CSCS Chapter 22: Rehabilitation and Reconditioning
CSCS Study Guide Chapter 22

Get your copy of the NSCA CSCS exam cheat sheet. It helps immensely for studying for the exam.

Make sure to check out Trainer Academy for premium NSCA CSCS study materials. They will reduce study time by 50% and have an exam pass guarantee. Read my full review on them here. You can save $100 on their MVP study system with the code: PTPSUB

Chapter Goals

  • Find the members of the sports medicine team and the responsibilities they have during rehab and reconditioning.
  • Know the types of injuries in athletes.
  • Understand the Timing and events of tissue healing.
  • Know the goals of the phases of tissue healing.
  • Discuss the roles of strength and conditioning professionals in rehab and reconditioning. 

Sports Medicine Team Members

All team members are responsible for educating the coaches and athletes about the risks of injuries, treatments, and precautions.

A team physician is a person who provides medical care for organizations, schools, or teams.

The athletic trainer is the person responsible for day to day physical health of athletes. They are typically certified by the National Athletic Trainers’ Association Board of Certifications as an ATC (Certified Athletic Trainer).

A physical therapist is a person who studies orthopedics or sports medicine and plays a vital role in reducing pain and restoring function to athletes with injuries.

The Strength and Conditioning professional is certified as a CSCS by the NSCA to ensure they have the knowledge and background for rehabilitation.

An exercise physiologist has a background in exercise science that designs conditioning programs considering the body’s metabolic response to exercise and how that reaction can aid healing.

A nutritionist has a sports nutrition background that provides the guidelines for proper food choices for optimal recovery. The person is ideally a registered dietician.

The Psychologist or Psychiatrist is a licensed person with a background in sports that gives strategies to help injured athletes cope with mental stress from injuries.

Principles of Rehabilitation and Reconditioning

Healing tissues can’t be stressed too much.

Athletes need to meet the criteria to progress to the next phases in rehabilitation.

Rehabilitation programs are based on actual research.

Exclusive PTP CPT Offers


Gold Standard Cert
NASM Gold Standard Personal Trainer Certification - Save 25%<br />
Most Popular Cert
ISSA - Most Popular Online Personal Trainer Certification 3 Certs for
Best Study Materials
TA - Trainer Academy - Best Study Materials for Personal Trainer Certification Online - See MVP discount
A Good Option
ACE Certification- A Good Fitness Course Online Option - 25% off<br />
A Good Option
NCSF Certification - A Good Option - Save 25%
Best CPT for you?
Best CPT For You? Take the Personal Trainer Certification Online quiz and Get a Personalized Recommendation Just for You

Programs must be adaptable to people specific to their goals.

Rehabilitation is a team process for all sports medicine teams.

Communications

Strength and conditioning professionals need to know the diagnosis of injuries, forms of treatment required, and activities or practices prohibited due to injuries.

They also need to inform the whole sports medicine team about the exercises the athlete does and their response to them.

Types of Injuries

Macro trauma is the specific and sudden episodes of overload injury to tissues that result in disruptive integrity of the tissue.

Bone trauma can lead to fracture or contusion.

Trauma to joints is shown as a dislocation or subluxation and can lead to laxity or instability of the joint.

Ligament traumas are known as sprains and give classification based on severity.

  • First degree sprains are partial tears without joint stability.
  • Second degree sprains are partial tears with minor joint instability.
  • Third degree sprains are complete tears with full instability of the joint.

Musculotendinous trauma is either a contusion or a strain with three degrees of severity.

  • First degree is partial tears of individual fibers and strong painful muscle activity accompanies.
  • Second degree strains are partial tears with weak and painful muscle activity.
  • Third degree strains are complete tears of fibers and are shown by weak painless muscle activity.

Microtrauma happens from repeated abnormal stress on tissues from continuous training or training without resting enough.

  • The most common bone injury from overuse is a stress fracture.
  • Tendinitis is the inflammation that occurs in a tendon.

Tissue Healing

Inflammation is pain, swelling, redness, decreased collagen synthesis and increased inflammatory cells. This is the body’s reaction to injuries and is necessary for healing. Edema inhibits contractile tissues and may limit function.

  • This can last 2 – 3 days after acute injury but can be longer if there is a compromised blood supply or more severe damage.

Fibroblastic repair is shown with collagen fiber production, less collagen fiber organization, and fewer inflammatory cells. When inflammation ends, tissue repair begins and allows tissue replacement that isn’t viable after injury. This phase can start 2 days after injury and may take 2 months.

Maturation Remodeling has proper collagen fiber alignment and increased tissue strength. Weakened tissues that are produced during repair are strengthened during remodeling. Collagen fiber production shifts to type I collagen. This allows the new tissue to improve structure, strength, and function. This may last months or years following injury.

Goals of Rehabilitation and Reconditioning 

Healing tissues cannot be overstressed.

