what are the principles of rehab following an acute muscle injury?
relative rest
early mobilization
early strengthening
why is progressive, controlled ROM exercises performed in pain free range during early mobilization?
to promote collagen deposition along usual lines of stress, minimize risk of cross linking/adhesions/contractures, maintain connective tissue and joint/muscle mobility, assist circulation
what are the types of early mobilization?
passive ROM, AROM, AAROM
what range is it good to work in when doing early mobilization?
in your outer ROM so that the muscle is in a lengthened position
what are the best practice recommendations for early mobilization?
stop prior to pain, stay within tolerance, done frequently at a low intensity, slowly mobilize towards outer range, begin in inner range
signs of inflammation? (indicating the injured tissue has been stressed)
SHARP (sweliing, heat, altered function ,redness, pain)
what is important during early mobilization for proper healing?
avoid/minimize disuse muscle atrophy
maintain and improve bone mineralization, circulation, connective tissue tensile strength, functional activity tolerance, etc.
contribute to whole body adaptations
what are some adv and disadv of isometric training?
adv - low impact, good for working on strength when you don’t have ROM available
dis - not improving ROM, benefits may be angle specific, most adaptations come at the ROM you’re training in
what are some adv and disadv of isotonic training?
adv - increased strength, power, endurance, increased joint mobility and flexibility, good for functional improvements
dis - not developing neural control for proprioception
what are the best practice recommendations for isometrics?
begin in inner range
voluntarily tense or contract muscle as hard as pain free
stop prior to pain
1-3 times per day
what is the emerging evidence related to how we structure our rehabilitation?
moving away from time-based rehab to criteria based rehab, want to base decisions on someone’s ability to do certain things rather than a set timeline (more individualized for the client
what is the emerging evidence saying about eccentric loading?
you’re more likely to have injury if your muscles are short - individuals will have less injury if they have strong and long muscles
