considerations for rehabilitation in various populations Flashcards
why do Preadolescents have more potential for increase in strength
due to neural factors, such as increases in motor unit activation and
synchronization, as well as enhanced motor unit recruitment and firing frequency (Haff & Triplett, 2016)
Most important consideration with children/adolescence
technique and volume
what plays a role in strength improvement in children and ado
Also suggested that improvement in motor skill performance and coordination of muscle groups
when is it agreed that resistance training is safe and effective for children
if properly supervised by qualified individuals
children and adolescents considerations
-Desire to train and ability to follow coaching instructions (Generally 7-8 year olds able to compete in sport should be ready for RT)
* Begin session with 5-10 minutes of dynamic WU
* 2-3 non-consecutive days/week (Begin with 8-15 exercises that strengthen a combination of UE, LE, core)
* Initially perform 1-2 sets of 8-15reps with light to moderate load (about 60% RM)
* FOCUS on correct exercise technique and safe training!! (teach them about their bodies)
* Include balance and coordination exercises
* Gradually progress to advanced movements that enhance power * Vary program to optimize gains and reduce boredom
progressions in children and adolescents
Match exercises with competence ability (Simple to complex (single joint exercisesàmulti joint))
* Olympic lifts involve more neural complex movement patterns so should begin with low load (i.e. wooden dowel or unloaded barbell etc.) and early in program to reduce fatigue Risk of injury during Olympic lifts is not well researched in children
* Plyometrics should be given to help develop stretch shorten cycle (Typically cyclical plyometrics needed in sport; skip, hop, run, bound, jump// Start with less complex (double leg hop) and progress (single leg hop)//EMPHASIS on proper form and landing!)
* Balance and coordination (Unstable surfacesàincrease muscle activation of the trunk//Help reduce risk of injury)
* Core and trunk control (Always a concern with lifting techniques)
common injuries in children
- Osgood Schlatter’s :10-15yo males, 8-13yo females
- Sinding Larson Johansson Syndrome: 8-12yo
- Most cases resolves spontaneously with skeletal maturity:12-18months
- Legg-Calve-Perthes Disease: Disruption of blood supply to head of femur, 3-12 (males)
- Slipped Femoral Capital Epiphysis:Head of femur shifts at growth plate (Growth spurt- 12-15 (males))
rehab for children
- Confidentiality
- Make it fun!
- Speak to the child
- Choose your words wisely
older individuals common injuries
Postural dysfunctions, Osteoarthritis, Osteoporosis, Fractures
older individuals considerations
- Maintain independence!
- Improve balance and coordination * Functional activities/ADL
menstrual considerations
Dysmenorrhea
Iron levels
Menstruation cycle?
pregnancy considerations
Hormone release
Increase laxity in joints
* 3-5 months post partum
swelling in females
Carpal tunnel, Dequervain’s tenosynovitis, neuropathies
Treatment Considerations During Pregnancy
- As changes in weight distribution occur, balance and coordination may be affected
- Exercise programs should be modified if they pose a significant risk of abdominal injury or fatigue as opposed to relaxation and an enhanced sense of well being
- Exercising in the supine or prone positions should be avoided after the first trimester
- Pelvic floor exercises
- Postural exercises
- Avoid heavy lifting, and straining exercises should be avoided
- Bicycle riding especially in 2nd and 3rd trimester should be avoided due to
the risk of falling - Weight bearing and not weight bearing exercises
- The intensity of exercise should be regulated by how hard a woman believes she is working (Moderate to hard is quite safe for a woman who is accustomed to this level of exercise, Do not exceed pre pregnancy levels)
phases of menstrual cycles
Some studies have consistently examined perceived performance during various phases of the MC, and athletes identify their performance to be relatively worse in the early follicular and late luteal phases.
