1. Therapeutic Exercises
Chapter 7

2. Therapeutic Exercises
Goal is to return injured athlete to pain-free full function participation.
Areas of Focus:
Pain Modulation Muscular Strength
Normal ROM Endurance
Kinematics Coordination
Flexibility Power

3. Rehabilitation Areas Psychological Physical Emotional Social
Performance

4. Cognitive Model Personal Factors Cognitive Responses Outcome of the
Performance Anxiety
Self-esteem/motivation
Extroversion/ Introversion
Psychological Investment
Coping resources
History with stress
Previous intervention
Cognitive Responses
Outcome of the
Situational Factors
Type of Sport
Relationship with coach and team
Timing of the injury
Level and intensity of the player
Point in athletes career
Role on the team
Emotional Responses
Behavioral Responses
Rehabilitation

5. Kubler-Ross Emotional Stages
Denial
Isolation
Anger
Bargaining
Depression
Acceptance

6. 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!!!

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

8. Psychological Influences
Confidence
Motivation
Anxiety
Focus
Management of Pain

9. Confidence Program Confidence Adherence Confidence Physical Confidence
Return-to-sport Confidence

10. Motivation Poor Attendance Incomplete Exercises Low Effort
Low Intensity
Lack of Attentiveness to Instructions
Undefined Goals
Using Pain to Avoid Exercise
Unsupportable Excuses

11. Anxiety
Caused by pain, slow healing, low confidence, pressure, lack of familiarity, predictability, and control
Signs:
Physical
Cognitive
Emotional
Social
Performance

12. Focus
Ability to perceive and address various internal and external cues.
Athlete should focus on:
Positive attributes
Present time
The Process of their rehabilitation
Their individual Progress

13. Pain Benign pain Harmful pain
Use a variety of methods to deal with pain.

14. The Rehabilitation Process Phase I
Assess the Patient
Interpret the Assessment
Establish Goals
Develop and Supervise the Treatment Plan
Reassess the Progress of the Program

15. Inflammation Control CRIPES ROM Cardiovascular Fitness Affects on:
Muscle
Articular cartilage
Ligaments
Bone

16. Remobilization Phase II
Wolff’s Law
Affects on:
Muscle
Articular Cartilage
Ligaments
Bone

17. Restoration of Motion Cryokinetics PROM AROM Joint Mobilization
Grade I
Grade II
Grade III
Grade IV
Grade V

18. Flexibility Agonist Antagonist Ballistic Stretching Static Stretching
Proprioceptive Neuromuscular Facilitation (PNF)
Active Inhibition
Contract-Relax
Reciprocal Inhibition

19. Muscle/Movement Re-education
AAROM
AROM
RROM
Proprioception
Closed kinetic chain exercises (CKC)
Open kinetic chain exercises (OKC)

20. Muscular Strength, Endurance and Power Phase III
Isotonic
Isokinetic
Muscular Endurance
Muscular Power
Functional Exercise

21. Rehabilitation Guidelines
Intensity
Duration
Frequency
Specificity
Speed
Progression

22. Sport Specific Functioning Phase IV
Coordination
Sport Specific Skill Conditioning
Cardiovascular Endurance