Rehab Programme for 2 common injuries

P6/ M3

Further Info…

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

Aims of the treatment during Phase 1 are to:

Assess the injury Treatment should involve S.A.L.T.A.P.S.(we looked at this in Topic 3) Prevention of initial swelling

Protect the injured part from further damage

Phase 1 – Immediate Post-Injury

Aims of the treatment during Phase 2 are to:

Control bleeding & swelling Treatment should involve P.R.I.C.E.(We looked at this in Topic 3)

Reduce pain

Protect from further damage

Apply modifications if required (e.g. Crutches if non-weight bearing needed)

Offer advice

Phase 2 – Acute Phase

Aims of the treatment during Phase 3 are to:

Absorb swelling & products from inflammation (e.g. dead cells)

Hot & cold therapyMassageElevation

Promote healing & assist growth of new cells

Hot & cold therapy

Protect from further injury Use of bandages, crutches etc

Develop scar tissue Soft tissue stretchingMassage

Introduce non-weight bearing mobilisation exercises

Range of motion exercises

Introduce non-weight bearing strengthening exercises

Strengthening exercises

Phase 3 – Sub-Acute Phase

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 / strappingWalking 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

Aims of the treatment during Phase 5 are to:

Improve balance & co-ordination 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.

Restore sport specific skills & movement patterns

Return to pre-injury strength & power

Provide psychological reassurance Psychological skills training

Phase 5 – Functional / Sports Specific Rehabilitation

Select 2 specific sports injuries and plan safe and appropriate treatment and rehabilitation programmes accordingly, with tutor support.

The injuries selected should be done so with care, as appropriate selection will provide scope for learners to cover the range of criteria P6, M3 and D2. (E.g., a fracture to the tibia and fibula has more scope than a bruise…)

• It should clearly state the treatment and rehabilitation, methods to improve: the lost range of motion, strengthening and coordination exercises, psychological considerations, the need for a carefully structured approach to rehabilitation and relevant documentation and tracking of the treatment and rehabilitation programme.

Programme: Methods to improve the lost range of motion, psychological considerations, various goals, tracking of treatment- all within the programme

Treatment: Based on accurate diagnosis, eg immediate and long term, use of specialist help and advice

Rehabilitation: Identification of stages of rehabilitation, eg stages 1-5, acute stage to re-establishing functional activity, strengthening exercises, on-going treatments, gradual increase in activity