UNIT 2: Week 2

• Relative rest • Early mobilization • Early strengthening

• avoid tensile stress • maintain health of uninjured tissues through other forms of PA

• progressive, controlled ROM exercises performed in a pain free range

• promote collagen deposition along usual lines of stress • minimize risk of cross linking, adhesions or contractures • maintain CT, joint and muscle mobility • assist circulation

• PROM • AAROM • AROM

• begin with muscle in its inner range (shortened) • slowly mobilize towards outer range (stretched) • stop prior to pain

F: 3-5x /day I: pain free T: PROM, AAROM, AROM V: 1-3 x 5-10 reps P: increase volume, increase frequency, outer range

• progressive, controlled strengthening exercises performed in a pain free range

• avoid disuse muscle atrophy • maintain bone mineralization, circulation, connective tissue tensile strength, functional activity tolerance, muscular fitness neuromotor control • contribute to whole body adaptations

• develop strength in pain free position • re-establish neuromuscular control • minimize atrophy • promote circulation • may be done with or without equipment

• strength changes are angle specific • possible difficulty objectifying effort • possible breath holding during exertion • may not replicate function

• develops strength through full ROM • produce large amount of force (eccentric>concentric) • ease of objectifying effort • contributes to whole body adaptations

• greater metabolic cost (concentric>eccentric>isometric) • may require close supervision • may require equipment • risk of muscle soreness

• begin with muscle in inner range • voluntarily tense muscle • stop prior to pain

F: 1-3 x/day I: %MVC without pain T: isometrics V: 5- 10 reps x 5-10 s P: increase volume, multiple angles towards outer range

• begin with endurance FIT-VP • see chart from last week

• Criteria based rehab vs time based rehab • Value of eccentric loading for injury prevention