Interventions for Musculoskeletal Impairments

Three Categories of Interventions

  • Remediation - consists of enhancing skills and resources or reversing impairments and assumes that the potential for change exists in the system and the person

  • Compensation/Adaptation - refers to the alteration of the environment or the task and is the approach taken when it is determined that remediation is not possible

  • Prevention - refers to the management of anticipated problems

Components of Interventions

  1. Coordination, communication, and documentation

  • Other healthcare providers, insurers, pt./client, others involved in care

  • Ensure a continuum of care

  • Includes - documentation, patient care conferences, referrals, d/c planning, record reviews

  1. Patient related instruction

  • Impart info. and developing skills to promote independence / allow care to continue after discharge

  • Educate pt. family members, care givers etc.

  • Written verbal, pictures, audiovisual, HEP

  1. Direct interventions

  • are selected based on findings of examination and evaluation

  • Are performed with or on the patient

Components of a Rehab Program

  • ROM - PROM, AAROM, AROM, Stretching, TERT, Jt. mob/manipulation, MET

  • MM strength - Isometric, Concentric, Eccentric, Isokinetic, Stabilization, Functional strengthening programs

  • Functional movement patterns - Gait progression as appropriate, Closed chain kinetic exercise, Dynamic NM and agility drills, Full speed, functional type movement, Interval sports program

  • Conditioning - Aerobic, Anaerobic, HIIT (Review these)

  • Neuromuscular control - Eccentric training, high rep. low rest interval training, Plyometric training

  • Balance training - Kinetic chain progression, eyes open — closed, stable —- unstable surfaces, self —- external perturbation, single —- multiple planes/mov’t