Rehab programme for 2 common injuries PPT

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Rehab Programme for 2
common injuries
In preparation for P6 and ultimately
the end of the programme!!
P6/ M3/ D2
Further Info…
•
For P6, learners must select two specific sports injuries and plan safe and appropriate treatment
and rehabilitation programmes accordingly, with tutor support. Tutors may provide advice and guidance
on selection of injuries to be covered by learners. The injuries selected should be done so with care and
reasoned thought, as appropriate selection will provide scope for learners to cover the range of criteria
P6, M3 and D2.
A poor selection, for example a simple bruise, which needs little treatment and
hardly
any rehabilitation, limits the research available to learners. However, a fracture
of the tibia and fibula or the
rupture of the anterior cruciate ligament allows for depth of evidence and the
use of primary sources.
Create a rehab programme for both injuries. Your plan must
include: • Signs & Symptoms of the injury • First Aid Treatment
for the injury • The stages of Rehab • Methods to Improve Range
of Motion • Methods to Improve Strength • Psychological
Considerations • Your own medical form o Consent and personal
details (medical history, allergies) o Tracking progress (i.e. SMART
goals, review dates)
Choose from these injuries
Ankle Sprain
Hamstring Strain
Fractured Fibula
Groin Strain
Achilles Tendinitis
Knee Cartilage Tear
Shoulder Dislocation
Create a rehab programme for both injuries. Your plan must include: •
Signs & Symptoms of the injury • First Aid Treatment for the injury •
The stages of Rehab • Methods to Improve Range of Motion •
Methods to Improve Strength • Psychological Considerations • Your
own medical form o Consent and personal details (medical history,
allergies) o Tracking progress (i.e. SMART goals, review dates)
Injury Rehabilitation
Phases of an Injury
The stages that follow an injury can be classified into 5 phases:
Stage
Timescale
Name
Phase 1
0-20 minutes
Immediate Post-Injury
Phase 2
0-72 hours
Acute Phase
Phase 3
3-10 days
Sub-Acute Phase
Phase 4
Dependent on severity of injury
Active Rehabilitation Phase
Phase 5
Dependent on severity of injury
Functional / Sports Specific Rehabilitation
Phase 1 – Immediate Post-Injury
Aims of the treatment during Phase 1 are to:
Assess the injury
Prevention of initial swelling
Protect the injured part from further
damage
Treatment should involve S.A.L.T.A.P.S.
(we looked at this in Topic 3)
Phase 2 – Acute Phase
Aims of the treatment during Phase 2 are to:
Control bleeding & swelling
Reduce pain
Protect from further damage
Apply modifications if required (e.g.
Crutches if non-weight bearing needed)
Offer advice
Treatment should involve P.R.I.C.E.
(We looked at this in Topic 3)
Phase 3 – Sub-Acute Phase
Aims of the treatment during Phase 3 are to:
Absorb swelling & products from
inflammation (e.g. dead cells)
Hot & cold therapy
Massage
Elevation
Promote healing & assist growth of new
cells
Hot & cold therapy
Protect from further injury
Use of bandages, crutches etc
Develop scar tissue
Soft tissue stretching
Massage
Introduce non-weight bearing mobilisation
exercises
Range of motion exercises
Introduce non-weight bearing
strengthening exercises
Strengthening exercises
Phase 4 – Active Rehabilitation
Aims of the treatment during Phase 4 are to:
Remobilise the joint & increase the range
of motion
Range of motion exercises
Re-strengthen the muscles acting on the
joints
Strengthening exercises
Increase the extensibility of scar tissue
Stretching
Massage
Protect form further damage or stress
Bandages / strapping
Walking aids (crutches)
Partial weight bearing
Maintain endurance & fitness of the rest
of the body
Modernise exercise programme to include
alternative exercise e.g. Swimming, static
bike, isokinetic arm cycler
Phase 5 – Functional / Sports
Specific Rehabilitation
Aims of the treatment during Phase 5 are to:
Improve balance & co-ordination
Restore sport specific skills & movement
patterns
Return to pre-injury strength & power
Provide psychological reassurance
Functional Rehab will include sports specific
movements, techniques & skills. It would start
very basic & progress to very intense ultimately
replicating a training or game situation. This
may start with straight line activities & progress
to side-to-side & rotational movements. You
would then progress onto jumping & landing.
Psychological skills training
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