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Restore to an appropriate level of competitive fitness
Each program must be individualized Programs influenced by
› Severity of injury› Stage of tissue healing› Type of treatment› Sport demands
Restore of function in the shortest time possible
Be aggressive, without causing harm Involve athlete with team Program needs to be progressive Use variety of equipment
Treat the cause not only the symptoms Fail to focus on all muscles involved,
and only a single muscle Fail to improve and correct technique,
anatomical misalignment and biomechanics
Must be realistic Must be reachable
If you don’t know where you are goingyou’ll end up someplace else
- Yogi Berra
Joint stability / structural integrity› Surgery› Immobilization,
bracing Decrease pain,
inflammation and swelling› RICE› Modalities
ROM and flexibility› Stretching
exercises Muscular strength
› Resistance training
Muscular endurance› Bike, jog, run
Speed› Bike, jog, run
Muscular Power› Plyometrics › Power lifts
Agility, coordination and sport specific skills› Balance › Sport drills
Maintain cardiovascular Endurance › Should begin immediately› X-training- bike, swimming, UE ergo
Symptoms› Inflammation,
swelling and loss of function
Goals› Decrease pain,
swelling and inflammation
› Increase ROM› Maintain strength of
unaffected limb X-over effect
› Maintain cardiovascular conditioning
Examples› Immobilization
Braces Crutches
› Isometric exercises› Cross Train
Bike or pool› Modalities
Muscle Stimulation RICE
Symptoms› Pain and swelling
are controlled› Immobilization is
not necessary Goals
› Restore ROM› Increase muscle
strength› Begin to work on
muscle endurance and power
› Maintain CV fitness
Examples› Passive, active and
resistive exercises› Cross training
Bike Pool
› Modalities Muscle stimulation Thermotherapy
before therapy session
Cryotherapy after therapy session
Symptoms› Tissue repair and
remodeling is occurring
Goals› Functional exercise› Sport Specific skills› Correct technique
and biomechanical problems
› Restore balance and proprioception
› Evaluate the need for protective taping, bracing or padding
› Return to Play
Examples› Strength training
continues to progress› Heel raises, single leg
stands› Balance boards› Plyometrics› Sport drills › Return to practice› Return to competitive
event› Modalities
Ultrasound Massage
Overload › To facilitate
improvement the system involved MUST be progressively CHALLANGED Implement by
increasing: Resistance Repetitions Sets Rate / intensity Duration
SAID Specific Adaptations
to Imposed Demands Principle of Specificity
› Conditioning program are specific to the type of stress applied during competition
› Practice how you want to perform