Chapter 22: Rehabilitation and Reconditioning

Question 1

provides medical care to an organization, school, or team

Answer 1

team physician

Question 2

makes the final determination of an athlete’s readiness for return to competition

Answer 2

team physician

Question 3

prescribes medication as needed

Answer 3

team physician

Question 4

typically responsible for the day-to-day physical health of the athlete

Answer 4

athletic trainer

Question 5

responsibilities include management and rehabilitation of injuries resulting from physical activity and prevention of injuries through the prescription of sport-specific exercise and the application of prophylactic equipment

Answer 5

athletic trainer

Question 6

can play a valuable role in reducing pain and restoring function to an injured athlete, typically outpatient

Answer 6

physical therapist

Question 7

typically focuses on strength, power and performance enhancement

Answer 7

strength and conditioning professional

Question 8

member of the sports medicine team which assist with the post acute rehabilitation and reconditioning of injured athletes, has a formal background in exercise science

Answer 8

exercise physiologist

Question 9

this person has a background in sport nutrition and may provide guidelines regarding proper food choices to optimize tissue recovery

Answer 9

nutritionist or registered dietician

Question 10

this professional helps the injured athlete better cope with mental stress accompanying an injury

Answer 10

counselor, psychologist, or psychiatrist

Question 11

a form of treatment required by the rehapilitating athlete

Answer 11

indication

Question 12

an activity or practice that is inadvisable or prohibited due to the given injury

Answer 12

contraindication

Question 13

specific, sudden episode of overload injury to a given tissued, resulting in disrupted tissue integrity

Answer 13

macrotrauma

Question 14

complete displacement of the joint serfaces

Answer 14

dislocation

Question 15

partial displacement of the joint surfaces

Answer 15

subluxation

Question 16

these two conditions may result in joint laxity or instability

Answer 16

dislocation

subluxation

Question 17

ligamentous trauma

Answer 17

sprain

Question 18

partial tear of the ligament without increased joint instability

Answer 18

first degree sprain

Question 19

partial tear with minor joint instability

Answer 19

seconds degree sprain

Question 20

complete tear with full joint instability

Answer 20

third degree sprain

Question 21

musculotendinous trauma is classified as either of these two things

Answer 21

contusion

strain

Question 22

direct musculotendinous trama

Answer 22

contusion

Question 23

indirect musculotendinous trauma

Answer 23

strain

Question 24

an area of excess accumulation of blood and fluid in the tissues surrounding the injured muscle

Answer 24

muscle contusion

Question 25

tears in muscle fibers and are further assigned grades

Answer 25

strains

Question 26

partial tear of individual muscle fibers and is characterized by strong but painful muscle activitgy

Answer 26

first degree strain

Question 27

partial tear of muscle with weak, painful muscle activity

Answer 27

second degree strain

Question 28

complete tear of muscle fibers and is manifested by very weak, painless muscle activity

Answer 28

third degree strain

Question 29

strains are most likely to occur at these two locations

Answer 29

musculotendinous junction | tendon attachment to bone

Question 30

overuse injury, results from repeated abnormal stress applied to a tissue by continuous training or training with little recovery time

Answer 30

microtrauma

Question 31

most common overuse injury to bone

Answer 31

stress fracture

Question 32

type of microtrauma that is the inflammation of a tendon

Answer 32

tendinitis

Question 33

degenerative condition characterized by minimal inflammation and neovascularizaiation

Answer 33

tendinopathy

Question 34

three stages of tissue healing

Answer 34

inflammatory response phase fibroblastic repair phase maturation-remodeling phase

Question 35

initial reaction to injury and is necessary in order for normal tissue healing to occur

Answer 35

inflammation

Question 36

both of these types of inflammation occur during the inflammatory response phase

Answer 36

local and systemic

Question 37

inhibits contractile tissue and can significantly limit function

Answer 37

edema

Question 38

the escape of fluid into the surrounding tissue

Answer 38

edema

Question 39

the inflammatory phase typically lasts this long, but may be longer

Answer 39

2-3 days (typically less than a week)

Question 40

healing phase which is characterized by catabolism and replacement of tissued that are no longer viable following injury

