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Published byRonald Maxwell Modified over 9 years ago
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Components of a Rehab Program
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Rehab principles, objectives and goals Principles of rehab are used to achieve the goas and objectives of a therapeutic exercise program Principles and objectives are constants in a therapeutic program These goals are established for each individual patient Avoid aggravation Timing Compliance Individualization Specific sequencing Intensity Total patient
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Avoid aggravation Do not make it worse Help or at least do no harm –HIPPOCRATES Rehabilitate in a continually progressive manner Knowledge of how body works ---ANATOMY Response to injury and healing process Aptitude in determining which exercises to use when How much to push and when to back off
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Timing Begin as soon as possible with out aggravating injury Sooner get started sooner get better Rest is good but too much can be detrimental to recovery Appell 1990 – 3-4% of strength lost each day – takes longer to get back This emphasizes the importance to start as soon as safe
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Compliance Patient must be compliant or the program will not be successful Inform the patient of the content of the program and the expected course of rehab Injured often feel powerless – being aware and involved in the program can help them feel more powerful and thus more compliant Program carried out consistently, patient performs the exercises outlined for them, attends treatments regularly
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Individualization Each person responds differently to an injury and a rehab program No two patients the same – will be frustrated if you treat them the same Individual physiological and chemical differences can change a patients response to injury Other factors – outside support, patients psychological make up, other outside stresses, general health and stresses
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Specific Sequencing A specific sequence of therapeutic exercises should be followed Determined by body's ability to heal Will discuss more later – in healing
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Intensity We must challenge the patient and the injured area, but not aggravate Knowledge of progression and amount of stresses Imagination- modification Keep programs interesting – helps both you and patient
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Total Patient Cardio Maintaining ROM Other areas strength endurance power There is lots more to patient than the injured area
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Objectives Prevent deconditioning of un injured areas Rehabilitate injured part in a safe and efficient and effective manner
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Goals Goals are results one strives to achieves Ultimate goal is to return to activity or sport Safe, yet quick efficient and effective Return to sports in a minimum of time that allows the healing process to occur and also provides enough time to rehab the injury – with out undue time away from sport Fine line between too slow and too fast Want gains but not at the cost of over stressing or reinjury Goals should be objective and measurable – some time subjective – pain – girth \rom strength – all can be measured
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Short and long term goals Short term goals – establish weekly –biweekly depending on the patient Short term goals give something for patient to achieve – may be a long road – and can be overwhelming Short term goals reasonable, attainable yet challenging but realistic as well Effecting short term goals is the patients dedication, personality and outside pressure Complications will effect short team goals Long term goals is the final desired outcome – return to sport
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Examination and assessment Therapists continually examine and re-examine injuries The only way to establish goals is to assess the current condition To create short term goals we must establish current status Then decide on realistic goals that can be achieved in a period of time
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Progression Programs progress in a challenging and yet safe manner Progressions should be accordance with the severity and type of the injury and the patients response to the treatment Exercise progression Strength – isometrics, isotonics, isokinetics and plyometrics
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Outcome based rehabilitation Buzzword – outcomes Outcome of a rehab program is often assessed using a tool that has been devised for measuring the patients responses and satisfaction following the treatment Most often a questionnaire that is given at the start of the program, sometime during and at completion Lower extremity Functional Scale
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