Phases of rehabilitation, strength and proprioception progressions, functional testing and criteria for safe return to sport.
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- What are the three classic phases of tissue healing used to guide a rehabilitation program?
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Inflammatory, proliferative (repair), and maturation (remodeling) phases.
- During the acute inflammatory phase of healing, what is the primary rehabilitation goal?
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Control pain and swelling while protecting the injured tissue.
- Approximately how long does the inflammatory phase of healing typically last?
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About 0 to 4 days after injury.
- What is the primary goal of the proliferative (repair) phase of rehabilitation?
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Restore range of motion and begin early, protected strengthening as new tissue forms.
- Approximately how long does the proliferative (fibroblastic repair) phase of healing last?
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Roughly 4 days to 6 weeks after injury.
- What is the primary goal of the maturation (remodeling) phase of rehabilitation?
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Restore full strength, power, and sport-specific function in preparation for return to play.
- What does the acronym PRICE stand for in acute injury management?
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Protection, Rest, Ice, Compression, Elevation.
- What does the newer acronym POLICE stand for in acute injury management?
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Protection, Optimal Loading, Ice, Compression, Elevation.
- Why did "Optimal Loading" replace "Rest" in updated acute injury management guidance?
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Controlled early loading promotes better tissue healing than complete rest.
- What is the SAID principle in rehabilitation?
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Specific Adaptation to Imposed Demands: the body adapts specifically to the type of stress placed on it.
- What training principle states that a tissue must be stressed beyond its current capacity to improve?
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The overload principle.
- What is the principle of reversibility (detraining) in rehabilitation?
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Gains in strength and conditioning are lost once the training stimulus is removed or reduced.
- In strength training progression, which comes first: isometric, isotonic, or isokinetic exercise?
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Isometric exercise.
- What is an isometric contraction?
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A muscle contraction that generates force without changing muscle length or joint angle.
- What is an isotonic contraction?
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A muscle contraction that generates force while the muscle changes length and moves a joint through a range of motion.