{"id":1994,"date":"2024-06-12T18:27:46","date_gmt":"2024-06-12T18:27:46","guid":{"rendered":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/?p=1994"},"modified":"2024-06-13T00:52:47","modified_gmt":"2024-06-13T00:52:47","slug":"pre-hab-and-rehabilitiation-interventions","status":"publish","type":"post","link":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/pre-hab-and-rehabilitiation-interventions\/","title":{"rendered":"Pre-hab and Rehabilitiation Interventions"},"content":{"rendered":"<p>Pre-hab is becoming more of a fitness buzzword as the worlds of physical therapy and personal training collide. We understand that rehabilitation is the process of returning to a healthy and functional physical state from an injured or unhealthy one. Pre-hab, on the other hand, is the attempt to prevent injury in the first place by ensuring that mobility, stability, flexibility, and strength are equally addressed and c0-existing in harmonious balance.<\/p>\n<p>Professional trainers should be aware of two key\u00a0<em>intervention<\/em>\u00a0factors when a client\u2019s<a href=\"https:\/\/personaltrainertoday.com\/foreshadowing-can-prehab-prevent-rehab\"><strong>\u00a0Pre-habilitation<\/strong>\u00a0and\u00a0<strong>Rehabilitation<\/strong><\/a>\u00a0efforts or concerns arise:<\/p>\n<ul>\n<li>Prospects for a personal trainer to work with a\u00a0<em>Pre-habilitation<\/em>\u00a0or\u00a0<em>Rehab<\/em>\u00a0client are fairly high.<\/li>\n<li>The number of specialty surgical procedures is growing faster than the USA\u2019s annual population growth.<\/li>\n<\/ul>\n<p>As one (1) data point for the magnitude of pre-habilitation and re-hab regimens, about\u00a0<a href=\"https:\/\/www.medrxiv.org\/content\/10.1101\/2020.11.26.20239228v1.full\" target=\"_blank\" rel=\"noopener\">ten percent of Americans<\/a>\u00a0aged 65 or higher undergo surgery\u00a0<em>every<\/em>\u00a0year.<\/p>\n<h3>Key Differences<\/h3>\n<p>Consideration should be taken when selecting approaches for pre-hab and rehab, and understanding their distinction. Certainly, we should aim to employ techniques that mitigate stress and promote a client\u2019s quality of life.<\/p>\n<ol>\n<li>\n<h4><strong>Habilitate\u00a0<\/strong>literally means: \u201cto equip, make fit, or capable.\u201d<\/h4>\n<\/li>\n<\/ol>\n<p>Depending on the specific nature of a client\u2019s interest, desire, or need for habilitation, a trainer may singly or in combination:<\/p>\n<p>a. help the client offset her or his expected de-conditioning in stamina or strength parameters<\/p>\n<p>b. listen to, and posture to support a client\u2019s dietary and lifestyle changes, such as smoking cessation or moderated drinking of alcohol<\/p>\n<p>c. serve as a good listener and wellness advocate to help the client establish a \u201crace plan\u201d for what, in some cases, seems like a marathon.<\/p>\n<p>&nbsp;<\/p>\n<p><img decoding=\"async\" class=\"size-medium wp-image-63775\" src=\"https:\/\/nfpt.com\/wp-content\/uploads\/Couples-PT-REHAB-PREHAB-123rf-300x157.jpg\" alt=\"Elderly Man And Woman Exercising On Gymnastic Balls During Physiotherapy Session At Hospital\" width=\"300\" height=\"157\" \/><\/p>\n<h4>\u00a02. Pre-hab Interventions<\/h4>\n<p>Trainers may face either or both of these \u201cpre\u201d-\u00a0interventions\u00a0for a client:<\/p>\n<p>a.<strong>\u00a0<a href=\"https:\/\/personaltrainertoday.com\/the-4-keys-to-injury-prevention-programming\">Injury prevention<\/a><\/strong><\/p>\n<p>That adage about an ounce of prevention is more valuable than a pound of cure is relevant. These questions serve as a generic pre-habilitation checkout:<\/p>\n<ul>\n<li>\u00a0 \u00a0 Does a client\u2019s posture or exercise form suggest a need for corrective exercises?<\/li>\n<li>\u00a0 \u00a0 Is a client\u2019s warm-up and dynamic stretching appropriate for a specific workout and periodization?<\/li>\n<li>\u00a0 \u00a0Has a client experienced and shared evolving aches or pains that could become chronic, if not buffered?<\/li>\n<li>\u00a0 \u00a0Has a client\u2019s \u201c\u2018psychosocial\u201d situation changed? Remember that there is\u00a0<em>no pain without brain<\/em>.<\/li>\n<\/ul>\n<p>b.\u00a0<strong>\u00a0Whole-body and mind \u201cbuffers\u201d<sup>1<\/sup><\/strong>\u00a0before invasive medical or physical procedures.<\/p>\n<p>We professionals should be ready to intervene during and after stressful events that can trigger a client\u2019s decline in physical and\/or mental functions. We can be enablers for \u201chealth optimizing\u201d behaviors of our clients. As one professional team<sup>2<\/sup>\u00a0offered, it is very good for a client to \u201c<em>Have Process Awareness before the Knife<\/em>.\u201d<\/p>\n<h4>3. Rehabilitation<\/h4>\n<p>Trainers should be prepared, if requested, to address a client\u2019s impairments that result from treatment. One prominent \u201crehab\u201d goal is to help a client resume her or his activities of daily life (ADL)\u00a0 without compromise. Our awareness of episodic or enduring symptoms can abet a client\u2019s recovery and resumed \u201cADLs.\u201d<\/p>\n<p>Major invasive surgery has unfortunate likelihoods of post-operative complications and dampened quality of life. Minor elective surgery or chronic joint pain present lesser, yet still significant issues for us professionals to situationally address.