wk 5- rehab principles

Question 1

what decides the progression of rehab programs

Answer 1

1. signs and symptoms
2. typical timeframes for stages of tissue healing

Question 2

healing process phases

Answer 2

Inflammatory: 0-4days
fibroblastic repair 2days -6 weeks
maturation/remodelling: 3 weeks - 2 years

Question 3

healing process pathophysiology

Answer 3

Cut blood vessels bleed into the wound

Blood clot forms, and leukocytes clean the
wound

Blood vessels regrow, and granulation
tissue forms (fibroblastic repair)

Epithelium regenerates, and connective
tissue fibrosis occurs (maturation-
remodeling)

Question 4

things that impede healing

Answer 4

infection
scars
corticosteroids
atrophy
muscle spasm
poor vascular supply
haemorrhage
swelling
environment/climate
individual characteristics

Question 5

cartilage and healing is

Answer 5

limited healing capacity because poor blood supply

Question 6

what does bone fracture healing time depend on

Answer 6

size/site of bone
extent of fracture
patient health status

Question 7

how long typically for small bones

Answer 7

3 weeks

Question 8

how long for long bones

Answer 8

8 weeks

Question 9

how long does bone remodelling last for

Answer 9

2-3 years

Question 10

how long do muscle strains take to rehab

Answer 10

longer than ligament

hamstring is 5-8weeks

Question 11

how long do tendons take to heal

Answer 11

3 weeks but not fully strong enough until 4-5weeks

Question 12

dont give exact time frames for return to sport isntead give

Answer 12

series of goals that must be met

Question 13

rehabilitation progressive model

Answer 13

1. physical examination
   -palpate, move, function
2. control swelling/pain
   (if controlled in first 3 days, rehab time will be reduced and less pain)
   -protect, elevate, avoid anti inflams, compress, educate
3. immobilise during acute inflammatory response
4. restore neurouscular control
   -OKC isometrics
5. restore strength
   -isotonic exercises progressive
6. restore endurance
   -progressive
7. restore reflex reaction (NMC)
   -balance/proprioceptive training CKC, prevents reinjury
8. restore functional movements
9. return to play

Question 14

indications that exercise volume is too high

Answer 14

swelling increase
pain increase
loss/plataeu in strength
“ ROM
increase in laxity of healing ligament

Question 15

outcome measures

Answer 15

pain scales (VAS, numerical, face pain)

self reported function (foot function index, VISA, foot health status questionaire, foot and ankle ability measure)

quality of life

Question 16

functional drills - 4 single legged hop tests

Answer 16

single hop for distance
crossover hop for distance
triple hop for distance
6m timed hop

Question 17

other functional tests

Answer 17

w sprints
figure 8s

Question 18

what does patient need before Return to play

Answer 18

full ROM
strength
NMC
CVF
sport specific functional skills
confident
approval from clinician

based on objective/subjective data