Karthikeyan T AI

Recent Trends of Sports Rehabilitation. Dr. Karthikeyan Thangavelu, MSPT, PhD., D.LITT (Sports Physical therapy) (Fitness, Physical Testing, Prescription Expert) (Prominent Academician, Researcher Educator in Functional Rehabilitation Care), Associate Professor/Deputy Director of Sports/Sports Secretary of Sports Council/Former Chairperson (Physiotherapy/Pharmacy)/ Dean Student Welfare Department of Physiotherapy Gurugram University (A State Govt University) Sector 51 Mayfield Garden Gurugram-122003 Haryana,India.

Hockey INTRODUCTION Rehabilitation is the restoration ofroptmal form (anatomy) and unction (physiology) Rehabilitation means- Re- again Habilitate- make fit Spotting Injuries Golf AFL It is a process esigne& o minimize,the ss associated wit the acute or chronic disease, to pro ote recovery, and to maximize functional capacity, fitness and performance. Basketball.

Hockey Tissue injury from sports canbe classifie as:- Netball Macro traumatic injuries usually due to a stron force Micro traumatici juriesae h onl o overu e injury. Injuries Cricket Golf AFL Basketball.

Hockey REHABILITATION PLAN GOAL OF THE Netball Limit the extent of inj ry Reduce or reverse the impal mentan functional loss Injuries Prevent Correct or eliminate a together the disability. Cricket Golf AFL Basketball.

Hockey Multidisciplinary approach The rehabilitation of theinjured athletes is managed by a multidisciplinary team- Sports physicians Physiatrists Spotting Orthopaedists Injuries Physiotherapists Rehabilitation workers Physical educators Cric:et e Coaches V Athletestrainer ' Psychologist nutritionists Golf AFL Basketball.

Hockey PRINCIPLE The seven principles of rehabilitation which can be recommended by the mnemonic: ATC IS IT. Netball A- avoid aggravation T- timing C- compliance i- individualization Cricket S- specific sequencing i- intensity T- total patient Spotting Injuries Golf AFL Basketball.

Hockey COMPONENT PAIN MANAGEMENT- Netball Golf Medications are a painstay of treatment in the injured athletes- both for he pain re ie @healing properties. Therapeutic moda ities pa sma II but important part of Cricketthe rehabilitation of sports injury AFL They may help to decrease pain and edema to allow an exercise based rehabilitation rogram to proceed. Basketball.

Hockey ' Flexibility and joint ROM- Flexibility is an important component of rehabilitation in order to minimize the decrees In joint ROY NetVII Golf Also a variety of stretching technique can used in improving range of motion, •ncIuårytNf, ballistic stretching and static stretching. Cricket Injuries AFL Basketball.

Hockey ' Strength and endurance- Injuries to the musculoskeletal system could result in skeletal muscle hypotrophy a d weakness loss of aerobic capacity and Netball fatigability. to maintain cardiqvascularcendurance Thus egularbicycling one l"bicyclin orar cycling Cricket Golf AFL General major muscle exercise programmes with relatively high intensity and short rest period can be major important. Basketball.

Hockey Proprioception and coordination:- Proprioception- a special type of sensitivity that inform about the sensations of å&ep organs and of the relationship between muscle and joints. Netbali Golf O/ Proprioception e-education has to get the muscular receptors working in order to provide a rap d motor response. Coordination the ca acity to perform movement in smooth Cricket precise and controlled finanner. Rehabilitation technique increasingly refer to neuromuscular re-education. AFL Basketball.

Hockey ' Functional rehabilitation- Goal- the return of the athlete to optimum athlete to optimum athletic function. Netball Cricket Spotting Injuries Golf AFL Basketball.

Hockey ' The use of orthotics: The use of orthotic device to support musculoskeletal function and the correction of muscle imbalances and Netball Golf inflexibility in uninjured areas should receiye the attention of potting the rehabilitation tea Cricket Injuries AFL Basketball.

Hockey ' Psychology of injury: Mental skills in sports are often viewed as part of individuals personality and something that cannot be taught. Nett.all Golf It is important for sports medicine physicia sto assist patients in setting goals related_tonpérfogmänee process rather than outcomes, such aireturrun o law Cricket AFL Basketball.

Hockey SATAGES OF REHABILITATION No pain No swelling No effusion Full Rom STAGE I Protoction Mobilization Walking pain Swelling Effussion No pain No swolling No effusion Recovery of strenght No pain No swelling No effusion Recovery of sporl specific skills No pain No swelling No effusion Mainlenance of conditioning STAGE 2 Opon!closod kinctic chain cxcciscs Propioceptive Running Pain Swelling Effussion STAGE3 Sport spocific drills Reconditioning STAGE 4 Maintonanco Prevention of reinjury Pain Swelling Effussion Comploto Functional Rccovcry Pain Swolling Effussion.

