1. Progressive mobilisation Graduated Exercises Training Use of heat and cold FQ4 HOW IS INJURY REHABILITATION MANAGED? REHABILITATION PROCEDURES

2.  Progressive Mobilisation  Graduated exercises  Stretching  Conditioning  Total body fitness  Training  Use of heat and cold REHABILITATION PROCEDURES

3.  Rehabilitation after injury can take some time depending on the type and severity of the injury.  The aims of any rehabilitation program are to: - restore optimal function of the injured area - return the athlete to competition quickly and safely - prevent re-injury. WHY REHABILITATE?

5. REHABILITATION PROCEDURE

6.  Joint mobilisation is the freeing of hindered joints to allow improved ROM  Joint mobilisation can be achieved through active exercises (performed by the athlete) or through passive methods (manipulation of the injured part by another person).  Mobilisation of the injured part should begin soon after the injury because joint inactivity can increase the formation of scar tissue.  The process is known as progressive mobilisation because the range of movement is gradually increased over time until the full range of movement is restored. PROGRESSIVE MOBILISATION

7.  STRETCHING  Important to ensure that injury heals without scaring.  Scaring shortens the muscle and makes it prone to further injury.  Most appropriate Stretching is proprioceptive neuromuscular facilitation (PNF) GRADUATED EXERCISE

8.  CONDITIONING:  Implies a build-up in fitness as a result of adaptations to gradual increases in physical stress.  Effective conditioning processes uses the overload principle to ensure that a greater than normal load is placed on the body  Periods of rest and recovery are followed by gradually increasing workloads.  Correctly used, the princiiple of progression ensures that the conditioning experience is pain free in the injured area.  Specificity: conditioning regime needs to target general Cardiorespiratory fitness together with increasing the need for strength, power and local muscular endurance around the injured area. GRADUATED EXERCISE

9.  TOTAL BODY FITNESS  This is regaining the level of mental and physical fitness reached by the athlete before the injury occurred.  Program = progressively and gradually overload the muscle groups and energy systems.  Required adaptations should be regained before competition. GRADUATED EXERCISE

10.  Hypertrophy (increased size) of the muscles  Strengthening of tendons and ligaments  Increased capillarisation and subsequent blood flow to the injured area.  Increased elasticity in fibres  Increased joint mobility  Absence of pain  Full confidence in knowing that the injured area can handle match stress  Fully restore balance and coordination ADAPTATIONS

11.  With total body fitness achieved, full training can resume.  Here the athlete is expected to participation the full training program in a pain-free environment  Includes participating in:  Warm-up  Conditioning  Drills  Skills development  Tactics  Cool-down TRAINING

12.  Controversial  Generally  Cold: applied for anything up to four days following injury PLUS at times to reduce inflammation.  Heat: NOT until two to three days after injury, depending on the injury and extent of damage. USE OF HEAT AND COLD