Power Point 7 Flashcards
1
Q
periodization
A
- series of sport-specific, basic movement patterns graduated according to the difficulty of the skill and the athlete’s tolerance
2
Q
SAID principle or Overload prinicple
A
break down into the basic skills and movments progressed gradually as the athlete tolerates
3
Q
benefits of functional rehab
A
- promotes healing
- maximizes post-injury performance
- minimizes stress of being injured
- enhances self confidence
4
Q
benefits of functional rehab: promotes healing (types of laws)
A
- davis’s law of soft tissue remodeling
- wolff’s law of bony remodeling
5
Q
benefits of functional rehab: maximizes post-injury performance
A
- small to large movements
- increased intensities
- increased complexity
6
Q
benefits of functional rehab: minimizes stress of being injured
A
- processes of grieving are similar to those seen in the loss of a loved one
- loss of a “comfort zone”
- loss of identiy
7
Q
four principles of functional exercise
A
purpose
posture
position
pattern
8
Q
Purpose of functional exercise
A
- functiaonl evaluation & assessment
- do not lose sight of what the greatest single limiting factor to function
- track progress over time through repeated measures to ensure adequate focus
“how is this going to improve my loss of dorsiflexio again?”
9
Q
do not lose sight of what the greatest single limiting factor to function is
A
- what is limited?
- what is the cc?
- what is the impairment?
- what movement is limited?
10
Q
posture of functional exercise
A
- identification fo motor control
- consider the entire kinetic chain and the entire patient mechanically and how dysfunction in one link can and will influence function elsewhere
- invovles restriciton/inhibition of inappropriate motor programming and facilitation/stimulation fo appropriate motor function
11
Q
consider the entire kinetic chain and the entire patient mechanically and how dysfunction in one link can and will influence function elsewhere
A
- when do substitutions occur?
- when is it difficult?
- when is it easier?
- when is it most noticeable?
12
Q
posture involves restriction/inhibition of inappropriate motor programming and facilitation/stimulation of appropriate motor function
A
provide kinesthetic visual, and verbal cures to enhance learning
13
Q
Position during functional exercise
A
- identification of osteokinematic & arthrokinematic limiters
- anatomic structure where impairment has been identified as well as positions wher limitations occur
14
Q
anatomic structure where impairment has been identified as wel as positions where limitations occur
A
- where is the impairment?
- where in the ROM is impairment most influential?
- where is the most beneficial position for exercise?
15
Q
pattern of functional exercise
A
- integration fo synergistic movement patterns
- consider how movments do not occur in isolation but rather in space
- PNF is a great example of how movements do not typically occur along but rather as part of a coordinated series of events
16
Q
consider how movements do not occur in isolation but rather in space
A
- how is it different bilaterally?
- how will this influence function?
17
Q
the degree of “functionality” of any therapeutic exercise program depends on how will it addresses the issue at hand and the patient’s needs
A
- what is limited?
- when is it a problem?
- where is the limitation?
- how can other movmeent influence it?
18
Q
when do you start functional exercise?
A
- little to no swelling
- pain is minimal
- ROM is great enough to handle those tasks assigned to the athlete
- must be strong enough to provide dynamic stability
19
Q
when do you start functional exercise: strength
A
- symmerty
- dominant arm in through activities should be 10-15% greater than the non-dominant are
- if used isokinetic measures (agonist/antagonist ratios, torque/output: body weight ratio)
- identification of those muscles that are necessary for the performance of that athlete’s sport
20
Q
program progression considerations
A
- every athlete is unique, so each rehab program should be unique
- evaluation of progression
- reevaluation of progression
- criteria need to be established for progression
21
Q
progression guidelines
A
- slow to fast
- simple to difficult
- non sport specific to sport specific
- short distances/times to longer distances/times
- unloaded (unresisted) to loaded (resisted) skills
22
Q
program assessment considerations
A
- necessary for the identification of those “red flags” within the program
- where will these manifest themselves?
