1. Injury Rehabilitation
Chapter 12

2. Components of a Rehabilitation Program
Provide immediate first aid
Controlling swelling
Reducing pain
Restoring full range of motion
Restoring muscle strength, power and endurance
Reestablishing neuromuscular control
Regaining balance
Maintain cardio-respiratory fitness
Functional progression

3. Initial First Aid
HOPS
History
Observation
Palpation
Stress

4. Controlling Swelling PRICE Protection Rest Ice Compression Elevation
NSAIDS/SAIDS

5. Types of Muscle Contractions
Isometric - static
Concentric- shortening of a muscle
Eccentric – controlled lengthening

6. Controlling Pain This is determined by the extent of the injury
The athletes response and perception of the injury
Circumstances of the injury
Ice, heat, electrical stimulation, movement patterns, meds

7. Restoring Range of Motion
Injuries to tissues or joints usually results in a loss of ROM
Due to resistance of the muscle or tendons to stretch, contracture of ligaments or capsule, development of scar tissue
Dynamic, static, or PNF stretching
Mobilizations

8. Restoring Muscle Strength, Endurance, and Power
Muscle strength – the maximum force that can be applied by a muscle during a single maximum contraction
Muscular endurance – the ability to perform repetitive muscular contractions against some resistance
Muscle power – the ability to generate force rapidly

9. Reestablishing Neuromuscular Control
Neuromuscular control is the mind’s attempt to teach the body conscious control of a specific movement
Following injury the body “forgets” how to put this information together.
Strengthening and functional movements help to reestablish neuromuscular control

10. Regaining Balance
The ability to balance and maintain postural stability is essential in athletics
Proprioception – your bodies awareness to position a joint in space.
Swelling inhibits mechanoreceptors which aid in balance

11. Maintain Cardio-respiratory fitness
Athlete spends a considerable amount of time to condition themselves for activity to handle demands
Injuries result in lost training time
Must be able to offer alternative measures for cardio fitness
UBE
Pool
Eliptical
Treadmill
Underwater
Unweighted

13. Functional Progression
Gradually progressing activities to prepare the athlete for a specific sport
Advance as tolerated with activity
Progressing to position specific drills
Assist in regaining neuromuscular control, skills specific for sport, and confidence in abilities

14. Modalities to Help with Healing
Ice – first hrs, 20 minutes at a time
Vasoconstriction of vessels
“Hunting Effect”
Hot packs – after 72 hrs
Vasodilation of vessels
Ultrasound
↑ extensibility of tissues
↓ joint stiffness
↓ muscle spasm
Modulation in pain
↑ in blood flow
Mild inflammatory response to help with chronic swelling

16. Modalities (cont.) Massage Electrical Stimulation Mechanical
Physiological
Psychological
Electrical Stimulation
Interferential
Hi-volt
Transcutaneous Electrical Nerve Stimulation (TENS)