INTRODUCTION
Rehabilitation is the act of restoring something to its original state.
COMPONENTS OF REHABILITATION
M.E.A.T. increasing blood flow to enhance healing.
This is where the M.E.A.T. protocol comes in. This acronym stands for movement, exercise, analgesics and treatment. This protocol is centered around active care and implementing movement as soon as possible.
M.E.A.T. increases the flow of blood to injured areas in order to enhance the healing process. Soft tissue structures such as ligaments, tendons, and cartilage don’t get a lot of blood supply to begin with, so reducing blood flow with R.I.C.E. will prolong the healing process.
Injuries & Pathologies happen.
Treatment & Rehabilitation first priority.
Basic fundamentals of designing a rehab protocol to be clear.
Results should not be as per time basis but via patient’s response.
Patient’s Needs : Individuality to treatment, Prescription as per individual patient (Age, Gender, Lifestyle).
Patient’s current level of functioning.
Pathology Phases division :
Inflammatory(1) > Healing(2) > Back to work(3) > Specific Sports(4).
Aims & Objectives to achieve phase wise:
1. Inflammatory:
Less Scope of vigorous Exercises.
Reduce Inflammation & Swelling.
Focus on maintain available ROM.
2. Healing:
Focus on < inflammation.
Maintain ROM + Passive ROM exercises.
Isometric Contractions.
Pain regulation.
3. Back to work:
Gain max. ROM.
Strengthening via static + dynamic exercises.
Pain regulation.
Muscle Re-education.
4. Sports Specific Activities:
Advance Strengthening.
Training.
Time duration per phase:
Individual to patients (1 : 1 to 2 weeks, 2: 3 to 4 weeks, 3: 3 to 4 weeks, 4 : 2 to 4 weeks).
Exercise Prescription & Manual Therapy:
Specific to target area or muscle.
Use isometric + dynamic combinations as per requirements.
Use the FITT regime:
Frequency
Intensity
Time
Type
Take patient’s input max. number of times.
Demonstrate instead of instruct.
REHABILITATION PROCEDURE:
MODALITIES USE ONLY WHEN NECESSARY !!!
Modalities have their own importance > don’t exploit that.
You are a Physio not a technician.
