- sport specific (jumping, COD, etc)
- RTS (functional tests)
how to evaluate progress
establish baseline for
symptoms/ patient reported outcome measures (pain scale, self reported function)
strength
flexibility
balance
ROM
functional test (SL hop for distance, 6m timed, cross hop)
criteria for RTS
APPROVAL from case manager
pain free
no swelling
ROM/strength comparable to uninjured side
conditioned
functional testing completed with no adverse results especially when compared to other uninjured side
pt is confident
