Rehabilitation
The 10 Objectives of Rehabilitation
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Structural Integrity
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Pain-Free Joints and Muscles
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Flexibility
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Muscular Strength
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Muscular Endurance
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Muscular Speed
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Muscular Power (strength and speed)
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Integrated and Coordinated Movements (skill patterns)
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Agility (speed and skill)
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Cardiovascular Endurance
The Injury Process
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Primary Injury: Associated with the tissue destruction directly resulting from a traumatic force.
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Secondary Injury: Cell death caused by a blockage of the oxygen supply to the injured area (ischemia), or caused by enzymatic damage and mitochondrial failure. This cell death extends the injury responce process. Dead and damaged cells release their contents into the area adjaent to the injured site, and their presence causes an inflammatory reaction.
The Healing Process
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Acute Inflammatory Response: involves the migration of phagocytes and fibroblasts to the area and the formation of franulation tissue to isolate and localize the trauma. Histamine released from the cells increases capillary permeability, resulting in inflammation.
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Proliferation Phase: the number and size of fibroblasts increases, causing fround substance and collagen to collect in the traumatized area, preparing to rebuild the damaged tissues.
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Maturation Phase: involves the completion of the injury process, when collagen and fibroblasts align themselves and attempt to adapt to the original tissue orientation and function, although this does not always occur.
Possible Outcomes of the Injury Response Process
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Resolution: Dead cells and cellular debris are removed by phagocytosis.
The tissue is left with its original structure and function intact.
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Regeneration: The damaged tissue is replaced by cells of the same type.
The structure retains some or all of its original structure and function.
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Repair: The original tissue is replaced with scar tissue.
The original structure and function is lost. (Starkey, 2004)