<\/p>\n<p><a href=\"https:\/\/nfpt.com\/resources\/client-screening-questions\" target=\"_blank\" rel=\"noopener\">A qualified exercise professional<\/a>\u00a0might possibly help a client prevent certain elective procedures or can help with response interventions before and after a procedure or injury is deemed necessary.<\/p>\n<ul>\n<li>Cancer and Osteopathic surgical procedures often come to mind if a pre-habilitation or rehabilitation concern is raised.<\/li>\n<\/ul>\n<p>As invasive surgery for cancer or orthopedic procedures involves the catabolic breakdown of tissue and higher oxygen needs, a client\u2019s anxiety and\u00a0<strong>stress<\/strong>\u00a0must be a habilitative factor to address or overcome. Indirect support or direct efforts by a professional trainer for surgical rehabilitation may possibly\u00a0<em>reduce<\/em>\u00a0the client\u2019s odds for post-procedure complications.<\/p>\n<p>Yet, eye surgeries and general internal procedures also have high age-dependent incidences in our adult population. \u201cWear and tear\u201d\u00a0 conditions, ranging from shin splints or plantar fasciitis to osteoarthritic joints to tennis or rower\u2019s elbows may also lead t0 a client\u2019s request for counsel about habilitation.<\/p>\n<p>If one takes a broad definition of therapeutic\u00a0<a href=\"https:\/\/www.apta.org\/patient-care\/interventions\" target=\"_blank\" rel=\"noopener\">intervention<\/a>, it extends\u00a0<em>beyond<\/em>\u00a0surgeries for the physical or medical conditions of a client.<\/p>\n<p>This author was told by an orthopedic surgeon about his rotator cuff injury,<\/p>\n<p>\u201cthe best time to choose elective surgery is when you can\u2019t\u00a0<strong><em>not<\/em><\/strong>\u00a0have surgery.\u201d<\/p>\n<p>(I was thankfully able to avoid shoulder surgery with a planned pre-habilitation regimen of stretching and tailored resistance work.)<\/p>\n<h4>Summary<\/h4>\n<p>Getting sidelined by a medical or physical condition is\u00a0<em>not<\/em>\u00a0fun for either a client or a professional trainer. Yet, when the sideline signal arises, situational and prudent actions by a trainer can help a client return to action.<\/p>\n<p>Prudent \u201cpre-hab\u201d interventions may situationally avert surgical or extended therapeutic \u201ccures.\u201d Counteracting a client\u2019s natural misalignment or weaknesses is a worthy pre-habilitation goal for ADL.<\/p>\n<p>If a client experiences a chronic physical stressor or is diagnosed with the need for corrective surgery, a trainer should be equipped to intervene on a client\u2019s behalf to assist in recovery efforts for resumed ADL.<\/p>\n<h4>References<\/h4>\n<p>1) BMJ 2017; 358:j3702<\/p>\n<p>2)Perioper Med (Lond). 2017 Jun 20;6:9.<\/p>\n<div class=\"et_pb_row abfd_et_pb_row\">\n<div class=\"et_pb_column\">\n<div class=\"abfd-container\">\n<p>&nbsp;<\/p>\n<div class=\"abfd-photograph\"><img decoding=\"async\" src=\"https:\/\/secure.gravatar.com\/avatar\/4c89f533081a30ae830857851e9e5d74?s=96&amp;d=mm&amp;r=g\" alt=\"Dave Frost\" \/><\/div>\n<p>&nbsp;<\/p>\n<div class=\"abfd-details\">\n<div class=\"abfd-name\"><a href=\"https:\/\/personaltrainertoday.com\/author\/davefrost\"><br \/>\nDave Frost<\/a><\/div>\n<div class=\"abfd-biography\">\n<p>Dave Frost has served the fitness community as a NFPT-certified CPT since 2013, and a Master Fitness Trainer since 2019.<br \/>\nAs a Medicare-aged baby boomer, he specializes in training those clients who intend to stay \u201cwell past forty\u201d.<br \/>\nHe is a former world champion in Masters Rowing and National Indoor Rowing champion for his age group. He is also a group fitness instructor for The Row House. His website is https:\/\/wellpastforty.com. Dave recently published his work: KABOOMER: Thriving and Striving into your Nineties to promote those intending to add years to their lives and life to their years.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Pre-hab is becoming more of a fitness buzzword as the worlds of physical therapy and personal training collide. We understand that rehabilitation is the process of returning to a healthy and functional physical state from an injured or unhealthy one. Pre-hab, on the other hand, is the attempt to prevent injury in the first place [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1995,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[24],"tags":[],"class_list":["post-1994","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-latest-blogs"],"_links":{"self":[{"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/posts\/1994","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/comments?post=1994"}],"version-history":[{"count":2,"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/posts\/1994\/revisions"}],"predecessor-version":[{"id":2109,"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/posts\/1994\/revisions\/2109"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/media\/1995"}],"wp:attachment":[{"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/media?parent=1994"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/categories?post=1994"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/demo-websitedesigns.com\/david-frost\/v1\/wp-json\/wp\/v2\/tags?post=1994"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}