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5 short term goals of rehab
- control pain- medicine, modalities, ice
- maintain or improve flexibility- determined by genetics
- restoring or increasing strength
- reestablishing neuromuscular control- proprioception, balance
- maintain cardio fitness- pool, bike
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When does rehab begin?
immediately after surgery
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When an injury occurs, what 2 events arise?
- loss of physical fitness when activity stopped (strength, endurance, coordination)
- specific inactivity of injured part (splinting, immobilized; motor nerves become less efficient)
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What are the key components of a rehab program?
- minimize swelling
- control pain
- restore full ROM
- restore muscle strength and endurance
- reestablish neuromuscular control
- regain balance
- maintain cardiorespiratory fitness
- incorporate functional progressions
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eccentric
lengthen muscle, causes soreness
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concentric
contract muscle
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isometric
no change in muscle length
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isokinetic
locked in speed with accommodating resistance
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strength
maximum force applied by muscle during single maximum contraction
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endurance
ability to perform repetitive muscular contractions against some resistance
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power
ability to generate force rapidly
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proprioception
ability to determine the position of a joint in space
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kinesthesia
ability to detect movement
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Criteria for full return
- physiological healing constraints
- pain status
- swelling
- full ROM
- strength
- cardio fitness
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