Kines test 6: Concept of Function

Function

the ability of an individual to move sufficiently & complete a task or goal as desired

Factors that impact function

Impairment

Activity Limitation (difficulty with body system such as ROM)

Participation restrictions (difficulty with occupational roles/task)

Therapeutic exercise

application of movement to create structural and functional improvements that decrease participation restrictions

(must be sequential with logical progression, involved continual eval. and application of theory and skill, must consider healing phase, function, lifespan limitations such as age, clinical picture, comorbidities, roles, goals

SAID principle

“Specific Adaptations to Imposed Demands”

When the practitioner designs the program to progressively and safely overload the damaged structures in functional patterns

• dictates that the body adapts in specific ways to the demands placed upon it. Essentially, what you train is what you become better at.

Wolff’s law

there is a relationship between the form and function of bone that is controlled by physical laws

• describes how bones adapt to the mechanical stresses they experience

What is the goal of rehabilitation?

To move the client from impaired to baseline

What is the goal of advancement?

To move client from baseline to ideal

Basic components of Therapeutic exercise

Specificity

Individuality

Intensity

Overload/progression

Specificity

the ultimate goal of exercise is move function to desired level

Individuality

exercise program designed for specific client presentation

Intensity

elicits a physiological response to the exercise

Overload/progression

safely overload/push the damaged structures

Arthrokinematic movements

movement on joint surfaces of roll, glide, spin

Osteokinematic movements

movement of bones

*ex. flexion, extension, abduction, adduction, internal rotation, external rotation, etc.

Functional Progression

• advancement of skill and function to get client to desired level

• requires creativity of the therapist for progression and exercise modification

Domains of the OTPF related to functional mobility

• ADL’s (functional mobility)

• IADL’s (driving and community mobility)

• Client factors (body functions)

• Performance skills (body structures + motor skills)

• Occupation and activity demands (space demands)

• Interventions to support occupations (preparatory methods)