Functional Rehab Midterm (Handout 4)
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23 terms
Terms | Definitions |
|---|---|
 1) Discovery of type of injury present 2) Determination of method of presentation of injury 3) Complete and accurate diagnosis of injury 4) Plan of treatment of injury (short and long term goals, progression and return-to-play criteria) | Four Principles of Functional Rehabilitation |
| Type of injury Method of presentation How to rehabilitate Knowledge of injury type and presentation method determine what needs to be rehabilitated | Framework for Functional Rehabilitation |
| Due to a specific event Time, place, mechanism of injury usually clear Single event resulting in previously normal (?) anatomical structures becoming suddenly and distinctly abnormal after injury | Macrotrauma |
| Chronic, repetitive injuries Usually a process resulting from failure of homeostasis of cellular mechanisms and tissue constituents to maintain integrity of structures subjected to demands of physical activity over time Fairly long process Clinically evident adaptive changes in flexibility, balance, strength, biomechanics, performance occur with continued sports participation | Microtrauma |
| Injury episode easily recalled Activity halted or curtailed | Acute |
| Usually microtauma with gradual symptom onset Pain may be widespread Activity still ongoing although at reduced performance level | Chronic |
| Acute exacerbation of chronic injury | Previous injury apparently successfully treated Occurs with return to activity History of previous injury and rehab plan give clues to remaining underlying deficits (inflexibilities, strength deficits/imbalances, biomechanical faults |
| Subclinical Adaptations to Athletic Activity | Maladaptations to training Asymptomatic strength, flexibility, biomechanical changes that predispose to future injury Need to screen for kinetic chain dysfunction prior to implementing S&C program |
| Clinical alteration | Clinical symptom complex requires what? |
| Anatomic alteration | Tissue injury complex and tissue overload requires what? |
| Physiologic and mechanical alteration | Functional biomechanical deficit requires what? |
| Clinical Alteration | This frequently occurs in presence of subclinical alterations May be present with acute injury or may be produced as a result of acute injury Clinical symptom index: Pain, swelling, decreased ROM |
| Pain, Swelling, Decreased ROM | Clinical Symptoms Index |
| Tissue Injury Complex | Actual tissue that has been damaged |
| Tissue Overload Complex | Tissues that have been stress/overloaded Contribute to or exacerbate injury |
| Functional Biomechanical Deficit Complex | Alterations in activity performance mechanics Caused by abnormalities in strength/muscle imbalance, flexibility |
| Substitute motions Altered recruitment patterns Synergistic dominance | Subclinical Maladaption Complex |
| Emphasis on muscle endurance, motor control perfection, maintenance of spine stability during ADLs | Training for health vs for performance |
| Must reduce source the exacerbates tissue overload Exercise enhances prevention and rehabilitation outcomes | Integration of prevention and rehabilitation strategies |
| Return of function and reduction of pain can be slow Patients have good and bad days during recondition process | Continuous improvement in function/pain reduction |
| Documenting back pain/stiffness essential in identifying link with mechanical stresses | ADL Journal |
| Initiate reconditioning process with limited number of exercise Add new exercises one at a time after positive slope is established Add/Remove exercises based on positive slope changes | Ensuring the progressive positive slope |
| Must change patterns that result in tissue loading in excess of threshold | Patient lifestyle changes |
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