FQ 4 HOW IS INJURY REHABILITATION MANAGED REHABILITATION

FQ 4 HOW IS INJURY REHABILITATION MANAGED? REHABILITATION PROCEDURES Progressive mobilisation Graduated Exercises Training Use of heat and cold

REHABILITATION PROCEDURES Progressive Mobilisation Graduated exercises § Stretching § Conditioning § Total body fitness Training Use of heat and cold

WHY REHABILITATE? Rehabilitation after injury can take some time depending on the type and severity of the injury. The aims of any rehabilitation program are to: - restore optimal function of the injured area - return the athlete to competition quickly and safely - prevent re-injury.

REHABILITATION PROCEDURE

PROGRESSIVE MOBILISATION Joint mobilisation is the freeing of hindered joints to allow improved ROM Joint mobilisation can be achieved through active exercises (performed by the athlete) or through passive methods (manipulation of the injured part by another person). Mobilisation of the injured part should begin soon after the injury because joint inactivity can increase the formation of scar tissue. The process is known as progressive mobilisation because the range of movement is gradually increased over time until the full range of movement is restored.

GRADUATED EXERCISE STRETCHING Important to ensure that injury heals without scaring. Scaring shortens the muscle and makes it prone to further injury. Most appropriate Stretching is proprioceptive neuromuscular facilitation (PNF)

GRADUATED EXERCISE CONDITIONING: § Implies a build-up in fitness as a result of adaptations to gradual increases in physical stress. Effective conditioning processes uses the overload principle to ensure that a greater than normal load is placed on the body Periods of rest and recovery are followed by gradually increasing workloads. Correctly used, the princiiple of progression ensures that the conditioning experience is pain free in the injured area. Specificity: conditioning regime needs to target general Cardiorespiratory fitness together with increasing the need for strength, power and local muscular endurance around the injured area.

GRADUATED EXERCISE TOTAL BODY FITNESS This is regaining the level of mental and physical fitness reached by the athlete before the injury occurred. Program = progressively and gradually overload the muscle groups and energy systems. Required adaptations should be regained before competition.

ADAPTATIONS Hypertrophy (increased size) of the muscles Strengthening of tendons and ligaments Increased capillarisation and subsequent blood flow to the injured area. Increased elasticity in fibres Increased joint mobility Absence of pain Full confidence in knowing that the injured area can handle match stress Fully restore balance and coordination

TRAINING With total body fitness achieved, full training can resume. Here the athlete is expected to participation the full training program in a pain-free environment Includes participating in: § § § Warm-up Conditioning Drills Skills development Tactics Cool-down

USE OF HEAT AND COLD Controversial Generally § Cold: applied for anything up to four days following injury PLUS at times to reduce inflammation. § Heat: NOT until two to three days after injury, depending on the injury and extent of damage.