Transcript Rehabilitation

Restore to an appropriate level of
competitive fitness
 Each program must be individualized
 Programs influenced by

› Severity of injury
› Stage of tissue healing
› Type of treatment
› Sport demands
Restore of function in the shortest time
possible
 Be aggressive, without causing harm
 Involve athlete with team
 Program needs to be progressive
 Use variety of equipment

Treat the cause not only the symptoms
 Fail to focus on all muscles involved, and
only a single muscle
 Fail to improve and correct technique,
anatomical misalignment and
biomechanics

 Must
be realistic
 Must be reachable
If you don’t know where you are going
you’ll end up someplace else
- Yogi Berra

Joint stability /
structural integrity
› Surgery
› Immobilization,
bracing

Decrease pain,
inflammation and
swelling
› RICE
› Modalities


ROM and flexibility
› Stretching
exercises
Muscular strength
› Resistance
training

Muscular endurance
› Bike, jog, run

Speed
› Bike, jog, run

Muscular Power
› Plyometrics
› Power lifts

Agility, coordination
and sport specific
skills
› Balance
› Sport drills

Maintain cardiovascular Endurance
› Should begin immediately
› X-training- bike, swimming, UE ergo

Symptoms
› Inflammation, swelling
and loss of function

Goals
› Decrease pain,
swelling and
inflammation
› Increase ROM
› Maintain strength of
unaffected limb
 X-over effect
› Maintain
cardiovascular
conditioning

Examples
› Immobilization
 Braces
 Crutches
› Isometric exercises
› Cross Train
 Bike or pool
› Modalities
 Muscle Stimulation
 RICE

Symptoms
› Pain and swelling
are controlled
› Immobilization is
not necessary

Goals
› Restore ROM
› Increase muscle
strength
› Begin to work on
muscle
endurance and
power
› Maintain CV
fitness

Examples
› Passive, active and
resistive exercises
› Cross training
 Bike
 Pool
› Modalities
 Muscle stimulation
 Thermotherapy
before therapy
session
 Cryotherapy after
therapy session

Symptoms
›

Tissue repair and
remodeling is occurring
Goals
› Functional exercise
› Sport Specific skills
› Correct technique
and biomechanical
problems
› Restore balance
and proprioception
› Evaluate the need
for protective
taping, bracing or
padding
› Return to Play

Examples
› Strength training
›
›
›
›
›
›
›
continues to progress
Heel raises, single leg
stands
Balance boards
Plyometrics
Sport drills
Return to practice
Return to competitive
event
Modalities
 Ultrasound
 Massage

Overload
› To facilitate
improvement the
system involved MUST
be progressively
CHALLANGED
 Implement by
increasing:





Resistance
Repetitions
Sets
Rate / intensity
Duration



SAID
Specific Adaptations
to Imposed Demands
Principle of Specificity
› Conditioning program
are specific to the
type of stress applied
during competition
› Practice how you
want to perform