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Concepts of Rehabilitation

Primary Rehabilitation Primary Rehabilitation Team MembersTeam Members

Sport rehabilitation specialist (ATC)

Athlete training students

Psychologist/Counselor

Physician

Family/Parents

Coach

Patient/Athlete

Orthopedist

Secondary Rehabilitation Secondary Rehabilitation Team MembersTeam Members

Orthotist

Nutritionist

Sport teammates

Teachers

Athletic administrator

Others

Sport Rehabilitation Sport Rehabilitation Specialist RoleSpecialist Role

Leads the rehabilitation team

Has daily contact with athlete

Communicates with other team members

Coordinates the athlete’s care

Roles of Others Roles of Others on Rehabilitation Teamon Rehabilitation Team

Athletic training students

Physician

Family/Parents

Coach

Patient/Athlete

Courteous, professional, accurate, and appropriate communication among all rehabilitation team members is essential for a successful rehabilitation program.

-athlete; physician; coach; other team members

Interacting With Team Interacting With Team MembersMembers

Qualities Qualities of Professionalismof Professionalism

Looking like a professional

Acting like a professional

Being a professional

Ethical and Legal Ethical and Legal StandardsStandards

NATA Code of Ethics –-Find on NATA web page & be ready for discussion

State regulations

Consent by the athlete

Need for sensitivity to patient’s perception of touch; precautions

A = Avoid aggravation

Rehabilitation Principles: Rehabilitation Principles: ATC IS ITATC IS IT

T = Timing

C = Compliance

I = Individualization

S = Specific sequencing

I = Intensity level

T = Total patient

Rehabilitation ObjectivesRehabilitation Objectives

Prevent deconditioning

Rehabilitate the injured part

Rehabilitation GoalsRehabilitation Goals

Primary goal: return patient to competition, safely yet soon

Use objective and measurable goals

Incorporate short- and long-term goals

AssessmentAssessment

Is required on a regular and frequent basis

Can determine if goals have been achieved

Establishes the next progression of the program

Exercise ProgressionExercise Progression

Which exercises should be made more challenging or advanced?

When should they be changed?

How much should they be increased?

Program ProgressionProgram Progression

Which component should be advanced?

When should the program be changed to emphasize new parameters?

How much should the program be increased?

Outcomes-Based Outcomes-Based RehabilitationRehabilitation

Can be used to evaluate a treatment, program, provider

Evaluates a protocol’s effectiveness

Assesses the patient’s response to treatment

Aids in payment authorization process

Basic Components Basic Components of Therapeutic Exerciseof Therapeutic Exercise

Flexibility and range of motion

Muscular strength and muscular enduranceProprioception and coordinationImportance of progressive order

Stages of GriefStages of Grief

Denial

Anger

Progression gradual and fluctuates b/w stages

DepressionAcceptance

ATC’s Influence ATC’s Influence on Psychological Aspectson Psychological Aspects

Communicates with the patient

Encourages compliance

Provides support

Personalizes the program

Assists with goal setting

Develops a rapport