Exclusive PTP CPT Offers


Gold Standard Cert
NASM Gold Standard Personal Trainer Certification - Save 25%<br />
Most Popular Cert
ISSA - Most Popular Online Personal Trainer Certification 3 Certs for
Best Study Materials
TA - Trainer Academy - Best Study Materials for Personal Trainer Certification Online - See MVP discount
A Good Option
ACE Certification- A Good Fitness Course Online Option - 25% off<br />
A Good Option
NCSF Certification - A Good Option - Save 25%
Best CPT for you?
Best CPT For You? Take the Personal Trainer Certification Online quiz and Get a Personalized Recommendation Just for You

Inflammation Response Phase

The treatment Goal is to prevent the disruption of new tissues.

Rest includes RICE components and electrical stimulation to minimize tissue damage and pain.

Power, Strength, and Endurance of uninjured tissues, along with the cardiorespiratory system, must be kept up.

Exercise Strategies

Not recommended to involve the injured area.

Fibroblastic Repair Phase

The treatment goal is to prevent excessive muscle atrophy and deterioration of the injured area.

New weak collagen fibers should be protected by avoiding active resistive exercise.

Exercise Strategies

Should follow consultations with the team physician, the athletic trainer, and/or the physical therapist.

Submax isometric exercise.

Isokinetic exercise

Maturation Remodeling Phase

The treatment goal is to optimize the function of tissues while transitioning to return to activity.

Progress activities are done in the repair phase, and add more sport specific exercises.

Progressively loading tissues improves collagen fiber alignment and hypertrophy of fibers.

Exercise Strategies

Need to be functional and mimic the demands of the activity.

It should also resemble the speed during sports.

Closed Kinetic Chain

Exercises where the terminal joints meet considerable resistance prohibiting free motion.

  • A squat or a push up.

Open Kinetic Chain

Exercises using successively arranged joints where the terminal joint can move. They allow more concentration on isolated joints or muscles.

  • A seated Knee extension.

Resistance Training

Programs have been designed to assist program design for injured athletes.

DAPRE allows us to manipulate intensity and volume more.

Sports demands determine training goals.

Daily adjustable progressive resistance exercise (DAPRE) system

The first set requires 10 reps of 50% 1 RM.

The second set requires 6 reps at 75% 1 RM.

The third set requires max reps of an estimated 100% 1 RM.

These reps in the third set estimate the adjustments in resistance for the fourth set.

Aerobic and Anaerobic Training

Research hasn’t determined the best aerobic training program to use for rehabilitation. The programs need to mimic the sport and metabolic demands.

Reducing Risk of Injury and Reinjury

Previous injuries are one of the greatest risk factors in active people.

Decreased shoulder strength, scapular dyskinesis, and decreased glenohumeral range are the greatest risk factors for upper body injury.

Decreased lower extremity strength, Decreased control during jumping, and decreased balance are some of the greatest risk factors for lower body injury.

The side to side differences in functional and strength performance of less than 10% can be ok.

Check out Trainer Academy for the best CSCS study materials. They even offer an exam pass guarantee. They have incredible study materials for the CSCS and I have a special limited-time discount for my readers. I also suggest you check out my review on Trainer Academy here.

CSCS Chapter 22: Rehabilitation and Reconditioning 1
CSCS Chapter 22: Rehabilitation and Reconditioning 2
CSCS Chapter 22: Rehabilitation and Reconditioning 3

Tyler Read

Tyler Read, BSc, CPT. Tyler holds a B.S. in Kinesiology from Sonoma State University and is a certified personal trainer (CPT) with NASM (National Academy of sports medicine), and has over 15 years of experience working as a personal trainer. He is a published author of running start, and a frequent contributing author on Healthline and Eat this, not that.

PTPioneer Editorial Integrity

All content published on PTPioneer is checked and reviewed extensively by our staff of experienced personal trainers, nutrition coaches, and other Fitness Experts. This is to make sure that the content you are reading is fact-checked for accuracy, contains up-to-date information, and is relevant. We only add trustworthy citations that you can find at the bottom of each article. You can read more about our editorial integrity here.

Leave a Comment

Your email address will not be published. Required fields are marked *

Get The Sectret Cheat Sheet For The ISSA Exam

18749

NSCA CSCS exam cheat sheet

Get The Sectret Cheat Sheet For The CSCS Exam

18749

Get The Sectret Cheat Sheet For The ACSM Exam

18749

Get The Sectret Cheat Sheet For The ISSA Nutritionist Exam

18749

Get The Sectret Cheat Sheet For The NCSF CPT Exam

18749

Get The Sectret Cheat Sheet For The NASM CNC Exam

18749

Get The Sectret Cheat Sheet For The NASM PES Exam

18749

Get The Sectret Cheat Sheet For The NASM CES Exam

18749

Get the top 5 Tips for Passing the ACE CPT

18749

Get the top 5 Tips for Passing the NASM CPT

18749

Get The Sectret Cheat Sheet For The CSCS Exam

18749

Get The Sectret Cheat Sheet For The NSCA CPT Exam

18749

Get The Sectret Cheat Sheet For The ACE Exam

18749

Get The Sectret Cheat Sheet For The NASM Exam

18749
Scroll to Top