muscles. Muscular strength, endurance and power are redeveloped while flexibility andcardiovascular fitness are maintained. Precipitating factors are identified and addressed tominimize reinjury. (1) To understand, grade and treat injuries the physician needs to identify the tissues involved.This chapter focuses on muscle-skeletal injury and rehabilitation of bone, ligament, muscle,tendon, connective tissue and neuromuscular structures combining to produce coordinated,purposeful movement. The treatment of other injuries is covered in relevant chapters. The healing process involves inflammatory, repair and remodeling phases. There aredetrimental effects of immobilization, muscle wasting and weakness and subsequent jointdamage. This leads to further immobilization and reflex inhibition ‘a vicious circle’. Earlymobilization is usually indicated.Lack of motion of joints results in shortening of capsular and other connective tissuestructures supporting the joint, loss of lubrication and alternating compression between jointsurfaces deprives articular cartilage of nutrition.(2) There are detrimental systemic effects of immobilization, these begin within hours andbecome clinically important within days. They include cardiovascular deconditioning, nervoussystem depression, skin sores gastrointestinal complaints (constipation), thromboembolicgenesis, bone resorbtion and respiratory impairment.(3) Thus the expression ‘MOVE IT ORLOSE IT’ An understanding of the sport or activity is required, many injuries are sport specific andcommunication is enhanced if the physician has some basic knowledge of the sportsrequirements. ‘Profiling’ is a concept that matches an individuals physiognomy with the typeof athletic activity and in team sports their role.1 Kulund ‘The Injured Athlete’ Lippincott 19882 C Hubley-Kozey et al.1994.Rehabilitation Principles and Techniques.In JC Delee et al EdsOrthopaedic Sports Medicine Chapter 6 p 184-207.Saunders Philadelphia3 Krusen’s Handbook of Physical Medicine and Rehabilitation 3rd Ed Saunders1971
Team ApproachRehabilitation is facilitated by a team approach. The basic team comprises in order of importance
The injured athlete.
The physical therapist- physiotherapist have the most scientific training (other types