Isokinetic employs a method unique in our world. Each of our patients are assigned a 'Case Manager' - a doctor who will oversee their entire rehabilitation process. This includes creating a customised rehabilitation programme, overseeing frequent testing to monitor progress and alerting patients to any potential problems they may encounter.
To learn more about the Case Manager, please watch the video.
In addition to assigning paients a Case Manager, we try to break the rehabilitation process down into five distinct phases. This helps both patients and doctors to easily track progress made and define objectives on the path to full recovery.
More information on the five phases is available below.
Reduction of pain and swelling
The first phase of rehabilitation focuses on the reduction of pain and swelling in the injured area.
The rehabilitator may use either exercise, physical therapy, manual therapy or a combination of these methods. During this phase, rest and the application of ice are also essential.
The use of these different therapeutic techniques represents a valid and effective addition to more traditional treatment methods such as the use of drugs. Furthermore, these techniques play a key role in facilitating further work of the care team.
Restoration of joint mobility and range of motion
The goal for the second phase of rehabilitation is to restore the full range of motion to a joint, or to restore a specific movement without causing sensations of pain.
During this phase, the rehabilitator will use various techniques, including joint mobilisation and muscle stretching. Work to achieve joint mobility should be started as soon as possible in order to obtain a complete recovery.
This phase is fundamentally down to the experience and skill of the rehabilitator – taking an overly aggressive approach could actually increase inflammation, hindering recovery, while excessively cautious tactics can cause stiffness in joint articulation.
Recovery of muscle strength and endurance
The third phase’s objective is to restore muscle strength and help re-build endurance. The rehabilitator will gradually build up muscle strength through load progression to avoid any potential overloading issues.
From the outset, this stage focusses heavily on endurance and aerobic capacity.
The importance of quantitative measurement is prevalent here as progress is measured through isokinetic tests and functional assessments.
Recovery of co-ordination
The purpose of this phase is the recovery of co-ordination.
Each lesion in the musculo-skeletal frame causes alterations to the body’s proprioceptive mechanisms, i.e. the mechanisms that allow us to sense the spatial positioning of our limbs.
This proprioceptive rehabilitation framework is not based on time, quality or quantity of training, but is instead down to the skill and experience of the rehabilitator. It is important during this phase for the rehabilitator to adapt the training to the individual and their specific pathology and goals.
Recovery of sport-specific technical movements
The fifth and final phase of rehabilitation is the retrieval of complex movements specific to the patient's sport or activity.
This part of recovery often takes place on the field.
Again, this phase does not follow a stringent routine, but instead is adjusted from day-to-day by the rehabilitator in relation to the individuals unique responses to training.