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Daily adjustable progressive resistance exercise technique D.A.P.R.E.

Daily adjustable progressive resistance exercise technique

D.A.P.R.E.

D.A.P.R.E. To Develop Strength
D.A.P.R.E. To Develop Strength

The athlete must perform some progressive resistive exercises on a regular basis if an increase of strength is desired

The D.A.P.R.E. technique takes advantage of the fact that strength can be redeveloped much more quickly than it was developed initially.

Patients perform maximal repetitions during their third and fourth sets, with the number or repetitions performed used as a basis for adjusting the resistance for the fourth set and next day, respectively.

Each side of the body should be worked independently

Prevents the injured limb from depending on the non-injured one It establishes a functional strength-development goal for the injured side.

D.A.P.R.E.
D.A.P.R.E.

Set

Portion of working weight used

Number of repetitions

1

1/2

10

2

3/4

6

3

Full

Maximum*

4

Adjusted

Maximum**

*The number of repetitions performed during the third set is used to determine the adjusted working weight for the fourth set, according to the guidelines in the next table

**The number of repetitions performed during the fourth set is used to determine the adjusted working weight for the next day, according to the guidelines in the next table

Adjustment of Working Weight
Adjustment of Working Weight

Number or repetitions performed during set

Fourth set*

Next day**

0-2

Decrease 5-10 lb. and perform the set over

Keep the same

3-4

Decrease 0-5 lb.

Increase 5-10 lb.

5-7

Keep the same

Increase 5-15 lb.

8-12

Increase 5-10 lb.

Increase 10-20 lb.

13 to…

Increase 10-15 lb.

 

Set

Portion of working weight used

Number of repetitions

1

1/2

10

2

3/4

6

3

Full

Maximum*

4

Adjusted

Maximum**

Number or repetitions performed during set

Fourth set*

Next day**

0-2

Decrease 5-10 lb. and perform the set over

Keep the same

3-4

Decrease 0-5 lb.

Increase 5-10 lb.

5-7

Keep the same

Increase 5-15 lb.

8-12

Increase 5-10 lb.

Increase 10-20 lb.

13 to…

Increase 10-15 lb.

 
Cryokinetics in Rehabilitation of Joint Sprains

Cryokinetics in Rehabilitation of Joint Sprains

Cryokinetics in Rehabilitation of Joint Sprains
Cryokinetics
Cryokinetics

Effects

Cold decreases pain Exercise increases blood flow Exercise reestablishes neuromuscular function

Cryokinetics  Effects    Cold decreases pain Exercise increases blood flow Exercise reestablishes neuromuscular

   
 

Cryokinetics

 
 
 

Advantages

Advantages
Advantages

Cryokinetics allows exercise much sooner than normally would be the case.

Cryokinetics retards muscular atrophy and neural inhibitions.

Cryokinetics reduces swelling dramatically through muscular “milking action”

You can progress at the patient’s speed

Cryokinetics
Cryokinetics

Disadvantages

Ice is very painful during the initial ice immersion.

Cryokinetics  Disadvantages  Ice is very painful during the initial ice immersion.
Cryokinetics
Cryokinetics

Indications

Ankle sprains Finger sprains Shoulder sprains Other joint sprains

Cryokinetics  Indications     Ankle sprains Finger sprains Shoulder sprains Other joint sprains
Cryokinetics  Indications     Ankle sprains Finger sprains Shoulder sprains Other joint sprains
Cryokinetics  Indications     Ankle sprains Finger sprains Shoulder sprains Other joint sprains
Cryokinetics
Cryokinetics

Contraindications

Do not perform any exercise or activity that causes pain

Do not use ice on a person who is hypersensitive to cold.

Cryokinetics  Contraindications   Do not perform any exercise or activity that causes pain Do
Cryokinetics
Cryokinetics

Precautions

Pain must be used as a guideline

With lower extremity injuries, patients may limp if not frequently reminded to refrain from limping.

There may be an increase in pain 4 to 8 hours after treatment.

