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Therapeutic Exercises

Chapter 7
Therapeutic Exercises
Goal is to return injured athlete to
pain-free full function participation.
Areas of Focus:
Pain Modulation Muscular Strength
Normal ROM Endurance
Kinematics Coordination
Flexibility Power
Rehabilitation Areas
Psychological
Physical
Emotional
Social
Performance
Cognitive Model
Personal Factors
Performance Anxiety
Self-esteem/motivation
Extroversion/
Introversion
Psychological
Investment
Coping resources
History with stress
Previous intervention
Cognitive Responses

Outcome of the
Situational Factors
Type of Sport
Relationship with coach
and team
Timing of the injury
Level and intensity of
the player
Point in athletes career
Role on the team
Emotional Responses
Behavioral Responses

Rehabilitation
Kubler-Ross Emotional
Stages
Denial
Isolation
Anger
Bargaining
Depression
Acceptance
Goal Setting
Specific and
measurable
Positive rather
than negative
Challenging yet
realistic
Established time
table for
completion
Integration of
short-
intermediate- and
long term goals
Personalized and
internalized
Monitored and
evaluated
LINKED TO LIFE
GOALS!!!

Factors that Inhibit
Progress
Lack of Knowledge
Lack of Skill
Lack of Risk-Taking Ability
Lack of Social Support
Psychological Influences
Confidence
Motivation
Anxiety
Focus
Management of Pain
Confidence
Program Confidence
Adherence Confidence
Physical Confidence
Return-to-sport Confidence
Motivation
Poor Attendance
Incomplete
Exercises
Low Effort
Low Intensity
Lack of
Attentiveness to
Instructions
Undefined Goals
Using Pain to
Avoid Exercise
Unsupportable
Excuses
Anxiety
Caused by pain, slow healing, low
confidence, pressure, lack of familiarity,
predictability, and control
Signs:
Physical
Cognitive
Emotional
Social
Performance
Focus
Ability to perceive and address
various internal and external cues.
Athlete should focus on:
Positive attributes
Present time
The Process of their rehabilitation
Their individual Progress
Pain
Benign pain
Harmful pain
Use a variety of methods to deal
with pain.
The Rehabilitation Process
Phase I
Assess the Patient
Interpret the Assessment
Establish Goals
Develop and Supervise the
Treatment Plan
Reassess the Progress of the
Program
Inflammation Control
CRIPES
ROM
Cardiovascular Fitness
Affects on:
Muscle
Articular cartilage
Ligaments
Bone
Remobilization
Phase II
Wolffs Law
Affects on:
Muscle
Articular Cartilage
Ligaments
Bone
Restoration of Motion
Cryokinetics
PROM
AROM
Joint Mobilization
Grade I
Grade II
Grade III
Grade IV
Grade V
Flexibility
Agonist
Antagonist
Ballistic Stretching
Static Stretching
Proprioceptive Neuromuscular Facilitation
(PNF)
Active Inhibition
Contract-Relax
Reciprocal Inhibition

Muscle/Movement Re-
education
AAROM
AROM
RROM
Proprioception
Closed kinetic chain exercises (CKC)
Open kinetic chain exercises (OKC)

Muscular Strength, Endurance and
Power
Phase III
Muscular Strength
Isotonic
Isokinetic
Muscular Endurance
Muscular Power
Functional Exercise

Rehabilitation Guidelines
Intensity
Duration
Frequency
Specificity
Speed
Progression
Sport Specific Functioning
Phase IV
Coordination
Sport Specific Skill Conditioning
Cardiovascular Endurance

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