Individualized Rehabilitation Protocols and the Backward Design Process

Dr Lionel Chia joins Chelsea and Dan to bring his 2022 article in JOSPT, Beginning With The End In Mind: Implementing Backward Design To Improve Sports Injury Rehabilitation Practices, to life.

Lionel outlines 4 categories to consider when planning return to sport and performance: (1) deconstructing goals, (2) determining key performance indicators, (3) assessing the challenge point, and (4) using the control-chaos continuum to guide interventions.

We work through examples of why and where to use the concept of backward design during rehabilitation.

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RESOURCES

Find Lionel's paper here: https://www.jospt.org/doi/10.2519/jospt.2022.11440

More on designing effect exercise progressions during rehabilitation (Blanchard & Glasgow): https://pubmed.ncbi.nlm.nih.gov/28756390/

More on motor learning and the challenge point—where effective practice occurs: https://pubmed.ncbi.nlm.nih.gov/15130871/

The control-chaos continuum and progressing rehabilitation (Taberner and colleagues): https://pubmed.ncbi.nlm.nih.gov/30737202/