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BASICS OF INJURY REHABILITATION

BASICS OF INJURY REHABILITATION. Chapter 12. Introduction. Rehabilitation of athletic injuries through programs utilizing progressive therapeutic exercises, is a major responsibility of the athletic trainer.

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BASICS OF INJURY REHABILITATION

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  1. BASICS OF INJURY REHABILITATION Chapter 12

  2. Introduction Rehabilitation of athletic injuries through programs utilizing progressive therapeutic exercises, is a major responsibility of the athletic trainer. Today athletic trainers must perform rehabilitation programs on athletes in the traditional setting, as well as in the clinical setting on the non-traditional athlete.

  3. Therapeutic Exercise Versus Conditioning Exercise Programs • Effects of General Inactivity & Immobilization on the Body • Effects on Muscle • Effects on Joints • Effects on Cardiorespiratory System

  4. Major Components of a Rehabilitation Program • Minimizing Swelling • Controlling Pain • Restoring Range of Motion • Physiological versus Accessory Movements • Restoring Muscular Strength, Endurance and Power

  5. Types of Exercises • Isometric Exercises • Isotonic Exercises • Progressive Resistive Exercises • Concentric and Eccentric Exercises • Isokinetic Exercises • Testing Strength, Endurance & Power • Reestablishing Proprioception

  6. Rehab of a ligament • assess degree of injury • immobilize joint (all ankles, shoulders, wrists, etc.) For first 48 hours • place injured ligament in shortened position in order to heal as close to pre-stretched length as possible (mid-range of joint) • controlled range of motion for healing to occur along the lines of stress (pain free range of motion exercises) • controlled strengthening exercises (need to move out of mid range to stress inert and contractile t tissue)

  7. Rehab of Strains (must be pain free) • PIER • assess degree of injury • gradual increase in stretching of injured muscle (must be pain free) • gradual increase in strengthening of injured muscle (isometric, isokinetic, isotonic) • gradual return to activity - sport specific exercises • proprioceptive exercise • maintain CV fitness • maintain joint above and below, opposite limb and rest of body

  8. Treatment for Tendonitis • Rest, PIER • find cause and make appropriate adjustments • recognise signs and symptoms early to prevent condition from worsening • gradual stretch and strength • must do eccentric loading for complete recovery • sport specific activity and gradual return to sport

  9. Treatment for Contusions • PIER • restricted movement • treat as strain after acute phase

  10. Developing a Rehab Plan • Exercise Phases • Controlling Mobility during Rehabilitation • Adhering to a Rehabilitation Program • Criteria for Full Return to Activity

  11. Additional Approaches • Open versus Closed Kinetic Chain Exercise • Aquatic Exercise • PNF Techniques and Patterns • Joint Mobilization and Traction • Mobilization Techniques

  12. Summary • Athletic Trainers use of Rehabilitation • Effects of Inactivity & Immobilization • Major Components of a Rehab Program • Developing a Rehabilitation Plan • Additional/Unusual Approaches to Rehabilitation and Uses of Therapeutic Exercises

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