Therapeutic exercises
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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 ModulationMuscular Strength Normal ROMEndurance KinematicsCoordination FlexibilityPower. Rehabilitation Areas.

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Therapeutic exercises

Therapeutic Exercises

Chapter 7


Therapeutic exercises1

Therapeutic Exercises

  • Goal is to return injured athlete to pain-free full function participation.

  • Areas of Focus:

    • Pain ModulationMuscular Strength

    • Normal ROMEndurance

    • KinematicsCoordination

    • FlexibilityPower


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


Therapeutic exercises

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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