1. Rehabilitation

2. Rehabilitation Restore to an appropriate level of competitive fitness
Each program must be individualized
Programs influenced by
Severity of injury
Stage of tissue healing
Type of treatment
Sport demands

3. Guidelines Restore of function in the shortest time possible
Be aggressive, without causing harm
Involve athlete with team
Program needs to be progressive
Use variety of equipment

4. Equipment

5. Common Mistakes
Treating the symptoms only, not the cause of the injury
Failure to focus on all muscles involved; singular focus on just the muscle where they’re feeling pain
Failure to treat the contralateral side
Fail to improve and correct technique
Failure to analyze postural defects, anatomical misalignment and biomechanical imbalances

6. Goals Must be realistic Must be reachable
If you don’t know where you are going
you’ll end up someplace else
- Yogi Berra

7. Program Components Surgery Immobilization, bracing RICE Modalities
1. Joint stability / structural integrity
Surgery
Immobilization, bracing
2. Decrease pain, inflammation and swelling
RICE
Modalities

8. Program Components 3. ROM and flexibility Stretching exercises
4. Muscular strength
Resistance training

9. Program components
5. Muscular endurance
Bike, jog, run
6. Speed

10. Program components 7. Muscular Power
Plyometrics
Power lifts
8. Agility, coordination and sport specific skills
Balance
Sport drills

11. Program Components 9. Maintain cardiovascular Endurance
Should begin immediately
X-training- bike, swimming, UE ergo

12. 3 Phase Approach to Rehab Phase 1
Symptoms
Inflammation, swelling and loss of function
Goals
Decrease pain, swelling and inflammation
Increase ROM
Maintain strength of unaffected limb
X-over effect
Maintain cardiovascular conditioning
Examples
Immobilization
Braces
Crutches
Isometric exercises
Cross Train
Bike or pool
Modalities
Muscle Stimulation
RICE

13. Phase 2 Symptoms Examples Goals Pain and swelling are controlled
Immobilization is not necessary
Goals
Restore ROM
Increase muscle strength
Begin to work on muscle endurance and power
Maintain CV fitness
Examples
Passive, active and resistive exercises
Cross training
Bike
Pool
Modalities
Muscle stimulation
Thermotherapy before therapy session
Cryotherapy after therapy session

14. Phase 3 Symptoms Goals Sport Specific skills
Tissue repair and remodeling is occurring
Goals
Functional exercise
Sport Specific skills
Correct technique and biomechanical problems
Restore balance and proprioception
Evaluate the need for protective taping, bracing or padding
Return to Play
Examples
Strength training continues to progress
Heel raises, single leg stands
Balance boards
Plyometrics
Sport drills
Return to practice
Return to competitive event
Modalities
Ultrasound
Massage

15. Principles of Rehabilitation
Overload
To facilitate improvement the system involved MUST be progressively CHALLANGED
Implement by increasing:
Resistance
Repetitions
Sets
Rate / intensity
Duration
SAID
Specific Adaptations to Imposed Demands
Principle of Specificity
Conditioning program are specific to the type of stress applied during competition
Practice how you want to perform