Introduction to Rehabilitation

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Introduction to Rehabilitation
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Rehab Team

• 1) Physician
• __________ of the medical chain
• Diagnoses patient
• Sets course of action
• Performs surgery if necessary
• 2) Physical Therapist
• Creates and supervises ______________ programs to
  ready a patient / athlete for return to
  activities
• Able to bill for services

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Rehab Team

• 3) Occupational Therapy
• Creates and supervisors ____________ programs
  that help patients return to their normal
  activities of daily living
• 4) ___________/Occupational Therapy Assistant
• Aides in the therapy of patients to facilitate a
  speedy return to normal activities

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Rehab Team

• 5) Athletic Trainer
• _____________ of injuries
• Recognition evaluation of injuries
• Treatment, _________________, and reconditioning
• Works underneath Physical Therapist in clinics
  because they can not bill for services

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Rehabilitation Process

• 1) Evaluation
• The ____________ used to determine the damaged
  tissue and the extent of the damage
• Understanding of normal biomechanics
• _______________- physics of the body
• Ability to identify and correct body motions that
  are wrong

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Rehabilitation Process

• 2) Develop a Rehab Plan
• Utilize __________ term goals to reach the long
  term goal return to normal activity
• The __________ process must be considered
• Exercise type and intensity should be determined
  based on the stage of healing
• Begin submaximal and work up in intensity

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Rehabilitation Process

• Avoid ______________ rehab plans
• Each rehab plan should be individualized as
  different patients have different needs

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Rehabilitation Process

• 3) Implement and Manage the Rehab Plan
• Utilize the _________ of rehab to manage the
  healing process and meet the goals
• _________ the entire patient not just the injured
  area
• Especially with athletes, many areas of the
  overall health suffer when normal activities
  (sports) cant be performed
• Ex. cardiovascular fitness, abdominal strength

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Rehabilitation Process

• The patient should be pushed for a ____________
  recovery, but not enough to exacerbate the injury
• Signs that rehab is too aggressive
• Increase in pain not aches
• Increase in ___________
• Loss of strength or range of motion
• Healing ligaments increase in laxity
• Laxity- looseness
• The patients psychological state should also be
  managed
• Emotions, depression, motivation factors

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Rehabilitation Process

• 4) Full Recovery return to normal _____________
  (work, sports, activities of daily living)
• ______________ Testing- tests that incorporate
  aspects of the activity or sport that the patient
  is involved in
• Ex. shuttle run, carioca, vertical jump

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Rehabilitation Process

• Criteria for Full Recovery
• 1) _______ free
• 2) No swelling or risk of swelling
• 3) Full range of motion (ROM)
• 4) Full strength
• 5) Normal balance ________________
• 6) Functional ability

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Rehabilitation Goals

• ___________ Term Goal- the long term goal in any
  rehab program is to return the patient to their
  normal activities
• Normal person activities of daily living
  (________)
• Athlete- return to their sport

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Rehabilitation Goals

• ____________ Term Goals- a set of goals that work
  toward the long term goals
• Goals should be
• _______________
• Measurable

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Short Term Goals Tools

• 1) Manage the Injury
• Control _________________, swelling, and pain
  that slows rehab
• Tools
• A) PRICE
• Protect (immobilization, crutches)
• Rest
• Ice
• ________________
• Elevation

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Short Term Goals Tools

• B) ___________- using different forms of energy
  to aid in the healing process
• Helps with pain, swelling, inflammation
• Ice, heat, ultrasound, estim, whirlpool, etc.
• 2) Restoring _______________- function
• Nerve to muscle connections
• Tools
• A) electrical stimulation (estim) can aid in the
  formation of a muscle contraction

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Short Term Goals Tools

• B) ____________ Exercise
• Muscle contracts no movement
• Used in early rehab when there is little ROM
• Assists in decreasing atrophy (muscle wasting)
• Helps reestablish nerve-muscle connection
• Can aid in decreasing swelling
• 3)Restoring Range of Motion (______)
• Tissue is resistant to motion after injury
• Passive active range of motion

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Short Term Goals Tools

• Tools
• A) _______________
• B) Joint Mobilizations
• C) Ultrasound Heat Modalities
• 4) Restoring muscular strength, endurance, and
  power
• Tools
• A) ______________ Exercises (early stages)

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Short Term Goals Tools

• B) ______________ Resistive Exercise (PRE)
• aka isotonic exercise (muscle changes length)
• Free weights, exercise machines, rubber tubing,
  etc.
• Concentric _____________ contractions
• Closed Kinetic Chain- exercise is weight bearing
  can be on hands
• Used most frequently in rehab
• Ex. running, biking, leg press, lunges
• Open Kinetic Chain- exercise is non-weight
  bearing
• Ex. leg extensions/curls, bicep curls, tricep
  extentions

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Short Term Goals Tools

• C) ______________ Exercise- speed is constant
  regardless of strength of contraction
• D) Plyometric Exercise
• Quick eccentric stretch to make a strong
  ______________ contraction
• Used in later stages of rehab
• Reestablishes power and agility

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Short Term Goals Tools

• 5) Restore Balance ________________
• All activities require some degree of balance and
  proprioception
• Proprioception- determination of joint
  location/position
• Tools
• Closed ____________ Chain Exercises

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Short Term Goals Tools

• 6) _____________ Stability- abdominal back
  strength
• Tools
• Core Stabilization Training
• Abdominal and lumbar support
• Necessary for all movement
• 7) Maintenance of ____________________ Fitness
• Important for athletes who will return to sport

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Short Term Goals Tools

• 8) Return to ____________ Status
• Use of exercises that simulate parts of the
  activity in which you hope to return the person
  to
• Carpenter- practice hammering with weighted
  object
• Mother- Carry heavy object in one arm while
  performing tasks with the other
• ___________- sport specific drills
• Ex. Cone drills, agility ladder, balance catch,
  etc.

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Short Term Goals Tools

• _____________ Therapy- rehab tool that utilizes
  principles of water to aid in the healing process
  and rehab
• Can be used in all stages of rehab
• Can be used for all _________ of rehab

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Rehab Records

• All activity should be documented
• Ensures consistency in care
• In case of ____________
• Records
• Injury Reports Updates
• Sign-In Logs
• Rehab Treatment _________