Kinesiology 4 week treatment plan for injury

KINE 3320 Final Project

Name:

Injury:

Healing Phase

Treatment

Session Treatment(s) Outcome(s) of treatment Treatment Parameters

Goal(s)

Addressed

Cryotherapy - intermittent

compression (GameReady),

elevation

decrease pain, decrease swelling,

reduce metabolism and limit

secondary injury

20 minutes, mid-compression 1,2

Biphasic e-stim over calf muscle reduce subacute edema 20 minutes, motor level, long phase duration

250 μs, pulse frequency <10pps, duty cycle

50%

2

Premodulated e-stim decrease pain via the gate theory high pulse rate (120 pps), sensory level, short

phase duration (<100 µs) for 30 minutes

1

Pulsed US aid in ligamentous healing Pulsed US 3MHz 0.8 W/cm² for 4 min 3

Cryotherapy - cold whirlpool +

ROM exercises

cryokinetics, allow exercise pain-

free

20 minutes in a ice bucket at 50 degrees 3,4

Cryotherapy, IFC e-stim decrease pain & swelling from

exercises, prevent formation of

swelling, disinhibitory effect

20 minutes, at sensory level over the ankle

joint

3,5

Russian restore normal strength of peroneal

muscles

Over peroneal muscle belly, 10 sec on, 30 sec

off, at strong motor level, perform active

eversion with it with thera-band

4

Achilles tendon stretch prevent adhesion, regaining ROM Using a towel, 3 sets of 30 sec 4

EXAMPLE

lateral ankle sprain, 4 days old

1

2

3

4

5

6

Proliferation

Inflammatory /

Proliferation

KINE 3320 Final Project

Thermotherapy - moist heat pack

increase blood flow to the area,

decrease pain 20 minutes 3

Continuous US

aid in ligamentous healing, tissue

elongation Continuous US 3MHz 1.3 W/cm² for 7 min 3

Joint Mobilizations increase pain-free ROM

Subtalar (posterior) and distal tibfib (posterior)

joint mobilizations, 3 sets of 20-30 repetitions,

Level III 4

Balance Exercise restore normal proprioception,

regain strength

Single leg balance for 20 sec on the floor,

progress to foam if easy. 4

Goals:

1)

2)

3)

4)

5)

Use the SMART acronym for writing your goals:

To restore normal ROM (> 30° in dorsiflexion, WNL in others), strength back at least 4/5, and proprioception WNL compared to the unnjured side.

To disinhbit AMI so that we can maximize the excitable neuron pool

10

11

12

To decrease the patient's pain to less than 4/10 on the 1-10 scale.

7

8

9

To decrease the amount of swelling in the patient's ankle by 2 cm.

To assist the tissue in healing by providing an optimal environment for healing to take place by preventing any set-backs by protecting the joint and

aiding in creating optimal metabolic conditions.

Proliferation /

Maturation

KINE 3320 Final Project

Specific (what is the main outcome?)

Measurable (…to increase ROM by 10 degrees)

Attainable (is your goal realistic?)

Relevant (does your goal matter? Is it a "good" goal?)

Time (…reach a 10 degree increase in ROM after 3 treatment sessions)