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Pre & Post Rehabilitation

Prehabilitation of injuries

Prehabilitation or ‘Prehab’ has now been recognised as being much more important than that post rehabilitation. The aim of prehab is to prevent injuries from occurring in the first place, so many sports teams are now turning towards a solid foundation of prehab work for all their athletes to prevent injuries and keep players on the field.

Contact Pivotal Motion Physiotherapy today to book an appointment with our physiotherapists on 07 3352 5116.

A familiar story in the physiotherapy clinic is “I’ve just started back at…” Or “I want to get back in shape so have begun…” or “I decided to start a new program as my training was becoming stale” and “now I have something wrong with my …”.

So, if you are looking to start a new exercise program, get back into exercise or simply want to make sure that you are doing exercise in a safe and effective way, then a quick review with a physiotherapist before is recommended.

Physiotherapists are very well trained in the field of prehabilitation and work closely with their patients to address and correct functional deficiencies in movement patterns which are likely to lead to injury. This approach to physiotherapy is vital for people who wish to stay on their feet year-round.

As we age there is a general decline in physical function and independence of daily living. This is a natural aging process and is not something that can be reversed.

  • Prehabilitation has been shown to decrease the functional decline in the aging population.
  • A tailor-made, physiotherapy guided exercise program can provide consistent benefits to balance, strength, mobility and overall physical performance.
  • The program works by targeting identified sensory and strength deficits following a thorough assessment by a physiotherapist.
  • Increased physical performance leads to a greater independence and satisfaction, allowing you to continuing living your life and participating in the activities you want to.

Prehab is also used when preparing people for elective surgery (e.g. total hip or knee replacement, ACL reconstruction). It has been shown that those who participate in a prehab program have significantly better outcomes then those who do not.

  • Immediately post-surgery patients are often delirious, fatigued and lethargic due to the anaesthetic and other medication used in the procedure.
  • Pain is also be a big factor after extensive surgery, as there is significant tissue disruption.
  • Preparing patients for these occurrences and giving them appropriate coping strategies has been shown to improve both physical and mental outcomes.
  • Physiotherapists can educate patients on what is involved in the surgical procedure, what to expect immediately post and give a clear direction of staged recovery.

As a part of the rehabilitation, patient’s will also begin an exercise program to ensure they are at their strongest and functionally at their peak.

  • There is always a decline in strength and function post-surgery.
  • Adequate improvements beforehand will ensure a better outcome immediately post.
  • The exercises performed pre-surgery will also be used as post-rehabilitation exercises and having prior familiarity with the exercises in your post-rehab program will make for a speedy recovery.

It is well researched and shown that participating in a prehabilitation program has far better outcomes for patients physically, mentally and often allows them to return home in a shorter period of time.

“having prior familiarity with the exercises in your post-rehab program will make for a speedy recovery”

Post-rehabilitation

Post rehabilitation of injuries is the fine art of enhancing and restoring full function after injury or accident. Whilst the body has a natural healing process to repair damaged tissues, this process can create problems of its own, rehabilitation is a way of optimising results.

Immediately after an injury has occurred there is often an inflammatory process which can cause pain, swelling and bruising. This inflammatory process is to help provide the injured tissue with cells to promote healing. From here the body begins to compensate for the damaged part of the body, through altered movement patterns in walking, mobilising stairs, standing up, etc… These compensations are to offload the injured area and avoid pain. Unfortunately, they increase the load for other parts of the body that are often not used to what is being asked of them despite often being pain free. This is when there can be secondary complications that may remain long after the damaged tissue has been repaired.