Answer 40

fibroblastic repair phase

Question 41

begins as early as two days after injury and may last up to two months

Answer 41

fibroblastic repair phase

Question 42

the weakened tissued produced during the repair phase is strengthed during this phase of healing

Answer 42

maturation-remodeling phase

Question 43

fibers transition from type III to stronger type I collagen allowing the newly formed tissued the opportunity to improve its structure, strength, and function (tissues begin to align along lines of stress

Answer 43

maturation-remodeling phase

Question 44

this can last months to years after injury

Answer 44

remodeling

Question 45

age, lifestyle, degree of injury, and the structure that has been injured can affect this

Answer 45

healing time

Question 46

the athlete must meet these to progress from one phase of healing to the next

Answer 46

specific objectives

Question 47

primary goal of treatment during the inflammatory response phase

Answer 47

prevent distruption to new tissue

Question 48

exercise directly involving or stressing the injured area is not recommended during this phase

Answer 48

inflammatory response phase

Question 49

the treatment goal of this phase is to prevent excessive muscle atrophy and joint deterioration of the injured area

Answer 49

fibroblastic repair phase

Question 50

to protect new, and relatively weak collagen fibers the athlete should avoid this involving the damaged tissue during the fibroblastic repair phase

Answer 50

active resistive exercise

Question 51

these are permissablie during the fibroblastic repair phase but their goal is to promote collagen synthesis and manage pain

Answer 51

therapeutic modalities

Question 52

these types of exercises can be done during the repair phase provided that it is pain free and otherwise indicated by the physician or athletic trainer

Answer 52

isometric

Question 53

exercises which include concentric and eccentric muscle action

Answer 53

isotonic

Question 54

ability of muscle to respond to afferent sensory information to maintain joint stability

Answer 54

neuromuscular control

Question 55

afferent sensory information that occurs in response to stimulation of sensory receptors in skin, muscles, tendons, ligaments, and joint capsule

Answer 55

proprioception

Question 56

this contributes to the conscious and unconscious efferent control of posture, balance, stability, and sense of position

Answer 56

proprioception

Question 57

outcome of this phase is the replacement of damaged tissues with collagen fibers

Answer 57

maturation-remodeling phase

Question 58

primary goal of this phase is optimizing tissue function while transitioning to return to play or activity

Answer 58

maturation-remodeling phase

Question 59

athletes improve function by continuing and progressing the exercises performed during the repair phase and by adding more advance, sport specific exercsies that allow progresssives stresses to be applied to the injured tissue

Answer 59

maturation-remodeling phase

Question 60

this is the collective effort or involvement of two or more sequential joints to create movement

Answer 60

kinetic chain

Question 61

exercise in which the terminal joint meets with considerable resistance that prohibits or retrains its free motion

Answer 61

closed kinetic chain

Question 62

exercise in which the terminal joint is free to move

Answer 62

open kinetic chain

Question 63

these types of exercises are possible during the fibroblastic repair phase

Answer 63

submaximal isometric, isokinetic, and isotonic | balance and proprioceptive training

Question 64

these (4) types of exercise are possible options during the maturation-remodeling phase

Answer 64

joint angle specific strengthening velocity-specific muscle activity close/open kinetic chain proprioceptive training

Question 65

T/F: the same principles used to design resistance and aerobic training programs for uninjured athletes should not be applied during rehab and reconditioning

Answer 65

F

Question 66

DAPRE

Answer 66

daily adjustable progressive resistive exercise

Question 67

how many sets for DAPRE

Answer 67

4

Question 68

DAPRE protocol

Answer 68

first set 10 rep 50% estimated 1RM 2nd set 6 rep 75% estimated 1RM 3rd set max reps at 100% estimated 1RM 4th set adjusted to reps completed during 3rd

Question 69

De Lorme protocol

Answer 69

1st set 10 reps 50% 10rm 2nd set 10 reps 75% 10RM 3rd set 10 reps 100%10RM

Question 70

Oxford system protocol

Answer 70

1st set 10 reps 100%10RM 2nd set 10 reps 75% 10RM 3rd set 10 reps 50% 10RM

Question 71

sport specific training may require this from the rehabilitation programming

Answer 71

change in programming to reflect the specific demands of the sport (endurance, hypertrophy, strength)

Question 72

less than this percent in side-to-side differences in strength and functional performance is considered acceptable

Answer 72

10%