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know anatomical structures of knee & ankle, know basic concepts of all units, difference between meniscal repair and meniscectomy
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What is the primary responsibility of the clinician approach to rehabilitation?
design, implement, and supervise rehab plans
When does rehabilitation begin?
immediately after injury
What are 3 approach components for rehab?
control pain and inflammation, maintain or improve ROM, restore and increase strength
Because of the competitive nature of sports, what must rehab be?
aggressive
What does training and conditioning limit?
the possibility of injury
What are the major components of rehab programs?
minimize initial swelling and control pain
What does minimizing swelling do?
speeds the healing process
What is neuromuscular control?
mind’s attempt to teach the body conscious control of a specific movement
What is proprioception?
joint position sense
What is kinesthesia?
ability to detect movement
What is kinesthesia and proprioception mediated by?
mechanoreceptors in muscles and joints, and cutaneous, visual, and vestibular inputs
What does neuromuscular control rely on?
CNS, to integrate all areas to produce coordinated movements
Where are joint mechanoreceptors?
ligaments, capsules, menisci, and labrum
What are joint mechanoreceptors responsible for?
changes to joint position, pressure, touch, and temperature
What are the muscle mechanoreceptors?
muscle spindles and golgi tendon organs
What are muscle spindles?
sensitive to changes in length of muscle
What are golgi tendon organs?
sensitive to changes in tissue tendons
What is the important component of all strengthening and prevention programs?
core
What is core defined as?
lumbo-pelvic complex
What does core improve?
What are physiological movements?
result from active voluntary muscle contractions
What are accessory motions?
one articulating surface moves relative to another
What happens if physiological movements are restricted?
stretching can increase flexibility
What happens if accessory motions are restricted?
joint mobilization increases capsular and ligamentous
Where should ROM be when working on strength?
pain-free
When are isometrics performed in a rehab program?
early part following period of immobilization
What are concentric contractions?
shortening of muscle
What are eccentric contractions?
lengthening of muscles
What do isokinetic exercises use?
fixed speeds
What do isokinetic units measure?
torque, force, average power, and work ratios