Cryokinetics  Precautions    Pain must be used as a guideline With lower extremity
Cryokinetics
Cryokinetics

Equipment Needed

Slush bucket or ice packs

Toe cap Towel

Cryokinetics  Equipment Needed    Slush bucket or ice packs Toe cap Towel
Application Procedures
Application Procedures

Numb the Body Part

Use ice immersion, ice massage, or cold- pack application

Numbing generally takes 12-20 min.

The patients sensation is more significant than the time of application

Use a toe cap

Application Procedures
Application Procedures

Exercise the numbed body part

All exercise should be

Active

Progressive

Pain-free

Exercise should last 2 to 3 minutes, the duration of the numbness

Renumbing takes 3 to 5 min.

Begin with simple rang-of-motion activities and progress through full-sport activity.

With some injuries, progression through full-sport activity will take place in a single treatment session, while with others it may take weeks.

Exercise Progression For an Ankle Strain
Exercise Progression For an
Ankle Strain

Non-weight-bearing range of motion Weight-bearing Weight-bearing range of motion Walking Strengthening the ankle musculature Jogging Hopping and jumping Sprints Hopping and sprinting without ice application Team drills

Relieving Acute Muscle Spasm: Cryostretch

Relieving Acute Muscle Spasm: Cryostretch

Relieving Acute Muscle Spasm: Cryostretch
Cryostretch
Cryostretch

Combines three techniques for reducing muscle spasm:

Cold application Static stretching The hold-relax technique of PNF

Its purpose is to decrease muscle spasm, thereby allowing increased flexibility.

Is similar to cryokinetics in that exercise is performed while the body part is numbed.

Cryostretch  Combines three techniques for reducing muscle spasm:    Cold application Static stretching
Cryostretch  Combines three techniques for reducing muscle spasm:    Cold application Static stretching
Cryostretch
Cryostretch

Effects

Ice diminishes pain and muscle spasm Static stretching overcomes the stretch reflex, decreasing muscle spasm.

Relaxation is often greater after a near- maximal muscular contraction than it was before the contraction.

Cryostretch
Cryostretch

Advantages

The combination of the three components into one procedure is more effective than any of the parts independently.

Ice is relatively inexpensive; exercise is free.

Cryostretch  Advantages  The combination of the three components into one procedure is more effective
Cryostretch
Cryostretch

Disadvantages

Ice is painful to some people Melting ice can be messy.

Cryostretch
Cryostretch

Indications

Any muscle with residual muscle spasm First-degree muscle strain

A muscle that is stiff from prolonged disuse (immobilized)

Cryostretch  Indications    Any muscle with residual muscle spasm First-degree muscle strain A
Cryostretch
Cryostretch

Contraindications

Do not perform any exercise or activity that causes pain.

Do not use ice on a person who is hypersensitive to cold.

Cryostretch
Cryostretch

Precautions

Pain must be used as a guideline. The patient should not attempt to consciously or willfully overcome pain.

There may be an increase in pain 4 to 8 hours after treatment.

Muscles may tear or pull if the static exercise begins too quickly or suddenly. There must be a gradual build-up to a maximal conatraction.

Summary Of Cryostretch Technique
Summary Of Cryostretch
Technique

ICE - Until numb (20 minutes maximum) Exercise Bout

First Stretch

Total of 65 sec.

Static stretch

20 sec.

Isometric contraction

5 sec.

Static stretch

10 sec.

Isometric contraction

5 sec.

Static stretch

10 sec.

Isometric contraction

5 sec.

Static stretch

10 sec.

Rest - 20 seconds Second Stretch

(Same as first stretch)

Summary Of Cryostretch Technique       ICE - Until numb (20 minutes

Renumb with 3 to 5 minutes ice application Exercise Bout

Two stretches (65 sec.) with a 20 sec. rest between stretches

Renumb with 3 to 5 minutes ice application Exercise Bout

Two stretches (65 sec.) with a 20 sec. rest between stretches