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| REHABILITATION USING PLYOMETRICS | |||||||||||||||||||||
| The overall goal in the rehabilitation of athletes is to get them back to the condition they were in before the injury occured as quickly and safely as possible. Plyometric excerices uses all the elements of rehabilitation. These elements include balance, propioception, and kinesthetic awareness, as well as concentric and eccentric contractions at working speeds, using muscle control. Plyometric actions can be specialized to fit the rehabilatory needs of the athlete for his or her sport, position, and individualized movements. Plyometrics increases the awareness of the joint by increasing the sensitivity of the Golgi tendon organ (GTO) and the muscle spindles. This combined effect is very beneficial during rehabilitation because the athlete is able to protect against joint positions and motions where he or she is volnerable to injury. Plyometrics should be used with caution due to the forces exerted on injury. Progression should be monitored and implemented at a pace sutable to the specific athlete. Safety procedures: 1. Trainers and therapists should evaluate the setting where plyometrics are performed. The area should be clear of obstructions. Landing surfaces sould be modified with for shock absorption. 2. Emphasize quality and technique rather than quantity. 3. Describe and demonstrate the activity with emphasis on important phases. 4. Emphasize pain free motion. 5. Supply corrective feedback on technique. 6. Consider design and progression of program to provide additional safety. |
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| Exercise Progression | |||||||||||||||||||||
| Plyometrics programs should be started with a 5 min. period of warm-up followed by stretching of muscle groupes being rehabed. By decreasing rest periods or including plyometrics into circuit training routine the endurance can be increased. Initially one exercise period per week with progression to twice a week with aggressive plyometric conditioning. Plyometric programs become more advanced by increasing the intensity and level of difficulty. Examples: Small double and single leg hops the first week. Hopping on uneven surface, double to single leg or box lungs with alternating legs the second week. Hopping off varying heights of boxes and immediately hop again with both feet for the third week. |
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