Date post: | 23-Dec-2015 |
Category: |
Documents |
Upload: | juniper-crawford |
View: | 219 times |
Download: | 0 times |
Phases of Rehabilitation
Rehabilitation
Rehabilitation~ process of recovering from an injury
Treatment and education to regain maximum function and high level of independence
Rehabilitation Team
Physician Physical Therapist Athletic Trainer Fitness Instructor Physical Therapist Assistant Family THE PATIENT
The Patient
Motivated Desires to return to pre-injury level Belief in Recovery Compliance
Rehab Environment
Patient Safety Patient Needs Patient Comfort This includes:
~Sight, Smell, Sound, Touch
First Session
Patient History is EXTREMELY important Knowing entire situation = ease into
physical rehabilitation
Motivation
Motivation~ reason for performing an action; stimulus for behavior
~ Intrinsic Motivation
~ Extrinsic Motivation What is the difference? How do you motivate?
Motivating the Athlete
Greet and know athletes Use name frequently Education of athlete about injury Convey confidence and knowledge Explain Objectives Provide clear and simple directions Positive Attitude (it’s contagious!)
Goals
Education Assist athlete in reaching goals Return athlete to pre-injury level
Education
Giving knowledge to athlete gives sense of control
Education will help the athlete understand what his/her body is doing
Goals
Take time out initially to set goals Short term goals are rehabilitative in
nature Long term goal is Sport Specific (return to
play)
Return to Play
Physically Ready
~ Functionally able to do skills
~ In good Cardiovascular shape Mentally Ready Physician Clearance
Rehabilitation Process
Each program needs to be unique Healing process is universal Three phases of Rehabilitation
Phase 1 ~ Control pain and damage Phase 2 ~ Repair damage Phase 3 ~ Rebuild healthy tissue
Objectives of phases interlinked
Safety Guidelines
Monitor any type of pain or edema increase
Advise pt on need to regain strength in a controlled manner
Review limitations of ADL with each pt Ensure pt can do exercises properly on
own
Phase 1
Immediately after the injury (2-3 days) Primary Goal: decrease inflammation Secondary Goal: prevent additional loss of
function by protecting injury Establish a baseline for future evaluations Maintain currently levels of fitness
Phase 1 Plan
Decrease blood flow to tissues Protect the injured area to prevent further
damage Bracing, splinting, or taping area Suggest use of supportive devices (slings or
crutches Evaluate strength, ROM, and amount of
edema
Phase 1 Plan Cont’d
Maintain strength and flexibility in injured area as well as rest of the body
Educate athlete on safe and effective methods that can be done at home
Instruct athlete on how to safely modify ADL’s to help avoid further injury
Use motivation techniques
Phase 2
Occurs after inflammation and pain controlled
Repair of damaged tissue through strength and ROM exercises
Promotion of self-sufficiency to return to ADL’s
Phase 2 Plan
Evaluate strength, girth, and ROM Compare results with results from phase 1
Increase functional use of injured area Increase blood flow prior to strengthening Continue to decrease pain and edema Begin gait training and improve weight
bearing activities for lower extremity injuries
Phase 2 Plan Cont’d
Increase patients ADL’s as appropriate Continue to increase confidence and self-
esteem Be as creative as possible No cook book way to do rehabilitation
Phase 3
Remodeling: retraining muscles to function in normal capacity as close to “normal” as possible
Prepare the athlete to return to daily life Exercise Modalities ~ rehabilitative
treatment involving use of physical activity to increase strength and flexibility
Phase 3 Plan
Increase endurance, strength, and flexibility in the injured area
Teach athlete how to use treatments at home safely
Prepare athlete to return to play Evaluate strength, girth, and ROM
Compare to previous evaluations
Phase 3 Plan Cont’d
Enhance coordination and balancing skills Make them sport specific
Assist patient in organizing and developing a plan to meet his/her fitness goals
Released by physician to return to play