Physiotherapy and rehab
what is physiotherpay - Answer-o Treatment of disease or injury by physical methods and aided by education and advice.
what is rehabilitation - Answer-o The action of restoring health through training and therapy to its former condition.
what is needed to recommend ...
Physiotherapy and rehab
what is physiotherpay - Answer-o Treatment of disease or injury by physical methods and aided by
education and advice.
what is rehabilitation - Answer-o The action of restoring health through training and therapy to its former
condition.
what is needed to recommend physiotherapy/rehab - Answer-good understanding and application of
anatomy, biomechanics, tissue structure and tissue function
aims of physiotherapy and rehab
resulting in what - Answer-• Resolve pain
• Restore function
• Maximize function
• Resulting in:
o More symmetrical movement patterns
o More symmetrical and optimal posture
o Better core stability
o Better proprioception
acute phase of rehan - Answer-o Pain management
o Control inflammation, swelling and effusion
prolfierative phase of rehab - Answer-o Improve reduced ROM
o Re-establish muscle strength and flexibility
o Resolve functional losses
remodelling phase rehab - Answer-o Conditioning for exercise goals
o Sport specific demands
o Prevent re-injury
aims
exercise
physical therapy
manual therapy
modaliteis - Answer-minimise re injruy
maximise function
restore function
resolution of pain
how do we start
priority lisT? - Answer-• Faced with the patient in front of you, where do you begin?
o Thorough and systematic examination
o Record objective and subjective findings for comparison later
o Make a list of findings in order of priority
Usually the injured site is number 1
achieving normal function and form again - Answer-o Tailored, personalized and frequently reviewed
rehabilitation plan
o Set up 4-6 weeks of plan and then review, reviews more frequently if possible
, observational methods of IDing pain - Answer-o Lameness grading
o Functional tests
o Pain scales
WOMAC, KOOS, Facial grimace scale, ridden horse ethogram, composite pain scales
objective measures of pain - Answer-o Biomechanical analysis
Force mat/plate
Kinematic analysis
Inertial sensor systems
o Goniometry
o Pressure algometry
Resolution of pain - methods? - Answer-o Systemic or topical medications - NSAIDs, opioids,
neuromodulators, muscle relaxants
o Intra-synovial medications - IRAP, PSGAG, corticosteroids
o Cryotherapy
o Heat therapy (Laser, therapeutic US)
o Electrophysical therapy (TENS, ECSWT)
o Manual therapy (Massage, chiropractic, physical therapy, myofascial release)
how can we monitor pain in these patients - Answer-o Routine rechecks - perform sooner if there are
reported issues
Is the patient progressing as you would expect?
o Patients in the rehab clinic, re-evaluate weekly → patients at home every 2-4 weeks
options and considerations for rehabilitation - Answer-• Availability of options:
o Exercise program
o Physical therapy
o Manual therapy
o Modalities
• Considerations for time
• Considerations for expense
• Consider cost : benefit ratio
exercise - restoring function - Answer-walking programs
- can be done in hand or on treadmill
- improve muscular strength and endurance
- issues with horsewalker if unilateral strucutural injury
controlled progressive programmes
shorter duration high frequency
increase difficulty over time
- change surfaces esp for soft tissue
- inclinedownhill
- introduce bendinglateral
progress to higher speeds and intensities
pole work/cavaletti - restoration of function through exercise - Answer-walking ideally
when tissues are warmed up
challenges
Provide mental stimulation during walking exercise
Increase ROM of joints
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