Introduction Flashcards
What are the two Overall Rehab/Treatment Goals?
- Shorten the time lost from play
- Optimize performance
What happens if no rehab is used?
Recovery time is longer = longer time lost
from play
How to apply rehab/treatment
- Determine where the person is limited
and correct the limitation using “Good
Rehab”
~ ROM/Flexibility
~ Muscle strength/endurance
~ Neurological factors: neuromuscular
control
> Input and output of brain
“Not so Good Rehab” vs. “Good Rehab”
- Back vs. Front yard = level of danger
~ Being a little “dangerous” is beneficial
as long as re-injury doesn’t occur
“Not so Good Rehab” vs. “Good Rehab” Components
- Not so good
~ Non-functional
~ Lab-like
~ Isolated
~ Gravity Confused
~ Boring
~ Back yard
~ Protocols - Good
~ Functional
~ Life-like
~ Integrated
~ Gravity User
~ Fun
~ Front yard
~ Thinking and adapting
“Not so Good” technique can be used early on in the process, but…
Must be abandoned to allow for the development of more natural/integrated movement patterns
Types of Rehabbers
- “Not so Good”
~ Uses “not so good” techniques for the
duration of rehab
~ Heavy into protocols
~ May use some “good” techniques, but
not well reasoned
~ Expects some miraculous leap from
non-functional activity to “full go” - “Good”
~ Moves quickly into “good” techniques
and is able to shorten the rehab
duration
~ Assesses and re-assesses pt’s
limitations and changes program
accordingly
~ Pays attention to all links in the
Kinetic Chain
Rehab Technique Checklist
- What is this accomplishing?
- Why select this technique/Is this the best
technique at this time? - Where do I go from here?
~ Progression
~ Dead End
> “Not so Good” technique
> Proximity to Real Function
Psychological Aspects of Rehab
- Suggested that athletes who experience
significant, disabling injury that keeps
them out of competition go through the
same stages of grief as with death - Kubler-Ross Stages of Grief: if present,
refer. It’s not an AT’s job to fix these
~ Denial
~ Anger
~ Depression
~ Acceptance
Stages of Grief: Denial
Pt. doesn’t believe that the injury is severe and feels that they’ll return to competition
Stages of Grief: Anger
- As reality sets in, the pt. expresses anger
to release feelings of frustration and
helplessness - Attempts to clam or rationalize are
ineffective
Stages of Grief: Depression
- Pt. fully understands the situation and becomes depressed
- Feelings of diminished self worth, control, isolation, and self-doubt are common
- Most difficult to rehab during this stage
Stages of Grief: Acceptance
Pt. deals with the physical limitations and psychological downswing
How to help pt. move through stages of grief…
- It’s important to note that if a pt. is not able to move through the stages of grief or there’s a concern about their emotional condition, they should be encouraged to seek psychological support
- Otherwise:
~ Proper communication
~ Goal setting
~ Rapport
~ Make the program interesting
How to help pt. move through stages of grief: Communication
- Active listening
~ Reflecting/repeating the pts.
uncertainties, worries, and goals - Good eye contact
- Timely and appropriate explanations
- Encouragement
