Rehab programme for 2 common injuries PPT

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