- Reduce tissue temperature, pain and swelling
- Reduce metabolic demands of the tissue
- Prevent further injury
- Promote collagen growth and realignment
- Maintain cardiorespiratory and musculoskeletal activity
Acute Inflammatory Stage - PRICE
Protection - Prevents worsening of injury
Rest - Avoids pain from movement. Complete immobilisation is not indicated to prevent significant loss of ROM. Even for grade III injuries a functional splintage is strongly suggested.
Ice - Reduces pain. Application of ice should be for 10-30 minutes wrapped in cloth to avoid cold injury. Repetition can be as frequent as required, providing the affected part is fully warmed back to body temperature.
Compression - Provides comfort by limiting movement and reducing swelling, although should be applied so as to not reduce blood flow.
Elevation - Helps to reduce swelling, especially with the affected part above heart level.
Rest - Avoids pain from movement. Complete immobilisation is not indicated to prevent significant loss of ROM. Even for grade III injuries a functional splintage is strongly suggested.
Ice - Reduces pain. Application of ice should be for 10-30 minutes wrapped in cloth to avoid cold injury. Repetition can be as frequent as required, providing the affected part is fully warmed back to body temperature.
Compression - Provides comfort by limiting movement and reducing swelling, although should be applied so as to not reduce blood flow.
Elevation - Helps to reduce swelling, especially with the affected part above heart level.
Sub-Acute Proliferation & Remodelling Stage
Active rehabilitation:
- Electrotherapy (for example ultrasound for collagen synthesis)
- Manual therapy (for joint pain)
- Restore mobility and prevent joint deformity
- Progressive loading to begin to restore strength and improve joint stability
In the remodelling stage:
- Deep tissue frictions
- Electrotherapy (for example ultrasound to enhance tensile strength and scare mobility)
- Manual therapy (for joint stiffness)
- Progressive mobilisation and strengthening exercises
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