1. Therapeutic Exercises RC- STD. 17

2. Bell Work
Define Cryotherapy Define Thermotherapy Define E-Stim

3. Standard 17
List and define goals, indications, contraindications, and various techniques of therapeutic exercise, including both general and specific exercise regimes relative to treatment of soft tissue, bony, neurological disorders/diseases, and post-surgical complications.

4. Cryotherapy
pain treatment that uses a method of localized freezing temperatures to deaden an irritated nerve.

5. Thermotherapy
Treatment of disease by the application of heat. Used to treat local infections, relax muscles and relieve pain in patients with motor problems, and promote circulation.
dry heat with heat lamps
diathermy machines
electric pads
hot water bottles 
 moist heat with warm compresses 
immersion in warm

7. ELECTRICAL MUSCLE STIMULATION (ESTIM)
Generates electric impulses that stimulate your skeletal muscles to contract.
Contractions may be barely noticeable or they may feel, and look, like involuntary twitches.

8. Benefits of E-Stim
 process strengthens and repairs tissue, particularly muscles which have become shortened, weakened, or atrophied due to injury or disease

9. Ultrasound Therapy
high frequency sound waves to create tissue vibration which causes heat within the area of treatment. The physical therapist will use a coupling medium (gel or water) to transmit the sound waves to the treatment area
heat created increases blood flow which delivers important nutrients to the cells and removes waste from the tissues.

10. Hydrotherapy
Hydrotherapy (also known as Aquatic Therapy) is exercises in warm water.
unique properties of warm water can improve movement of stiff or swollen joints, provide relaxation, strengthen weak muscles and alleviate aches and pains.

11. Hydrotherapy
Water boasts unique properties which aide both therapy and fitness and is particularly beneficial for those who cannot comfortably rehabilitate or work out on land, as is often the case with Neurological Conditions.

12. To Use or Not to Use…
Indications are any signs/symptoms that support the use of certain therapeutic exercises or modalities- no further harm will come
Contraindications are any signs/symptoms that do NOT support he use of certain therapeutic exercises or modalities due to the increased chance of further harm

13. Therapeutic Exercises
Goal is to return injured athlete to pain-free full function participation.

14. Rehabilitation Areas Psychological Physical Emotional Social
Performance

15. Goal Setting Specific and measurable Positive rather than negative
Challenging yet realistic
Established time table for completion
Integration of short- intermediate- and long term goals
Personalized and internalized
Monitored and evaluated
LINKED TO LIFE GOALS!!!

16. Factors that Inhibit Progress
Lack of Knowledge
Lack of Skill
Lack of Risk-Taking Ability
Lack of Social Support

17. Psychological Influences
Confidence
Motivation
Anxiety
Focus
Management of Pain

18. Rehabilitation Guidelines
Intensity
Duration
Frequency
Specificity
Speed
Progression

19. Soft Tissue Injuries Exercises and Treatments: Stretching Massage
PROM, AROM, RROM
E-stim
Ultrasound
Cryotherapy
Thermotherapy

20. Bony Injuries Exercises and Treatments: Stretching PROM, AROM, RROM
Cryotherapy
Thermotherapy
Contrast Bath

21. Contrast Bath
A contrast bath is a form of hydrotherapy. It is also called hot/cold immersion therapy. It is the use of hot and cold water to help decrease pain and increase circulation in area of injury and restricted blood flow. The goals for a Contrast Bath include:
Decreasing pain
Decreasing swelling
Decreasing/controlling inflammation
Improving mobility
Improve muscle recovery after exercising

22. Neurological Disorders/Diseases
Exercises and Treatments:
Stretching
Massage
PROM, AROM, RROM
Cryotherapy (dependent on D/Dx)
Thermotherapy (dependent on D/Dx)

23. Post-Surgical Complications
Exercises and Treatments:
Inflammation/Swelling: Cryotherapy, Stretching, PROM, AROM
Scar Tissue: Massage, E-stim, Ultrasound
Infection: Antibiotics, no further treatment until release by Dr.

24. Chart
Ankle Links

25. Contraindications