1 Concepts of Rehabilitation

Primary Rehabilitation Team Members Sport rehabilitation specialist (ATC) Athlete training students Psychologist/Counselor Physician Family/Parents Coach Patient/Athlete Orthopedist

Secondary Rehabilitation Team Members Orthotist Nutritionist Sport teammates Teachers Athletic administrator Others

Sport Rehabilitation Specialist Role Leads the rehabilitation team Has daily contact with athlete Communicates with other team members Coordinates the athlete’s care

Roles of Others on Rehabilitation Team Athletic training students Physician Family/Parents Coach Patient/Athlete

Courteous, professional, accurate, and appropriate communication among all rehabilitation team members is essential for a successful rehabilitation program. -athlete; physician; coach; other team members Interacting With Team Members

Qualities of Professionalism Looking like a professional Acting like a professional Being a professional

Ethical and Legal Standards NATA Code of Ethics – -Find on NATA web page & be ready for discussion State regulations Consent by the athlete Need for sensitivity to patient’s perception of touch; precautions

A = Avoid aggravation Rehabilitation Principles: ATC IS IT T = Timing C = Compliance I = Individualization S = Specific sequencing I = Intensity level T = Total patient

Rehabilitation Objectives Prevent deconditioning Rehabilitate the injured part

Rehabilitation Goals Primary goal: return patient to competition, safely yet soon Use objective and measurable goals Incorporate short- and long-term goals

Assessment Is required on a regular and frequent basis Can determine if goals have been achieved Establishes the next progression of the program

Exercise Progression Which exercises should be made more challenging or advanced? When should they be changed? How much should they be increased?

Program Progression Which component should be advanced? When should the program be changed to emphasize new parameters? How much should the program be increased?

Outcomes-Based Rehabilitation Can be used to evaluate a treatment, program, provider Evaluates a protocol’s effectiveness Assesses the patient’s response to treatment Aids in payment authorization process

Basic Components of Therapeutic Exercise Flexibility and range of motion Muscular strength and muscular endurance Proprioception and coordination Importance of progressive order

Stages of Grief Denial Anger Progression gradual and fluctuates b/w stages Depression Acceptance

ATC’s Influence on Psychological Aspects Communicates with the patient Encourages compliance Provides support Personalizes the program Assists with goal setting Develops a rapport