Therapeutic ExercisesChapter 7Therapeutic ExercisesnGoal is to return injured athlete to pain-free full function participation.nAreas of Focus:nPain ModulationMuscular StrengthnNormal ROMEndurancenKinematicsCoordinationnFlexibilityPowerRehabilitation AreasnPsychologicalnPhysicalnEmotionalnSocialnPerformanceCognitive ModelnPersonal FactorsnPerformance AnxietynSelf-esteem/motivationnExtroversion/ IntroversionnPsychological InvestmentnCoping resourcesnHistory with stressnPrevious interventionnCognitive Responsesn Outcome of the nSituational FactorsnType of SportnRelationship with coach and teamnTiming of the injurynLevel and intensity of the playernPoint in athletes careernRole on the teamnEmotional ResponsesnBehavioral ResponsesnRehabilitationKubler-Ross Emotional StagesqDenialqIsolationqAngerqBargainingqDepressionqAcceptanceGoal SettingnSpecific and measurablenPositive rather than negativenChallenging yet realisticnEstablished time table for completionnIntegration of short- intermediate- and long term goalsnPersonalized and internalizednMonitored and evaluatednLINKED TO LIFE GOALS!Factors that Inhibit ProgressnLack of KnowledgenLack of SkillnLack of Risk-Taking AbilitynLack of Social SupportPsychological InfluencesnConfidencenMotivationnAnxietynFocusnManagement of PainConfidencenProgram ConfidencenAdherence ConfidencenPhysical ConfidencenReturn-to-sport ConfidenceMotivationnPoor AttendancenIncomplete ExercisesnLow EffortnLow IntensitynLack of Attentiveness to InstructionsnUndefined GoalsnUsing Pain to Avoid ExercisenUnsupportable ExcusesAnxietynCaused by pain, slow healing, low confidence, pressure, lack of familiarity, predictability, and controlnSigns:nPhysicalnCognitivenEmotionalnSocialnPerformanceFocusnAbility to perceive and address various internal and external cues.nAthlete should focus on:nPositive attributesnPresent timenThe Process of their rehabilitationnTheir individual ProgressPainnBenign painnHarmful painnUse a variety of methods to deal with pain.The Rehabilitation ProcessPhase InAssess the PatientnInterpret the AssessmentnEstablish GoalsnDevelop and Supervise the Treatment PlannReassess the Progress of the Program Inflammation ControlnCRIPESnROMnCardiovascular FitnessnAffects on:nMusclenArticular cartilagenLigamentsnBoneRemobilizationPhase IInWolffs LawnAffects on:nMusclenArticular CartilagenLigamentsnBoneRestoration of MotionnCryokineticsnPROMnAROMnJoint MobilizationnGrade InGrade IInGrade IIInGrade IVnGrade VFlexibilitynAgonistnAntagonistnBallistic StretchingnStatic StretchingnProprioceptive Neuromuscular Facilitation (PNF)nActive InhibitionnContract-RelaxnReciprocal InhibitionMuscle/Movement Re-educationnAAROMnAROMnRROMnProprioceptionnClosed kinetic chain exercises (CKC)nOpen kinetic chain exercises (OKC)Muscular Strength, Endurance and PowerPhase IIInMuscular StrengthnIsotonicnIsokineticnMuscular EndurancenMuscular PowernFunctional ExerciseRehabilitation GuidelinesnIntensitynDurationnFrequencynSpecificitynSpeednProgressionSport Specific FunctioningPhase IVnCoordinationnSport Specific Skill ConditioningnCardiovascular 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