1. Rehabilitation

2. Definition Restoration to a ______________ for daily living
Return to an appropriate level of _____________

3. Individualized and Influenced by:
Severity of injury
Stage of tissue healing
Type of Treatment (surgery, protocol)
Strength of the muscles of the limb
Pain on motion of the joint
Joint swelling
Sport specific demands

4. Rules of Rehabilitation
Create an environment for optimal healing
Do no harm
Be as aggressive as you can without doing harm
If it hurts, ____________

5. Goals of Rehabilitation
Vigorous, intense BUT __________ exercise allowing return to competition
Ensuring injured part is as optimally conditioned as possible
_____________ of function to the greatest possible degree in the shortest possible ______________
Goals must be __________ and ___________

6. Realistic and Reachable Goals
____________ range of motion
___________ strength
_________ joint mobility
_________ endurance
__________ relaxation
Enhance ________ and _______
________ joint stability
Prevent __________
_________ pain
I_________ function
Minimize _______ and ________________
_____ technique, ______ and mechanics
_______ inflammation and swelling
_________ motor control

7. Equipment Specialized equipment is very useful
This will not guarantee results if program is inadequate, if athlete is not motivated or there is poor supervision
Possible to use little or no equipment
As long as the program is carefully and knowledgeably designed for athletes needs and if athlete is adequately motivated and supervised

8. Psychology of Rehabilitation
Rehab is 75% psychological and 25% physical
_________ with athlete is critical (motivation and communication)
Help athlete deal with fear, anger, depression, self-doubt, and motivation
Use a ________ of exercise to achieve the same results and avoid __________
Involve injured athlete with the team as much as possible- meetings, functions and practice

9. Components of a rehab program
Program must be ____________ increase amount of ________ performed at each session
Use correct _______ to maximize results and prevent injury
_________________
_______________
___________________
______________________
_____________________- functional

10. Common Mistakes in Rehab
Look for the “culprit” not the “victim”
Focusing on __________ muscle group
______________ until injured limb is equal or superior to the uninjured side
____________ is often forgotten
_________ defects, anatomical _________ and biomechanical __________ are neglected
_____________ skills are not incorporated

11. Types of Exercise Isometric Isotonic Isokinetic Plyometrics
Manual Resistance
Concentric/Eccentric Contraction
Open / Closed Chain

12. ISOMETRIC EXERCISE Does not result in any _________ of the joint
Often performed against a ______________
_________ effective form of strength improvement
___________ exercise since there is no movement
Examples; Wall press, stationary press

13. ISOTONIC EXERCISE
The joint is moved through a range of motion against the resistance of a ____________
The __________ is fixed and the _____ is variable
________ movement since movement takes place
____________ gain takes place in the _________ movement as the muscle attempts to overcome resistance / _____ strength gain is at the ______
Examples: Bench press, arm curls, squat, heel raises

14. ISOKINETIC EXERCISE
Exercise where there is ________________ and where the ________________ is set
_____________ accommodates to match the ________________
Dynamic contraction since there is maintenance of a constant velocity
Advantage- visual readouts are possible which helps evaluate progress and acts as a powerful psychological stimulus for the athlete
Disadvantage- Cost of isokinetic machines

15. PLYOMETRICS
A variety of exercises that utilize ____________ __________ to increase athletic __________
Maximize the stretch reflex
Examples: Power jumps, leaps, bounds, throwing a weighted object- medicine ball
Should be performed _________ days a week to allow full recovery from fatigue
____________ should first be attained to provide ___________- current injury is a contraindication

16. MANUAL RESISTANCE
A provider adjusts the ______ of movement and ________ to that best suited to the athlete’s needs
Will vary according to the stage of rehabilitation and the state of fatigue

17. Concentric Exercise Concentric exercises are related to ________ work
The muscle ________ as the weight is lifted
Example:
The up phase of a biceps curl
The biceps is the muscle working concentrically

18. ECCENTRIC EXERCISE Eccentric exercise is related to _________ work
Muscle l_________ or is forcibly _____ while the weight is lowered
______ strength gains
More stressful work for muscles resulting in muscle soreness
Example:
Lowering a dumb bell during a biceps curl
The biceps is the muscle that is working eccentrically

19. Open Chain Exercise
Exercise when distal segment is ______ and is freely moving in space
Functional for ________
Examples:
Leg extension
Leg flexion
Abduction/Adduction exercise machines
Functional activities such as throwing, jumping

20. Closed Chain Exercise Exercise where distal segment is _________
Functional for __________
Examples:
Standing leg press with sport cord
Lunges
Baps board
Slide board
Therapy Balls

21. Phases of Rehabilitation
There are three phases
Phase 1- Acute
______________
Phase 2- Sub-acute
___________________________
Phase 3- Intermediate
__________________________

22. Phase 1- Acute First 48-72 hours
Symptoms- redness, heat, swelling, pain, inflammation, loss of function
Short Term Goals
______________ pain, swelling and inflammation
___________ Range of Motion and ________ Pain
_______________ Cardiovascular conditioning

23. Phase 1-Acute continued
Emphasis of _____________________
_____________ contractions if immobilized
Exercise the _____________________ limb, may provide cross over reaction
_______________ stimulation
______________ used to control swelling

24. Phase 2- Sub acute 72 hours to about 2 weeks
Inflammation is decreasing and tissue is being repaired
Begins as soon as pain and swelling are controlled and complete immobilization is no longer necessary
_____________the area prior to attempt exercise and _____ will allow tissue to respond more effectively
________ injured area after working it to prevent secondary swelling and effusion

25. Phase 2- Sub Acute continued
Short Term Goals
Reach ________ range of motion
______ muscle strength, power and endurance to all muscle groups
______ cardiovascular endurance to pre-injury strength
Begin _________ training
Amount of time needed for tissue repair is based on several factors:
Degree of injury
Location of injury
Age
Nutritional status
Medical problems
Medications
Use of corticosteroids

26. Phase 3- Intermediate Lasts up to 6 months
Tissue is repairing, changing and remodeling to restore function
Prepare for _______________________
Including open and closed chain exercises