Restore to an appropriate level of competitive fitness

Each program must be individualized Programs influenced by

› Severity of injury› Stage of tissue healing› Type of treatment› Sport demands

Restore of function in the shortest time possible

Be aggressive, without causing harm Involve athlete with team Program needs to be progressive Use variety of equipment

Treat the cause not only the symptoms Fail to focus on all muscles involved,

and only a single muscle Fail to improve and correct technique,

anatomical misalignment and biomechanics

Must be realistic Must be reachable

If you don’t know where you are goingyou’ll end up someplace else

- Yogi Berra

Joint stability / structural integrity› Surgery› Immobilization,

bracing Decrease pain,

inflammation and swelling› RICE› Modalities

ROM and flexibility› Stretching

exercises Muscular strength

› Resistance training

Muscular endurance› Bike, jog, run

Speed› Bike, jog, run

Muscular Power› Plyometrics › Power lifts

Agility, coordination and sport specific skills› Balance › Sport drills

Maintain cardiovascular Endurance › Should begin immediately› X-training- bike, swimming, UE ergo

Symptoms› Inflammation,

swelling and loss of function

Goals› Decrease pain,

swelling and inflammation

› Increase ROM› Maintain strength of

unaffected limb X-over effect

› Maintain cardiovascular conditioning

Examples› Immobilization

Braces Crutches

› Isometric exercises› Cross Train

Bike or pool› Modalities

Muscle Stimulation RICE

Symptoms› Pain and swelling

are controlled› Immobilization is

not necessary Goals

› Restore ROM› Increase muscle

strength› Begin to work on

muscle endurance and power

› Maintain CV fitness

Examples› Passive, active and

resistive exercises› Cross training

Bike Pool

› Modalities Muscle stimulation Thermotherapy

before therapy session

Cryotherapy after therapy session

Symptoms› Tissue repair and

remodeling is occurring

Goals› Functional exercise› Sport Specific skills› Correct technique

and biomechanical problems

› Restore balance and proprioception

› Evaluate the need for protective taping, bracing or padding

› Return to Play

Examples› Strength training

continues to progress› Heel raises, single leg

stands› Balance boards› Plyometrics› Sport drills › Return to practice› Return to competitive

event› Modalities

Ultrasound Massage

Overload › To facilitate

improvement the system involved MUST be progressively CHALLANGED Implement by

increasing: Resistance Repetitions Sets Rate / intensity Duration

SAID Specific Adaptations

to Imposed Demands Principle of Specificity

› Conditioning program are specific to the type of stress applied during competition

› Practice how you want to perform