What factors do you need to consider when developing an intervention plan?
- tissue involved and healing times
- irritability
- precautions/contraindications
- impairments to be addressed
- techniques for addressing identified impairments
- patient goals
Factors affecting healing
- age
- drugs: immunosuppressants, steroids, NSAIDs
- nutritional state
- smoking
- MOI
- other health conditions (DM)
Acute phase and/or high irritation goal
- protect healing site
- restoration of pain-free ROM
- reduce pain and inflammation
- patient ed
- minimize muscle atrophy (introduce strengthening as early as possible)
As pain/irritation lessens, more _______ strengthening and ROM/stretching exercises can be introduced to patient’s tolerance as needed
aggressive
In the early stage of intervention, typically start with _______ exercises
isometrics (natural analgesic)
Tendon healing time (tendonitis)
3-7 weeks
Tendon healing time (rupture)
5 weeks - up to 6 months
Muscle injury (exercise induced) healing time
0-3 days
Muscle injury Grade I, II, and III healing times
Grade I: 0-14 days–> up to 4 weeks
Grade II: From 3 weeks to 3 months
Grade III: From 5 weeks to 6 months
Ligament injury Grade I, II, III healing times
Grade 1: 4-14 days up to 4 weeks
Grade II: Anywhere from 3 weeks up to 6 months
Grade III: 5 weeks up to 1 year
Ligament graft healing time
2 months up to 2 years
Bone healing time
5 weeks to 3 months
Patient education
- impairments
- healing timelines
- frequent breaks
- task-specific training
- ergonomic/biomechanical strategies
- throwing program
Impairment: Weakness
Strengthening:
- link back to pts impairments and goals
- keep function in mind
- break things down into parts if whole task is too difficult