- need to be done directly by you - or you need to educate the athlete/patient as to the warning signs
23
Q
assessment tools 3 C’s
A
- carriage
- confidence
- control
24
Q
assessment tools 3 C’s: carriage
A
posturing and positionign required to carry the body smoothly through each step of the program (weight shift, weight acceptance, symmetry of movement)
25
assessment tools 3 C's: confidence
determined by facial expressions and speed and diliberatencess with which a skill is performed
26
assessment tools 3 C's: control
smooth, unrestricted, automatic movement wtih percise performance of a given task
27
assessment tools 3 C's: Other
- perceived instability of the involved area during performance of a skill
- pain
- anxiety
- inability to perform
- decreased ROM following activity, pain after activity
28
in order for full return to activity to occur, rehab must target:
- regaining/restoring ROM
- flexibility
- strenght
- endurance
- coordination and agility
29
program should be geared to meet the two basic goals of rehab:
- minimize additional trauma to injured structures
| - safely and quickly return athlete to prior levels of compeition
30
benefits of the program
- muscular strength
- muscular endurance
- flexibility
- muscle relaxation
- motor skills
31
benefits of the program: muscular strength
SAID & Overload principles
32
benefits of the program: muscle relaxation
education in progression so athlete can target tension and learn to control or remove it
33
benefits of the program: motor skill
- coordination, agility, and motor skills are complex aspects of normal function requiring appropriate contraction at the most opportune time and with the appropriate intensity
- serves as the connection between strength, flexibility, and endurance and full speed performance
- traditional exercise cannot retrain the athlete for return to sport because they lack the training needed for coordination and agility
34
external considerations
- physician expectations/orders
- athlete expectations
- total disability
- parameters of physical fitness
35
activity considerations
- assessment oif the individuality of the athlete
- positive, not negative activities (i.e. no increased S/S)
- orderly stair-step progression
- varied to avoid monotomy
36
activity considerations: varied to avoid monotomy
- vary exercise technique
- alter the program at regular intervals
- maintian fitness base
- set achievable goals
- use clinical, home and on-field activities
37
demands of the sport
- call for the complete break-down of the sport activity
- arrangement of those components on a continuum form easiest to most difficult
- constant reevaluation of that activity and the progression through those components
38
5 main principles of a sport specific rehab
- focus on teh therapeutic objectivies
- vary the exercises and challenges
- properly utilize the kinetic chain
- K.I.S.S. principle
- always provide a progression
39
funcation exercise pyramid
- it is an attempt to organize the functional stage of rehab
| - there are four levesl or phases within the pryramid: Level I, II, and III, Level IV (return to play)
40
level I
- begin patterned movement under very low or no-load conditions
- level I exercises shoudl be performed slowly with emphasis ont eh execution of the pattern of movement (FORM)
- exercises may include joint repositioning, into PNF technqiues, and various wt. bearign techniques
41
level I primary objective
restoration of proprioception
42
level I secondary objectives
- normalize motion
- establish muscle balance
- decrease pn & inflammation
43
level II
- progressionf rom level I to level II may occur when there is no pain swelling, &/or excessive fatigue
- you may continue with the same exercises as in level I but you may progress the variables such as speed, distance, time, or load
- when progression from a low-load, slow speed, low repetition exercise only one parameter should be increased at a time
- exercises may include more advanced PNF techniques and more dynamic yet controlled activities
44
level II primary objective
restoration fo stabilization (co-contractions)
45
level II secondary objective
- optimize neuromuscular control
- restore muscle balance
- maintain normalized motion
46
level III
- this is the final level of the functional exercises that will bring the athelte to the intensity necessary for return to play
- increase challenges
- work with the coaches to be sure you are doing suitable drills that are sport specific
- exercises may include more advanced PNF technqiues and numerous dynamic and increasingly sport specific drills and skills
47
level III primary objective
develop reactive stability
48
level III secondary objectives
- enhance dynamic stabilty
- improve power & endurance
- graudal return to activities
49
level IV (Return to play)
- monitor the athlete/patient's reintroduction
| - continue maintenance program prn
