Treatment FAQ

when rehabilitating a musculoskeletal injury, what is the proper progression of treatment?

by Brannon Goldner Published 3 years ago Updated 2 years ago

The three phases of healing of soft tissue injury include the inflammatory response phase, fibroblastic-repair phase, and maturation-remodeling phase. Injuries to muscles involve a similar process as just described, but unique to muscles are satellite cells, which are muscle-specific stem cells located on the border of muscle fibers.

The 4 Stages of Complete Rehabilitation
  1. Rest and Protect the Injury. The first stage of recovery is all about minimising further damage and letting the body begin the healing process. ...
  2. Recover Your Motion. ...
  3. Recover Your Strength. ...
  4. Recover Your Function.

Full Answer

What is musculoskeletal rehabilitation?

A musculoskeletal rehabilitation (rehab) program is a doctor-supervised program designed for people with impairments or disabilities due to disease, disorders, or injury to the muscles, tendons, ligaments, or bones. Musculoskeletal rehab programs can often improve the person's ability to function, reduce symptoms, and improve the person's well ...

How can the rehabilitation of an injury be successful?

Apr 13, 2019 · Minimal to no limitation in ambulation. Minimal limitations, may be able to participate by using equipment (wraps, bracing, taping) 2. Torn muscle/tendon fibers, palpable depression in the area of injury, some degree of disruption of the muscle-tendon unit. Pain with active contraction of the muscle-tendon unit.

What is the goal of muscle and tendon injuries?

When rehabilitating a musculoskeletal injury, what is the proper progression of treatment? A normal range of motion of a joint must be restored before and concurrently with strengthening exercises before rehabilitation. Limb endurance and proprioception follow in …

What are the 4 stages of recovery after an injury?

Proper progression of treatment when rehabilitating a musculoskeletal injury. Single-Leg hopping. What would be a functional skill for the patient in an ankle rehabilitation program. Effeurage. What type of massage technique utilizes to induce a sedative effect? Proprioception.

What are the five stages of rehabilitation?

Stages of Rehabilitation
  • Phase 1 - Control Pain and Swelling.
  • Phase 2 - Improve Range of Motion and/or Flexibility.
  • Phase 3 - Improve Strength & Begin Proprioception/Balance Training.
  • Phase 4 - Proprioception/Balance Training & Sport-Specific Training.
  • Phase 5 - Gradual Return to Full Activity.

What are the 4 phases of rehabilitation?

The 4 Stages of Physical Rehabilitation Treatment
  • The Recovery Stage. The first stage of physical rehabilitation is the Recovery Stage. ...
  • The Repair Stage. After the healing process has begun, the next step is to start recovering movement and mobility. ...
  • The Strength Stage. ...
  • The Function Stage.
Oct 8, 2021

What are the three phases of rehabilitation?

Athletic trainers (ATs) have traditionally conceptualized rehabilitation programs in terms of 3 distinct physiologic phases: acute injury phase, repair phase, and remodeling phase.

What is the rehabilitation process?

Rehabilitation is the process of helping an individual achieve the highest level of function, independence, and quality of life possible. Rehabilitation does not reverse or undo the damage caused by disease or trauma, but rather helps restore the individual to optimal health, functioning, and well-being.

What are the stages of physical therapy?

THE FOUR PHASES OF PHYSICAL THERAPY ARE:
  • Acute Phase.
  • Intermediate Phase.
  • Advanced Strengthening.
  • Return to Sports.

What is the primary treatment in initial phase of rehabilitation?

Primary treatment in initial phase of rehabilitation is RICE. It is the term that stands for Rest, Ice, Compression and Elevation. RICE can be used immediately and 24 to 48 hours after many muscle strains, ligament sprains, or other bruises and injuries.

What are the 3 phases of injury?

Three Stages of Wound Healing
  • Inflammatory phase – This phase begins at the time of injury and lasts up to four days. ...
  • Proliferative phase – This phase begins about three days after injury and overlaps with the inflammatory phase. ...
  • Remodeling phase – This phase can continue for six months to one year after injury.

What is acute stage of injury?

The early stage of a soft tissue injury is known as the acute phase of injury and is the first 48 – 72 hours post injury. Common characteristics of this stage are pain, swelling, redness and loss of function.

What is phase 3 of an injury called?

Phase 3: Remodelling Phase

In this phase, your body starts to teach the scar tissue to behave like the tissue it has replaced. It produces new additional tissue to help strengthen and support the healed scar tissue so you can keep up with the demands of your normal physical activity.
Apr 28, 2021

What are the methods of rehabilitation?

