Rehabilitation: Presented By: Mohd Hatta Bin Hasenan 2009398407 Khairul Aiman Bin Ahmad Hafad 2009959475

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REHABILITATION

Presented by:

Mohd Hatta bin Hasenan


2009398407

Khairul Aiman Bin Ahmad Hafad


2009959475
WHAT IS
REHABILITATION?

Rehabilitation is a treatments designed to


facilitate the process of recovery from
injury, illness, or disease to as normal
condition as possible.
 
Purpose of Rehabilitation

Promote the healing process by assisting


the progression through the stages of
healing resulting in healed tissue that is
able to withstand forces it will eventually
be expected to cope with.
Maintain strength and cardiovascular
fitness to minimize the detraining effects
suffered and thus promoting return to
sport as soon as possible.
Components of a Rehabilitation program

1. Avoid aggravation 5. Specific sequencing


 
Exercise should be progressive without Protocol sequence determined by healing
aggravating the injury. response.
2. Timing 6. Intensity
Begin as soon as possible Challenging without aggravation.
1st week immobilization 3-4% strength Requires observational skill and
lost per day. knowledge of healing process.
3. Compliance Make it interesting.
Inform of content of program and 7. Total patient
expected course of rehab. Consider injured and non-injured areas.
Knowledge, empowerment, compliance, Maintain cardiovascular fitness, strength,
toward to success. coordination and muscle endurance in
4. Individualization non-affected limbs.
Development of individualized
rehabilitation goals based upon the type
and extent of injury and the athlete’s level
of competition will help eliminate
frustration and discouragement by the
injured athlete.
Objectives of rehabilitation program
1- Prevent deconditioning
Include exercise for the cardiovascular system, uninvolved segments.
Restricted activity following injury may induce undesirable changes
much more diffuse more than the local nature of an injury.
Some of deleterious effects of bed rest on cardiovascular function occur
rapidly.
Immobilization results in considerable bone, joint and soft tissue changes.
Inactivity results in atrophy and reduction in breaking strength of bone.
Bed rest has reportedly been found to decrease strength by 1.0% - 1.5%
per day.
2- Rehabilitate the injured part
Requires good knowledge of the injury, the healing process and methods
of rehab.
Complete rehabilitation of an injured athlete requires not only recovery
of the injured tissue, but also recovery from the secondary effects the
injury induced on other parts of the body.
Goals of Therapeutic Exercise
Primary goal of rehab: Restoration of function and return to
athletic competition.
Exercise programs should be designed to be safe, effective,
efficient and aggressive yet guarded manner.
Rehabilitation should be goal directed. (specific, challenging,
attainable, measureable, multiple, personal and written. )
Establishes goals athletes can understand and shows them the role
they must play in the process.
Build short term and long term goals to improve mental outlook
and decrease discouragement.
Ensure consistency of information and understanding among
physician, therapist, trainer, athlete and coach.
Design sequential “step by step “progression with each step
slightly more demanding in terms of skill/ability than the previous
one.
Short term goals.
Provide immediate first aid and care.
Reduce / minimize pain.
Re-establish neuromuscular control.
Restore full range of motion.
Restore increase strength, endurance and power.
Improve postural stability and balance.
Maintain cardio respiratory fitness.
Incorporate into a functional progression.

Long term goals: Return to play


Component of injury rehabilitation

Muscle conditioning
Flexibility
Neuromuscular concept
Functional exercises
Sport skills
Correction of abnormal biomechanics
Maintenance of cardiovascular fitness
Psychology
Progression of rehabilitation

Type of activity
Duration of activity
Frequency of activity / rest
Intensity of activity
Complexity of activity
Phases of Recovery

1. Acute or Relief Phase of Care


2. Corrective Phase of Care
3. Strengthening phase of care
4. Maintenance of supportive phase of
care
The Physical Modalities

Electrotherapeutic Modalities Exercise Therapy

•Intermittent Pressure Therapy. •Cytokinetics


•Ultrasound. •Continuous passive motion
•Short Wave Diathermy. •Range of movement exercise
•Laser Therapy. •Proprioceptive exercise
•Electrical Muscle Simulators. •Motor control exercise
•Isometric exercise
Manual Techniques •Concentric exercise ( isotonic )
•Eccentric exercise
•Therapeutic Massage
•Joint Mobilization and
Manipulation
•Therapeutic stretching
Basic principle of exercise therapy
Commence as soon as possible (e.g. 24 to 72 hours) after but always
within pain-free limits.
Aim to strengthen injured structures, as well uninjured structures, and
as well uninjured supporting muscles to compensate for functional
deficiency due to injury.
Always start with warm up exercises such as stretching and end with
cool down exercises.
High resistance – low repetition exercises improve strength and power.
Low resistance – high repetition exercises improve muscle endurance.
Progressive overload is important to prevent overstrain of muscles,
tendons and ligaments. Therefore, gradually increase the amount of
exercise.
Maintain general overall fitness as well as have adequate rest and
proper nutrition. It is also important to analyze the cause of injury to
prevent re-injury.
The end,,,

Thanks 4 Listening,,

References:
 Arnheim D, Prentice WE. Principle of athletic training. St Louis: CV Mosby, 1993.
 Davis M. Rehabilitation of sports injuries: a practical approach. In: Bernhardt D, ed.
Sports physical therapy. Philadelphia: Churchill Livingstone, 1986; 155-171.
 Http:www.answer.com/rehabilitation.
 Steven R. Tippet. Coaches guide to sport rehabilitation, United States, 1990

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