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Therapeutic Exercises. Chapter 7. Therapeutic Exercises . Goal is to return injured athlete to pain-free full function participation. Areas of Focus: Pain Modulation Muscular Strength Normal ROM Endurance Kinematics Coordination Flexibility Power. Rehabilitation Areas.

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therapeutic exercises1
Therapeutic Exercises
  • Goal is to return injured athlete to pain-free full function participation.
  • Areas of Focus:
    • Pain Modulation Muscular Strength
    • Normal ROM Endurance
    • Kinematics Coordination
    • Flexibility Power
rehabilitation areas
Rehabilitation Areas
  • Psychological
  • Physical
  • Emotional
  • Social
  • Performance
cognitive model
Personal Factors

Performance Anxiety

Self-esteem/motivation

Extroversion/ Introversion

Psychological Investment

Coping resources

History with stress

Previous intervention

Cognitive Responses

Outcome of the

Situational Factors

Type of Sport

Relationship with coach and team

Timing of the injury

Level and intensity of the player

Point in athletes career

Role on the team

Emotional Responses

Behavioral Responses

Rehabilitation

Cognitive Model
kubler ross emotional stages
Kubler-Ross Emotional Stages
  • Denial
  • Isolation
  • Anger
  • Bargaining
  • Depression
  • Acceptance
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!!!

Goal Setting
factors that inhibit progress
Factors that Inhibit Progress
  • Lack of Knowledge
  • Lack of Skill
  • Lack of Risk-Taking Ability
  • Lack of Social Support
psychological influences
Psychological Influences
  • Confidence
  • Motivation
  • Anxiety
  • Focus
  • Management of Pain
confidence
Confidence
  • Program Confidence
  • Adherence Confidence
  • Physical Confidence
  • Return-to-sport Confidence
motivation
Poor Attendance

Incomplete Exercises

Low Effort

Low Intensity

Lack of Attentiveness to Instructions

Undefined Goals

Using Pain to Avoid Exercise

Unsupportable Excuses

Motivation
anxiety
Anxiety
  • Caused by pain, slow healing, low confidence, pressure, lack of familiarity, predictability, and control
  • Signs:
    • Physical
    • Cognitive
    • Emotional
    • Social
    • Performance
focus
Focus
  • Ability to perceive and address various internal and external cues.
  • Athlete should focus on:
    • Positive attributes
    • Present time
    • The Process of their rehabilitation
    • Their individual Progress
slide13
Pain
  • Benign pain
  • Harmful pain
  • Use a variety of methods to deal with pain.
the rehabilitation process phase i
The Rehabilitation ProcessPhase I
  • Assess the Patient
  • Interpret the Assessment
  • Establish Goals
  • Develop and Supervise the Treatment Plan
  • Reassess the Progress of the Program
inflammation control
Inflammation Control
  • CRIPES
  • ROM
  • Cardiovascular Fitness
  • Affects on:
    • Muscle
    • Articular cartilage
    • Ligaments
    • Bone
remobilization phase ii
RemobilizationPhase II
  • Wolff’s Law
  • Affects on:
    • Muscle
    • Articular Cartilage
    • Ligaments
    • Bone
restoration of motion
Restoration of Motion
  • Cryokinetics
  • PROM
  • AROM
  • Joint Mobilization
    • Grade I
    • Grade II
    • Grade III
    • Grade IV
    • Grade V
flexibility
Flexibility
  • Agonist
  • Antagonist
  • Ballistic Stretching
  • Static Stretching
  • Proprioceptive Neuromuscular Facilitation (PNF)
    • Active Inhibition
    • Contract-Relax
    • Reciprocal Inhibition
muscle movement re education
Muscle/Movement Re-education
  • AAROM
  • AROM
  • RROM
  • Proprioception
  • Closed kinetic chain exercises (CKC)
  • Open kinetic chain exercises (OKC)
muscular strength endurance and power phase iii
Muscular Strength, Endurance and PowerPhase III
  • Muscular Strength
  • Isotonic
  • Isokinetic
  • Muscular Endurance
  • Muscular Power
  • Functional Exercise
rehabilitation guidelines
Rehabilitation Guidelines
  • Intensity
  • Duration
  • Frequency
  • Specificity
  • Speed
  • Progression
sport specific functioning phase iv
Sport Specific FunctioningPhase IV
  • Coordination
  • Sport Specific Skill Conditioning
  • Cardiovascular Endurance
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