ABSTRACT
The general goal of any treatment and rehabilitation plan is the return of the athlete to their prior level of competition, as soon as possible. Figure 31.1 depicts an idealized healing curve and rehabilitative program using various therapeutic exercises, modalities, manual skills, and other interventions. Functional progression is used to move the athlete through the recovery process, maximizing function and minimizing reinjury. Phase I (injury period) consists of reduction of the inammatory process; Phase II (reparative period) promotes optimal healing through therapeutic exercises that are functionally progressive, specic, and balanced. Functional exercises must be constantly monitored and modied during this period to prevent reinjury and/or an increase in inammation. Phase III (recovery period) is a period of strength and conditioning during which the athlete prepares for entry into regular training and competition. A monitored, functional
31.1 Introduction ......................................................................................................................................................................315 31.2 Rehabilitation Principles ...................................................................................................................................................315 31.3 Referral to Physical Therapy ............................................................................................................................................316 31.4 Modality Use in Sports Injury Management ....................................................................................................................316 31.5 Therapeutic Exercise ........................................................................................................................................................318 31.6 Return to Participation ......................................................................................................................................................319 31.7 Summary ..........................................................................................................................................................................319 Acknowledgments ..................................................................................................................................................................... 320 References ................................................................................................................................................................................. 320
TABLE 31.1 Key Clinical Considerations
progression of sport-specic and general tness activities advances the athlete through levels of training. The result is a gradual return to individual or team competition (Figure 31.1).
