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Treatment and rehabilitation programme

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junaid khaliq

on 5 January 2015

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Transcript of Treatment and rehabilitation programme

Treatment and rehabilitation programme
Components of a rehabilitation programme
Introduction
Many physiological responses follow clear sequence and timescale
The healing process
Rehabilitation is the process of restoring a persons physical functionality to normal state .. or as near as physically possible
Rehabilitation
Based on accurate diagnosis
GP's, physios, surgeons, strength and conditioning coaches and nutritionists provide specialist help and advice
Based on accurate diagnosis
1 - Acute stage
5 stages of rehabilitation
Occurs as soon as the injury takes place and is the start of the healing process
Inflammatory response phase
5 stages are designed to ensure functions of rehabilitation are systematically undertaken to ensure athlete has best potential return to normal activity
5 stages of rehabilitation
Scar tissue phase
Remodeling phase
Programme: Methods to improve lost ROM
Different stretching methods can be used in ROM exercises
Stretching
Physical and mental strain placed on athlete during rehab programme can cause motivational and anxiety issues
Careful and structured approach
Rehabilitation is concerned with restoring athletes functionality to normal state
Making an athlete better
Progress is dependent on accurate diagnosis treatment of injury to enable effective healing process of damaged tissue
What can happen if diagnosis is incorrect?
Immediate first aid and initial diagnosis and treatment is critical to long term healing of injury
If rehab is not done properly ..or athlete returns prematurely = recorrucence of injury
Advice can be for long term success of rehab programme
Particularly important for serious injuries where rehab is long, time consuming, painful and frustrating
2 - Reestablishing functional activity
3 - Strengthening exercises
4 - Ongoing treatments
5 - Gradual increase in activity
-Ensure correct immediate firs aid is provided
Functions of a rehab programme
Strengthening exercises .. ongoing medical treatment and gradual increase in activity are central to rehab design
-Reduce pain and swelling
-Minimise pain within hours, days, weeks, months
-Reestablish neuromuscular control of injured area
-Restore ROM of affected joints
-Restore lost muscular strength, power and endurance
-Develop core stability, posture and balance
-Maintain cardio fitness to standard level
Signs and symptoms = clear indicator of progression of the healing process
Inflammation - ensures the healing properties in the blood can access the injured area ..whilst disposing of injury by-products
Repair phase
Occurs after a few hours of injury and can last up to 6 weeks
Similar signs and symptoms to inflammation phase
Scar tissue imitates the original structure prior to injury
Scarring will decrease only if appropriate care is given to injury
Strength and ROM will also improve at injury site .. if appropriate care is given
An injury inevitably causes a lack or motion therefore decreasing an athletes ROM
Restoring flexibility ..vital to limit possibility of injury reoccurring
Inflammation and general damage causes poor movement near or on injury site
ROM at other joints in the body can also be effected ...why?
Stretching is a method used to warm up muscles and minimising risk
What method can be incorporated within rehab to improve ROM
Dynamic stretching - controlled movements towards the limits of ROM (swgning arms and legs
Static stretching - holding a stretch at the furthest ROM
Passive stretching - similar to static .. but involves using an apparatus or another person
Active stretching - Similar to static ..but involves holding position using only surrounding muscle groups
Proprioceptive neuromuscular facilitation (PNF) - combination of stretching and muscular contraction
Sttengthining exercise are important throughout rehab .. why?
Strengthening and coordination
Developing muscular strength endurance and power are essential within rehab programmes
Psychological effects during rehab are generally neglected ...however this is critical to a rehab programme
Psychological considerations
Resistance machines..free weights and endurance machines can be essential in the rehab programme
Considerations for rehab exercises
Muscle atrophy can occur which is a decrease in muscle size ..because of injury and reduced training
Static and dynamic strength training can be used address problem .. how?
Consider how to structure strength training.. increase resistance? .. types of exercises? .. machinery?
Exercises should be specific to injured area .. however need to consider muscle imbalance
Coordination exercises ..specific to the body area should be considered within a rehab programme .. in addition to other treatment procedures .. examples?
Wide range of emotions associated with an injury ..
Individual differences ... shows that athletes will react differently to a rehab programme (pain threshold and speed of recovery)
Also individual differences associate with the mental aspects of an injury
Consider motivation and anxiety during each phase of rehab .. many techniques can be used to enhance performance
Coping strategies also used to deal with problems during an injury
Critical aspect of rehab is that an athlete can see improvements in the injury and progressing towards serious fitness
Psychological considerations
Important to set goals for athlete to strive towards during rehab
Incorporate both short term and long term goals
Designed progressively .. week to week goals build up to long term goal
Goal setting is vital t a progressive rehab programme ..and planned goals are powerful tools used in rehab
This helps athlete see progression and remain focused on returning
Factors need to be acknowledged when designing and modifying programmes to suit individual needs
Effects of carefulness and structured approach to an individual?
Sttengthining exercise are important throughout rehab .. why?
Strengthening and coordination
Developing muscular strength endurance and power are essential within rehab programmes
Muscle atrophy can occur which is a decrease in muscle size ..because of injury and reduced training
Static and dynamic strength training can be used address problem .. how?
Consider how to structure strength training.. increase resistance? .. types of exercises? .. machinery?
Recording documentation and tracking of treatment
Essential to record details of rehab programme .. required to be proficient in practical aspects also
Records should detail factors of rehab .. from initial injury to the end of the programme
Background information of the client ... (medical issues, injury history, specific requirements of rehab)
Things to consider when documenting
Activities undertaken
Levels and development of the client
Problems or issues arising from a session
Complications (allergies/illness) that affects the progress of a client
Important legal documents and forms (parental consent)
Dates for review/functional testing (aims and objectives
Accurate and up to date info which may change during treatment
Specific objectives .. inc timescales and review dates
http://www.sportsinjuryclinic.net/sport-injuries/knee-pain/acl-injury/rehabilitation-acl-injury
http://www.physioroom.com/injuries/ankle_and_foot/ankle_sprain_exer.php
What is a rehabilitation programme?
Learning outcome 4 : plan and construct a rehab programme for two common sports injuries
What roles can these specialists play in the rehabilitation process?
Specialized healthcare dedicated to improving, maintaining or restoring physical strength, cognition and mobility with maximized results.. helps people gain greater independence after illness, injury or surgery
Early Stage
This stage involves decreasing pain, swelling and stiffness and improving range of motion. This is achieved with simple and safe exercises.

Intermediate Stage
This involves moving the patient through partial weight bearing exercises towards full weight bearing and normal daily activities. Restoring bilateral range of motion and beginning strength training are important components of this stage.

Late Stage
This stage will see the client full weight bearing and moving into jogging and running and multi-directional activities that incorporate speed, agility and coordination.

Pre-discharge Stage
In this stage the client is approaching a return to full physical fitness and pre-injury strength. This is achieved using functional exercises and training drills specific to their sport.
http://www.physioroom.com/injuries/ankle_and_foot/ankle_sprain_exer2.php
http://www.momsteam.com/health-safety/general-safety/injury-treatment/recovery-from-youth-sports-injury-step-by-step+process
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