SIDE NOTES #9 - Principles Pt.2: Recovery & the R.E.L.M Process
Apr 15, 2024
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This podcast delves into an alternative rehab process, R.E.L.M, for shoulder injuries. It explores the success and strength gained post-injury, sharing ways to use this method. The hosts are creating an online course to further support listeners at home.
Transitioning from R.I.C.E to R.E.L.M for shoulder injury recovery emphasizes active movement and gradual loading.
The REALM process focuses on individual pain perception, progressive loading, and functional movement post-injury.
Deep dives
The Journey of a Shoulder Injury
The podcast delves into the journey of a shoulder injury and the process of recovery. The host shares their personal experience of tearing a muscle in their rotator cuff while pushing their physical limits during climbing. This injury resulted in acute pain and limited shoulder mobility, leading to a significant need for recovery. Through various specialists and assessments, the host discovered the extent of the injury and embarked on a recovery process involving rest, exploration, progressive loading, and engaging in movement to facilitate healing.
Transition from RICE to REALM Approach
The podcast discusses a shift from the traditional RICE (rest, ice, compress, elevate) approach to a new paradigm called REALM (rest, explore, load, move). This updated approach emphasizes active recovery, exploring baseline capabilities, progressively loading the injured area, and engaging in movement without fear or compensation. The REALM approach aims to enhance recovery by focusing on individual pain perception, continuous assessment, and gradual strengthening to restore functionality and confidence in the injured area.
Three-Step Process for Loading and Recovery
The podcast highlights a three-step process for loading and recovery post-injury. The first stage involves isometric loading with static positions to initiate gentle stress on the injured area. Subsequently, the process advances to dynamic loading, incorporating more repetitions and varied movements to challenge the affected region further. Finally, the approach integrates volatility and variability, adding unpredictable elements to exercises to enhance motor control, strength, and adaptability. This strategic loading progression aids in building confidence, resilience, and physical intelligence during the recovery journey.
In Pt.2 of the shoulder discussion, we go over the principle of R.E.L.M and how to use it for recovery from an injury.
After a major shoulder injury back in early 2023, I decided to dive into a slightly alternative rehab process than the classically suggested R.I.C.E. After great success and feeling stronger than ever in my once injured shoulder, we share the general process and ways in which it can be used.
We are also working on an online course that can be accessed via our website to further support you at home.
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