1. Therapeutic Exercises RC- STD. 17

2. 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.

3. 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 the use of certain therapeutic exercises or modalities due to the increased chance of further harm

4. 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

5. Rehabilitation Areas Psychological Physical Emotional Social
Performance

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

7. 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!!!

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

9. Psychological Influences
Confidence
Motivation
Anxiety
Focus
Management of Pain

10. Rehabilitation Guidelines
Intensity
Duration
Frequency
Specificity
Speed
Progression

11. Soft Tissue Injuries Exercises and Treatments: Stretching Massage
Passive ROM, Active ROM
Electrical stimulation
Ultrasound
Cryotherapy
Thermotherapy

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

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

14. 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.