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Components of Rehabilitation
6
Transcript
Components of
Rehabilitation
Rehabilitation Process
Process
The Feedback Loop
"Treat the person, not the injury"
Feedback Loop
1.
2.
Evaluation to determine status
Develop /Adjust treatment plan
4.
3.
Implement treatment plan
Evaluate/ Assess patient progress
Establishing Patient Goals
Goals
Long-Term
Vs.
Short Term
Types of Goals
Types of Goals
- Strength
- ROM
- Get back to Sport/ Activity
- "Play with my grandchildren"
- Run a marathon
- Be pain free
Encourage all aspects of life to be considered
Range of Motion
ROM
- Swelling
- Pain
- Muscle Weakness
- Inter-articular Obstruction
How do we fix it?
How can we improve ROM?
- Passive exercise
- Joint Mobilization
- Soft Tissue Mobilization
- Active Motion (Stationary Bike, Pool)
*Most important piece is knowing what is causing the limitation
Strength, Endurance, and Power
Strength
- Isometric: Resistance exercises held in the static position
- Isotonic: (eccentric/ concentric) Resistance through ROM
- Isokinetic: Rely on controlling a fixed speed of contraction with varying resistance through ROM
Video
Isometric vs. Isotonic
https://youtu.be/PHTUlwCnCe8
Neuromuscular Control and Balance
Control, Balance
- Practice makes perfect! Just like memory takes repetitions, your muscles need repetitions or need to "relearn". If they don't, you are at risk for re-injury.
- Motor responses from the CNS to the muscles travel an efferent pathway.
- If patients are injured or immobilized for extended periods of time, they will have proprioceptive deficits and demonstrate a decline in neuromuscular control
Cardiovascular Fitness and
Return to Activity
Functional Testing
How do we know when someone is ready to return to activity?
Tools and Techniques
Tools
- Aquatic exercise
- Gait analysis
- Joint mobilization
- Muscle energy
- Neural mobilization
- Plyometrics
- Posture and Body Mechanics
- PNF (Proprioceptive neuromuscular facilitation)
- Soft-tissue mobilization
- Sport or Activity specificity
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