Rehabilitation can often be divided into 4 stages;

Stage 1: Restriction phase

  • Understand pathophysiology and educate patient on healing processes
  • Protect injured tissue by limiting load to injured area
  • Reduce swelling and pain
  • Ice, compression, elevation, manual therapy
  • Gentle range of motion exercises within pain limitations
  • Cardiovascular fitness maintained through swimming or stationary cycling
  • AVOID PAIN and RESTORE PAIN-FREE RANGE OF MOTION

Stage 2: Restoration phase

  • Restore flexibility through thorough stretching program at and around injured area
  • Increase muscle conditioning through addition of resistance and overall workload on the muscles (gradual increases allow for appropriate tissue healing)
  • Functional exercises should be commenced
  • Focus on correct technique, loading and alignment with all exercise
  • Can progress from walking to jogging to running to progress cardiovascular fitness
  • RESTORE FULL RANGE OF MOTION and PROGRESS STRENGTH

Stage 3: Reacquisition phase

  • Restore muscle strength and progress endurance through activity/sport specific drills
  • Large focus on motor control, stability and balance exercise
  • Begin to work on agility and activity/sport simulated tasks
  • Focus conditioning specifically for the level and type of exercise patient is returning to
  • Build confidence in movement patterns and motor function
  • RESTORE MUSCLE FUNCTION and PREPARE FOR RETURN TO ACTIVITY/SPORT

Stage 4: Return to full function
Before returning to full activity levels look for;

  • Pain-free full range of movement
  • Minimum pre-morbid muscle strength and endurance
  • Tissue has completed healing process
  • Nil swelling or pain with current activity level
  • Balance and stability regained with function activities
  • Biomechanical issues addressed and no longer present
  • Cardiovascular fitness adequate
  • Psychologically ready to return to regular activities

Physiotherapists are professionals at analysing human movement and identify movement patterns that can lead to injury. We are specially trained at prescribing a carefully constructed, individualised rehabilitation program you can be sure will help you to achieve better outcomes in terms of independence, functionality and quality of life. These programs are targeted to promote healing in the damaged tissues, as well as, address any other areas for concern caused by compensatory movement patterns.

For rehabilitation to be effective, patient and therapist need to work closely together to ensure safe and progressive loading of the injured tissue. After a thorough assessment key target areas of decreased function are identified and treatment is directed at correcting these issues back to baseline.

Often, there is an underlying cause for why the injury has occurred in the first place and returning back to baseline is only half the job. Further corrections are often made to address biomechanical deficiencies to maximise the bodies performance. This is usually made up of a combination of physiotherapy treatment techniques that are specifically tailored to meet the needs and demands of the patient’s body.

These techniques often include, hands on manual therapy, biomechanical technique correction, targeted exercise programs, advice and education on activity modification and adjunct therapies like dry needling or cupping. The aim of these interventions is to correct deficiencies in your movement restore appropriate function and ensure that there is no recurrence of the injury in the future.

Still need that physiotherapy appointment? Pivotal Motion is here to take your call 07 3352 5116.

Our Brisbane Physio Services

We offer comprehensive full-body physio Brisbane wide, providing relief to both young and old. Whether you’re a professional sports player, have had surgery or an office worker looking to treat your aching muscles, we go above and beyond to get you feeling better sooner.


Everyday Physiotherapy

At Pivotal Motion, our ultimate goal is to restore your body so it’s fully functional and feeling better than it was before.

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Exercise Classes

Keeping your body fit, healthy and fully functional goes far beyond standard physio practices, which is why we provide exercise classes.

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Sports Physiotherapy

Sports Physiotherapy is the branch of the physio which addresses, diagnoses and treats athletic injuries.

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Hire a Sports Trainer

When it’s vital that your team are healthy and well, both on the field and off it, a sports trainer is an essential addition to your arsenal.

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Physiotherapy for teenagers

Tricky teens are no problem for our team at Pivotal Motion Physiotherapy.

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Pre-Employment Assessments

Some employers require a work fitness assessment to ensure their potential employees are physically capable of performing the tasks required in the role.

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Workcover Physiotherapy

After an injury, nothing can worsen the situation like the bill, especially if you are prevented from working.

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Pre & Post Rehabilitation

Prehabilitation of injuries Prehabilitation or ‘Prehab’ has now been recognised as being much more important than that post rehabilitation.

Find out more

Enhanced Primary Care

The road to recovery can be longer than we expect, as we don’t often realise the full extent of our injuries, or what is required to correct them.

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HCF More for Muscles Program

Initial consults are the first step towards achieving better overall health as issues and injuries are identified and examined.

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