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• Chapter 22 Rehabilitation and Reconditioning - Coggle Diagram
• Chapter 22 Rehabilitation and Reconditioning
Phases of tissue healing
Inflammatory Response Phase （Day 1 - 5)
Release of histamine & bradykinin = increased blood flow & capillary permeability causing edema
Pain, swelling, redness
Phagocytosis 吞噬作用 allows macrophage 巨噬细胞 release and debris removal
Goal: Maximal Protection
Prevent new tissue disruption
Treatment with physical agent use (ice, compression, elevation, electrical stimulation）
Isolated exercises targeting areas proximal/distal to injury
Fibroblastic Repair Phase (day 2 - month 2)
Catabolism and tissue replacement
Development of capillaries and connective tissue， Type III collagen randomly deposited, Weaker
Goal: Prevent atrophy, joint integrity maintenance
Low-load stress introduction without tissue disruption to promote collagen alignment
Strengthening and neuromuscular control of involved areas
Isometrics exercises or Submaximal isokinetic and isotonic exercise
Neuromuscular control:trampolines, balance boards, stability balls
formation collagen fibers that are disorganized.
Maturation-Remodeling Phase (month 2 - years)
Type I collagen production shift
With loading collagen fibers hypertrophy and align longitudinally, stronger
Goal: Tissue optimization and return to play
sport specific activity
Progressive tissue loading = collagen alignment & fiber hypertrophy
Damaged tissue rehabilitation should follow SAID
principle： Specific Adaptations to Imposed Demand