PT 504 E1

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Author:
Jstory
ID:
172585
Filename:
PT 504 E1
Updated:
2012-09-22 20:36:23
Tags:
Principles Guidelines Musculoskeletal Rehabilitation
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Description:
Seven Elements of Musculoskeletal Rehabilitation
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  1. Contorl of Inflammation & Pain: 
    Injury Protection:
    • 1. Modification of activity level
    • 2. Education on how to reduce stress on teh injured structure
    • a) posture and positioning
    • b) avoidance of aggravating factors 
    • 3. Use of devices.
  2. Control of Inflammation & Pain: 
    Modalities & Mechanisms
    • 1. R.I.C.E.
    • 2. NSAID's- curtail inflammatory process and control pain
    • 3. ES to reduce edema and pain 
    • 4. US later stages of Inflammation
  3. Restoration of Joint ROM & Soft Tissue Extensibility
    • Muscle Guarding: Ice & ES
    • Soft Tissue Contractures: US, Stretching, Friction Massage
    • 1. Passive Stretching: splinting, self, manual
    • 2. Muscle Energy/Proprioceptive Neuromuscular Facilitation P.N.F.
    • 3. Soft Tissue mobz/manips
    • 4. Joint mobz/manips
  4. Improve Muscular Performance: Endurance, Strength & Power
    • 1.Strengthening ok after 75% of ROM returned. 
    • 2.Strengthening ok now if severe atrophy
    • 3. Inhibitors to Strengthening: pain, joint effusion, mobility restrictions
    • 4. Strengthening programs: Isometric, Dynamic, Isokinetic, Plyometric
  5. Improve Proprioception, Balance & Posture
    • 1. Joint injury results in decreased proprioception
    • 2. impaired posture results in abnormal stress to joint & tissue
    • 3. Impaired standing balance: falls & ankle sprains
  6. Development of Specific Biomechanical Skill Patterns:
    Specificity of Training
    • 1.carryover from exercise to functional activity > when exercise mimics activity. 
    • 2. develops power, strength, endurance, particular movement
    • 3. emphasize component of activity - performing activity
    • 4. developing skill patterns for activity 
  7. Development of Specific Biomechanical Skill Patterns: 
    Motor Learning
    • 1.Demonstration: Show how to perform -> practice w/ uninvolved extremity
    • 2. Instruction: match capacity of learner (challenge but achievable) -> whole task -> single element of task -> whole task with emphisis on part of movement. 
    • 3. Practice: mentally -> mentally w/o moving -> mental w/ moving ->progress task
  8. Improve Cardiovascular Endurance
    • 1. Walking, Stationary Bike, cardio equipment
    • 2. Choice is dependent on nature of injury
  9. Home Exercise Program: HEP
    • 1. between treatments
    • 2. after discharge

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