Hockey INITITAL STAGE OF REHABILITATION This phase lasts approximate y 4-6days. Netball Goals- Limitation of tissue amage Pain relief Injuries Cricket Control of inflammatory respondent injury Protection of the affected anatomicalarea Golf AFL Basketball.

Hockey CONTROL PAIN AND SWELLING- RICE- 24 - 48 hours after many muscle strains, ligament sprains, or other bruises and injuries. Therapeutic modality and medications are used to create an Netball Golf optimal environmeot for injury repair by limiting the 'yr a}ipg thevpain pasm cycle. inflammatory progess an The power, strengt , a de d ra c oft musculoskeletal tissue and functi9!l of the cardio respiratory system must be Cricket maintained. Active ROM is performed under one(s own control, while passive ROM ocuurs when another person or device produces the movement. AFL Basketball.

Hockey Isolated exercises that target area proximal and distal to the injured area may be permissible provided that do not stress the injured area. Netball Isometric exercises are used for strengthening when ROM is Golf restricted or needs to be vo•de 'due to fracture or acute inflammation of the)oint Isotonic strengt ening can begin with in the painless arc of Cricket I AFL joint motion. Basketball.

What happens when you train during the recovery phase Exercise start Exercise before full recovery Baseline strength, endurance, etc. Fatigue -......-.+ Recovery Exercise stop Overtraining & Injury sports-injury-physio.com.

Hockey INTERMEDIATED STAGE OF REHABILITATION This phase lasts from day 5 to 8-10 week Netball JOINT AND MUSCLE CONDITIONING: Golf Goal: Spotting Limitation of impairmen an tt e recover from the functional losses. Cricket AFL Early protected motion hastens-th o timal alignment of collagen fibers and promotes improved tissue mobility Basketball.

Hockey Physical modalities are used to enhance tissue healing Strengthening of the uninjured extremity and area proximal and distal to the injury, erobic andpnaerobic exercise, and Netballimproving strength and neuromuscular control of the involved Golf area Isometricæxercise may be erfo d pro ide that it is pain free and otherwis%indicated. Cricket Su maximal isometric exercise allow th athlete to maintain neuromuscular -function and improve strenthgth with movement AFL Basketball.

Hockey Isokinetic exercise can be important aspect of strengthening. this type of exercise uses equipment that provides resistance to movement at a given speed. Netball Golf Isotonic exercise i vo ve movements with constant external resistance and the amp 0 to move the resistance varies, depen in r eabilityo joint angle and the lengt of each agonist muscle. Cricket Specific 'type of exercise exist to imp ove neuromuscu ar control following inj ry and can be manipulated through alteration in surface stability, vision and speed. AFL Basketball.

Hockey ADVANCE STAGE OF REHABILITATION This phase begins at around 2 days andcan continue for 6-12 months. Netball Goals: Return to sports training andcom ition FUNCTIONAL TRANING Joint angl s ecific strengthening Velocity specific musc e activity Cricket Close kinetic chain exercise Exercise designed to further enhance neuromuscular control Cross training Golf AFL Basketball.

What happens when you train in the adaptation phase Body becomes stronger Exercise in adaptation phase Adaptation Exercise start Baseline strength, endurance, etc. Fatigue Recovery Exercise stop sports-injury-physio.com.

Hockey RETURN TO SPORTS Return to play is defined as the process of deciding when an injured Netball or ill athletes may safely return to practice or competition. Sports specific fuoctiong! rehabilitatio cshould be focused on restoration of the ir!ure athletes bility to have sport specific physiology and biomechanics to interact optimall with the sports Cricket specific deman s. Once the athletes has been medically cleared to return to play there are some fundamental steps that need to followed: Golf AFL Basketball.

Hockey The athletes has to fulfil the fitness standard of the team he is returning to. The athletes need to pass some skill specific test applicable to Netball his playing position The players then egin pract gwlth the te m Exposure to the match situation ould be g adual with the Golf match time gradual y Increase. Cricket AFL Basketball.

Hockey MONITORING Monitoring athlete, Ell-being is essential to guide training and to detect any progression towards negative Netball Golf health outcomes an associated poor performance There are a number of external Aoad quantifying and monitoring tools- Power output measuring devgc Time motion analysis Cricket I Internal load unit measures- Heart rate Blood lactate training impulses AFL -1 Basketball.

Hockey Other monitoring tool: Heart rate recovery Neuromuscular function Netball Biochemical/hormonal/immuniological assess ent Questionnaires and diaries Injuries Psychomotorspeed Cricet Sleep quality and quantity Golf AFL Basketball.

Netball Cricket Athlot'rq Hockey Golf Spotting AFL Basketball.