Integrated Approach of Using Open and Closed Kinetic Chain Rehabilitation for Neuromuscular ...

132 Pages·2012·12.15 MB·English

by  James Jorstad

Thank You
Thanks to CU SPORTS MEDICINE

SYMPOSIUM for the kind invitation to
participate in this course.

It is indeed an honor and privilege to be

invited to participate and share
information.
George J. Davies, DPT, MED, PT, SCS, ATC, LAT,
CSCS, NASM-PES, NASM-CES, ACSM-CET, APTA-
CCI, SMAC, (REMT), FAPTA

Professor of Physical Therapy, AASU, Savannah, GA. (2004- )
Professor Emeritus UW-LaCrosse, WI. (1975-2004)
Consultant, Clinician, Co-Director Clinical and Research Services– Sports
PT Residency Program , GLSM, La Crosse, WI. (1995-present)
Sports PT, Coastal Therapy, Savannah, GA. (2004- present)
Past President Sports Physical Therapy Section – APTA (1992-1998)
JOSPT - Co-Founder & Co-Editor, 1979
JOSPT - GJD-JAG Excellence in Clinical Research Award, 2004
Fellow, APTA, 2005, Hall of Fame Award, SPTS-APTA, 2006
NATA, President’s Award, 2007, NATA, Most Distinguished Athletic
Trainer, 2009
Sports Health - Co-Founder & Co-Editor, 2009
Disclosures:

Associate Editor, Sports Health

The following companies have
provided research equipment
support to Biodynamics & Human
Performance Center-AASU:

Arthrometrics, Atlanta, GA.
Biodex, Shirley, N.Y.
CDM Sport/Monitored Rehab
Systems, Fort Worth, TX.
ERMI, Atlanta, GA.
ExerTools, Petaluma, CA.
Innovative Sports Inc, Chicago, IL.
TheraBand, Hygenic Corporation,
Akron, OH.

No Conflicts
Integrated approach of

using open and closed
kinetic chain
rehabilitation for
neuromuscular dynamic
stability of the shoulder
Evidence-based

design of
therapeutic
exercise
programs for the
shoulder
complex
Major Trends

All aspects of

the
rehabilitation
program must
be
“FUNCTIONAL”

Major Trends

+ + +
Analogy:
When you build a house, you
want a solid Foundation

Foundation
THERAPEUTIC EXERCISES

Muscle Activation/Motor
Control/Learning
vs
Muscle strength, power,
endurance
vs
Neuro-muscular dynamic stability
vs
Functional Specificity
Rehabilitation Phases and Key
Motor-Learning Principles in Each
Phases Acute Subacute Chronic
Task Discrete Discrete/ Discrete/
Characteristics Serial Serial/
Continuous
Practice Blocked Blocked Random or
Schedule Random/
Blocked
Skill Part/ Part/ Part to
Whole
Progressive- Progressive-
Part Part
Feedback KP and KR KP and KR Intrinsic
Feedback