Rehabilitation Procedures

Rehabilitation Procedures

  • Progressive mobilisation
  • Graduated exercise (stretching, conditioning, total body fitness)
  • Training
  • Use of heat and cold

Progressive Mobilisation

  • The RICER means of management is effective in restoring mobilization and preventing re-injury.
  • The injured area isn’t forced to quick movements at once, rather, the process begins with gradual and small movements.
  • The progression is continued until the site of injury is stored back to normal.

Graduated Exercise

  • Stretching
    • Required for full healing of injured sites without scarring.
    • Effective in reducing muscle tension and increasing circulation.
    • Routines should include static and PNF stretches with rest intervals to avoid stress.
  • Conditioning
    • Gradual pain-free movement can be taken once the swelling starts to reduce.
    • Required in order to restore muscle functions to the pre-injured state.
    • A gradual progression towards regular activity can strengthen the muscles surrounding the injured area.
    • Muscle atrophy can also be prevented.
  • Total Body Fitness
    • Regaining the state of fitness reached prior injury.
    • Training routines to promote the development of pre-injury fitness state can be introduced, however, ensuring pain free mobility is a must before returning to the regular exercise routines.
    • Gradual endurance building exercises in intervals and progressions can prevent stress injury and re-injury.


  • Involvement in physical activities and restoration of total body fitness to pre-injury state:
    • Cardiovascular endurance
    • Muscular endurance
    • Muscular strength
    • Flexibility
  • Once the total body fitness is restored, movements should become pain free in terms of warm-up, skills and tactics.
  • Athletes can be supervised in the lower divisions until they are confident to return to large impact matches.

Use of Heat and Cold

  • Heat
    • Focused on increasing flexibility. blood flow and tissue healing
    • Reduces joint stiffness and muscle spasm
    • Generally used before stretching
    • Should not be used first 2-5 days post-injury
  • Cold
    • Used in first 2-3 days in RICER management, immediately after an injury
    • Reduces swelling, muscle spasm, pain and inflammation
    • Ice and ice packs are the simplest forms of cryotherapy
    • Often used on injured areas after rehab exercises are performed