1. BASICS OF INJURY REHABILITATION
Chapter 12

2. Introduction
Rehabilitation of athletic injuries through programs utilizing progressive therapeutic exercises, is a major responsibility of the athletic trainer.
Today athletic trainers must perform rehabilitation programs on athletes in the traditional setting, as well as in the clinical setting on the non-traditional athlete.

3. Therapeutic Exercise Versus Conditioning Exercise Programs
Effects of General Inactivity & Immobilization on the Body
Effects on Muscle
Effects on Joints
Effects on Cardiorespiratory System

4. Major Components of a Rehabilitation Program
Minimizing Swelling
Controlling Pain
Restoring Range of Motion
Physiological versus Accessory Movements
Restoring Muscular Strength, Endurance and Power

5. Types of Exercises Isometric Exercises Isotonic Exercises
Progressive Resistive Exercises
Concentric and Eccentric Exercises
Isokinetic Exercises
Testing Strength, Endurance & Power
Reestablishing Proprioception

6. Rehab of a ligament assess degree of injury
immobilize joint (all ankles, shoulders, wrists, etc.) For first 48 hours
place injured ligament in shortened position in order to heal as close to pre-stretched length as possible (mid-range of joint)
controlled range of motion for healing to occur along the lines of stress (pain free range of motion exercises)
controlled strengthening exercises (need to move out of mid range to stress inert and contractile t tissue)

7. Rehab of Strains (must be pain free)
PIER
assess degree of injury
gradual increase in stretching of injured muscle (must be pain free)
gradual increase in strengthening of injured muscle (isometric, isokinetic, isotonic)
gradual return to activity - sport specific exercises
proprioceptive exercise
maintain CV fitness
maintain joint above and below, opposite limb and rest of body

8. Treatment for Tendonitis
Rest, PIER
find cause and make appropriate adjustments
recognise signs and symptoms early to prevent condition from worsening
gradual stretch and strength
must do eccentric loading for complete recovery
sport specific activity and gradual return to sport

9. Treatment for Contusions
PIER
restricted movement
treat as strain after acute phase

10. Developing a Rehab Plan
Exercise Phases
Controlling Mobility during Rehabilitation
Adhering to a Rehabilitation Program
Criteria for Full Return to Activity

11. Additional Approaches
Open versus Closed Kinetic Chain Exercise
Aquatic Exercise
PNF Techniques and Patterns
Joint Mobilization and Traction
Mobilization Techniques

12. Summary Athletic Trainers use of Rehabilitation
Effects of Inactivity & Immobilization
Major Components of a Rehab Program
Developing a Rehabilitation Plan
Additional/Unusual Approaches to Rehabilitation and Uses of Therapeutic Exercises