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Rehab Programme for 2 common injuries
P6/ M3
Further Info…
Create a rehab programme for both injuries. Your plan must include: • Signs & Symptoms of the injury • First Aid Treatment for the injury • The stages of Rehab • Methods to Improve Range of Motion • Methods to Improve Strength • Psychological Considerations • Your own medical form o Consent and personal details (medical history, allergies) o Tracking progress (i.e. SMART goals, review dates)
Injury Rehabilitation
Phases of an Injury
The stages that follow an injury can be classified into 5 phases:
Stage Timescale Name
Phase 1 0-20 minutes Immediate Post-Injury
Phase 2 0-72 hours Acute Phase
Phase 3 3-10 days Sub-Acute Phase
Phase 4 Dependent on severity of injury
Active Rehabilitation Phase
Phase 5 Dependent on severity of injury
Functional / Sports Specific Rehabilitation
Aims of the treatment during Phase 1 are to:
Assess the injury Treatment should involve S.A.L.T.A.P.S.(we looked at this in Topic 3) Prevention of initial swelling
Protect the injured part from further damage
Phase 1 – Immediate Post-Injury
Aims of the treatment during Phase 2 are to:
Control bleeding & swelling Treatment should involve P.R.I.C.E.(We looked at this in Topic 3)
Reduce pain
Protect from further damage
Apply modifications if required (e.g. Crutches if non-weight bearing needed)
Offer advice
Phase 2 – Acute Phase
Aims of the treatment during Phase 3 are to:
Absorb swelling & products from inflammation (e.g. dead cells)
Hot & cold therapyMassageElevation
Promote healing & assist growth of new cells
Hot & cold therapy
Protect from further injury Use of bandages, crutches etc
Develop scar tissue Soft tissue stretchingMassage
Introduce non-weight bearing mobilisation exercises
Range of motion exercises
Introduce non-weight bearing strengthening exercises
Strengthening exercises
Phase 3 – Sub-Acute Phase
Phase 4 – Active Rehabilitation
Aims of the treatment during Phase 4 are to:
Remobilise the joint & increase the range of motion
Range of motion exercises
Re-strengthen the muscles acting on the joints
Strengthening exercises
Increase the extensibility of scar tissue
Stretching Massage
Protect form further damage or stress
Bandages / strappingWalking aids (crutches)Partial weight bearing
Maintain endurance & fitness of the rest of the body
Modernise exercise programme to include alternative exercise e.g. Swimming, static bike, isokinetic arm cycler
Aims of the treatment during Phase 5 are to:
Improve balance & co-ordination Functional Rehab will include sports specific movements, techniques & skills. It would start very basic & progress to very intense ultimately replicating a training or game situation. This may start with straight line activities & progress to side-to-side & rotational movements. You would then progress onto jumping & landing.
Restore sport specific skills & movement patterns
Return to pre-injury strength & power
Provide psychological reassurance Psychological skills training
Phase 5 – Functional / Sports Specific Rehabilitation
Select 2 specific sports injuries and plan safe and appropriate treatment and rehabilitation programmes accordingly, with tutor support.
The injuries selected should be done so with care, as appropriate selection will provide scope for learners to cover the range of criteria P6, M3 and D2. (E.g., a fracture to the tibia and fibula has more scope than a bruise…)
• It should clearly state the treatment and rehabilitation, methods to improve: the lost range of motion, strengthening and coordination exercises, psychological considerations, the need for a carefully structured approach to rehabilitation and relevant documentation and tracking of the treatment and rehabilitation programme.
Programme: Methods to improve the lost range of motion, psychological considerations, various goals, tracking of treatment- all within the programme
Treatment: Based on accurate diagnosis, eg immediate and long term, use of specialist help and advice
Rehabilitation: Identification of stages of rehabilitation, eg stages 1-5, acute stage to re-establishing functional activity, strengthening exercises, on-going treatments, gradual increase in activity