Therapeutic Exercises RC- STD. 17

Bell Work 4-24-18 Define Cryotherapy Define Thermotherapy Define E-Stim

Standard 17 List and define goals, indications, contraindications, and various techniques of therapeutic exercise, including both general and specific exercise regimes relative to treatment of soft tissue, bony, neurological disorders/diseases, and post-surgical complications.

Cryotherapy pain treatment that uses a method of localized freezing temperatures to deaden an irritated nerve.

Thermotherapy Treatment of disease by the application of heat. Used to treat local infections, relax muscles and relieve pain in patients with motor problems, and promote circulation. dry heat with heat lamps diathermy machines electric pads hot water bottles   moist heat with warm compresses  immersion in warm

ELECTRICAL MUSCLE STIMULATION (ESTIM) Generates electric impulses that stimulate your skeletal muscles to contract. Contractions may be barely noticeable or they may feel, and look, like involuntary twitches.

Benefits of E-Stim  process strengthens and repairs tissue, particularly muscles which have become shortened, weakened, or atrophied due to injury or disease

Ultrasound Therapy high frequency sound waves to create tissue vibration which causes heat within the area of treatment. The physical therapist will use a coupling medium (gel or water) to transmit the sound waves to the treatment area heat created increases blood flow which delivers important nutrients to the cells and removes waste from the tissues.

Hydrotherapy Hydrotherapy (also known as Aquatic Therapy) is exercises in warm water. unique properties of warm water can improve movement of stiff or swollen joints, provide relaxation, strengthen weak muscles and alleviate aches and pains.

Hydrotherapy Water boasts unique properties which aide both therapy and fitness and is particularly beneficial for those who cannot comfortably rehabilitate or work out on land, as is often the case with Neurological Conditions.

To Use or Not to Use… Indications are any signs/symptoms that support the use of certain therapeutic exercises or modalities- no further harm will come Contraindications are any signs/symptoms that do NOT support he use of certain therapeutic exercises or modalities due to the increased chance of further harm

Therapeutic Exercises Goal is to return injured athlete to pain-free full function participation.

Rehabilitation Areas Psychological Physical Emotional Social Performance

Goal Setting Specific and measurable Positive rather than negative Challenging yet realistic Established time table for completion Integration of short- intermediate- and long term goals Personalized and internalized Monitored and evaluated LINKED TO LIFE GOALS!!!

Factors that Inhibit Progress Lack of Knowledge Lack of Skill Lack of Risk-Taking Ability Lack of Social Support

Psychological Influences Confidence Motivation Anxiety Focus Management of Pain

Rehabilitation Guidelines Intensity Duration Frequency Specificity Speed Progression

Soft Tissue Injuries Exercises and Treatments: Stretching Massage PROM, AROM, RROM E-stim Ultrasound Cryotherapy Thermotherapy

Bony Injuries Exercises and Treatments: Stretching PROM, AROM, RROM Cryotherapy Thermotherapy Contrast Bath

Contrast Bath A contrast bath is a form of hydrotherapy. It is also called hot/cold immersion therapy. It is the use of hot and cold water to help decrease pain and increase circulation in area of injury and restricted blood flow. The goals for a Contrast Bath include: Decreasing pain Decreasing swelling Decreasing/controlling inflammation Improving mobility Improve muscle recovery after exercising

Neurological Disorders/Diseases Exercises and Treatments: Stretching Massage PROM, AROM, RROM Cryotherapy (dependent on D/Dx) Thermotherapy (dependent on D/Dx)

Post-Surgical Complications Exercises and Treatments: Inflammation/Swelling: Cryotherapy, Stretching, PROM, AROM Scar Tissue: Massage, E-stim, Ultrasound Infection: Antibiotics, no further treatment until release by Dr.

Chart Ankle Links http://thephysiotherapyclinics.com/soft-tissue-injuries/ http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/sprained-ankle/ankle-sprain-exercises http://www.alterg.com/protocol/grade-iii-lateral-ankle-sprain

Contraindications https://www.physio-pedia.com/Exercise_Physiology