The three main types of rehabilitation therapy are occupational, physical and speech. Each form of rehabilitation serves a unique purpose in helping a person reach full recovery, but all share the ultimate goal of helping the patient return to a healthy and active lifestyle.May 23, 2018

What is rehabilitation in health care?

Health care services that help you keep, get back, or improve skills and functioning for daily living that have been lost or impaired because you were sick, hurt, or disabled.

What are the principles of rehabilitation?

Principles of Rehabilitation
  • Promote Adaptation.
  • Emphasise Abilities.
  • Treat the Whole Person.
  • Time.
  • Educate.
  • People Centred Care.

What is the goal of rehab?

The goal of rehab is to help the persib return to the highest level of function and independence possible, while improving the overall quality of life — physically, emotionally, and socially. To help reach these goals, programs may include the following: Fitting and care for casts, braces, and splints (orthoses), or artificial limbs (prostheses) ...

What are the goals of exercise programs?

To help reach these goals, programs may include the following: Fitting and care for casts, braces, and splints (orthoses), or artificial limbs (prostheses) Exercise programs to improve range of motion, increase muscle strength, improve flexibility and mobility, and increase endurance.

How to improve ambulation?

To help reach these goals, programs may include the following: 1 Fitting and care for casts, braces, and splints (orthoses), or artificial limbs (prostheses) 2 Exercise programs to improve range of motion, increase muscle strength, improve flexibility and mobility, and increase endurance 3 Gait (walking) retraining and methods of safe ambulation (including the use of a walker, cane, or crutch) 4 Help with obtaining assistive devices that promote independence 5 Patient and family education and counseling 6 Pain management 7 Stress management and emotional support 8 Nutritional counseling 9 Ergonomic assessments and work-related injury prevention 10 Vocational counseling

What is the purpose of a cast, brace, orthose, or prosthesis?

Fitting and care for casts, braces, and splints (orthoses), or artificial limbs (prostheses) Exercise programs to improve range of motion, increase muscle strength, improve flexibility and mobility, and increase endurance.

What are the causes of tendon tears?

Tendon tears, such as Achilles tendon injuries and tears of the rotator cuff in the shoulder. Trauma injuries, such as sprains, strains, joint dislocations, and fractures. Repetitive stress injuries, such as tendonitis and carpal tunnel syndrome.

What is the goal of the chapter on muscle and tendon injuries?

The goal of this chapter is to aid the clinician in identifying and treating muscle and tendon injuries. Specifically, the objectives of this chapter are to ...

Where does injury occur in the muscle-tendon unit?

Injury to the muscle-tendon unit can occur within the body of the muscle or tendon or at their points of attachment. Frequently, the site of injury in the musculotendinous unit is at the MTJ. When injury occurs near the OTJ, an avulsion fracture may result, with the bony insertion separated from the bone ( Fig. 7-2 ).

How does injury affect joint mobility?

Injury to muscle and tendon structures can substantially affect individual joint mobility and stability. Furthermore, muscle and tendon injuries can alter movement of the entire body and ultimately limit functional participation in life activities. The goal of this chapter is to aid the clinician in identifying and treating muscle ...

What is the function of muscles and tendons?

Muscles are composed of contractile tissue and are responsible for creating and dissipating force while enabling voluntary movement of the body. Movement of the skeletal system is made possible through the connection of muscle to bone via tendons. Together, muscles and tendons form a complex unit known as the muscle-tendon unit.

What is the point of attachment between muscle and tendon?

The point of connection between muscle and tendon is the myotendinous junction (MTJ), and the point of attachment of tendon to bone is the osseotendinous junction (OTJ). The entire muscle-tendon unit works to produce controlled movement, as well as to stabilize and protect joints.

What is the impact of musculotendinous unit injury?

Therefore, when the musculotendinous unit sustains an injury, it often has an impact on joint stability and functional mobility. Injury to the muscle-tendon unit can occur within the body of the muscle or tendon or at their points of attachment. Frequently, the site of injury in the musculotendinous unit is at the MTJ.

What are the stages of soft tissue healing?

The stages of soft tissue healing consist of the inflammatory response phase, the fibroblastic-repair phase, and the maturation-remodeling phase. Although the literature reports variations in the exact time frames for each phase, these phases of healing overlap and the time frames serve as general guidelines for the clinician because each soft tissue injury varies in severity and in the individual’s response to injury.

What is the third phase of tissue healing?

The third phase is known as remodeling, in which there is an increased organization of extracellular matrix and decreased synthetic activity.

What muscles are used to strengthen the mid thoracic musculature?

stretching the anterior chest wall ( especially pectorals muscles) and strengthening the mid thoracic musculature (especially the rhomboids and middle trapezius) improve posture, and decrease pressure on the structures of the thoracic outlet.

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