Lower limb muscle tear protocol
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This is a staged protocol designed to guide the management of a simple muscle tear. These injuries are common in sport and are often poorly managed. Understanding how management fits in with the physiology of healing assists.
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3. Aerobic exercises to improve cardiovascular endurance, with recommendations on intensity, duration, frequency and other variables from organizations like ACSM.
4. Neuromotor exercises to improve balance, coordination, and motor skills through tasks like standing on unstable surfaces and functional activities.
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This document discusses different types of voluntary movements used in physical therapy exercises. It classifies exercises as free, assisted, assisted-resisted, or resisted based on whether they work against gravity or an external force. Free exercises involve a patient's own muscular efforts without assistance or resistance and are used to improve relaxation, muscle tone, coordination, and confidence. The document outlines techniques for performing free exercises and their effects, including relaxation, joint mobility, muscle power/endurance, neuromuscular coordination, and confidence building. It also describes how exercises impact circulation and respiration by increasing heart rate, blood pressure, respiration rate, and blood flow to active tissues.
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This document discusses different types of voluntary movements used in physical therapy exercises. It classifies exercises as free, assisted, assisted-resisted, or resisted based on whether they involve gravity, external assistance, or resistance. Free exercises work against gravity alone and are used to improve relaxation, muscle tone, coordination, and confidence. They can help cure or rehabilitate patients, though some patients may be unable to perform them. The document outlines techniques for free exercises and their effects, including improved relaxation, joint mobility, muscle power, neuromuscular coordination, and confidence. It also describes circulatory and respiratory changes that occur with exercise like increased heart rate, blood flow, and respiration to meet tissue needs and regulate functions.
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Lower limb muscle tear protocol
- 1. LOWER LIMB MUSCLE TEAR PROTOCOL Stage 1 2 sessions β’ ACUTE INFLAMMATORY NECROTIC PHASE β’ Day 0-Ββ3 β’ Immobilisa7on, ice and rest helps control ini7al bleeding and inflammatory response, protects from further mechanical insult β’ I session is required for acute care. A second followup session if imaging is required or DVT risk β’ Followup call to pa7ent next day or review app. Statement of advice emailed to pa7ent next day if necessary. β’ Management -Ββ Complete rest, non weigtbearing if possible, boot?, Strapping, ice, compression, immobilise muscle in painfree lengthened posi7on if possible. Adust painfree lengthened posi7on day 2. Stage 2 2-Ββ3 sessions β’ LATE PART OF INFLAMMATORY PHASE BEGINNING OF PROLIFERATIVE PHASE β’ Day 4 β’ Early mobiisa7on promotes more capilliary ingrowth as well as bePer muscle fibre orienta7on β’ 2 -Ββ 3 supervised sessions are required to teach exercises, ensure that volume is appropriate and technique is correct. Some support tape may be required. β’ Management -Ββ Teach pain free stretch, exercises to maintain fitness, incuding upper body and core strength program, massage to uninvolved part of muscle, strapping , unassisted ambula7on if painfree, stretching to uninjured musles Stage 3 2-Ββ3 sessions β’ REGENERATIVE/REPAIR/PROLIFERATIVE PHASE β’ Approximately day 7-Ββ10 β’ No pain with moderate stretch and normal amula7on β’ Early mobilisa7on promotes more capilliary ingrowth as well as bePer muscle fibre orienta7on β’ Visits 2-Ββ3 are required for exercise prescrip7on to ensure volume is appropriate and to ensure technique is correct, massage to affected muscle, β’ Basic concentric and eccentric strengthening for involved muscle including use of pilates bed, general strengthening and more advanced cardiovascular condi7oning, stretching to uninjured muscles. Stage 4 3 sessions β’ CONTINUATION OF THE REGENERATIVE PHASE AND START OF THE REMODELLING PHASE β’ Approximately day 14 -Ββ 21 β’ Progression of weight training to func7onal and ac7vity specific ac7viites including co-Ββordina7on drills and plyometrics β’ 3 visits are required for exercise prescrip7on to ensure volume is appropriate and to ensure technique is correct, massage to affected muscle Stage 5 1 session β’ FITNESS TEST β’ Approximately day 21 -Ββ 35 β’ 1 visit is required for fitness test -Ββ check range, concentric/eccentric strength, func7onal strength, sports specific ac7vity