Introduction to Therapeutic Exercise

what is therapeutic exercise?

systematic and planned performance of bodily movement, posture, and physical activities.

why do we do therapeutic exercise?

- remediate impairment

- restore function

- prevent disability

- reduce health related risk factors

- optimize health status

what are the aspects of function?

- cardiopulmonary fitness& rehab

- flexibility/ mobility

- muscle performance

- stability

- neuromuscular control

- postural equlibrium

example of cardiopulmonary fitness & rehabilitation?

aerobic conditioning, breathing exercise

examples of flexibility and mobility?

stretching, ROM, mobilization

example of muscle performance?

muscle strengthening, endurance, and power.

example of stability?

- static and dynamic spinal column

- AKA core stability

example of neuromuscular control/ condition?

timing and sequencing of muscle firing

example of balance/ postural equilibrium?

comes under the umbrella of coordination

during therapeutic exercises, how are stress/ force applied?

- controlled

- progressive/ graded

- appropriately applied

what does it mean to have a controlled force?

- control with alignments stability and assistance to prevent injury.

who is responsible to ensure control is maintained?

the therapist

what does applying a progressing or graded force?

changing demands

what are some way we can change demand?

- add or subtract resistance

- change surface

- move different range

- use in functional task

- decrease/ increase assistance

you should always use the correct exercise or activity according to?

diagnosis and recovery stages

the body develops and adapt in response to what?

forces and stress placed on it

what occur if normal stress are absent?

body may degenerate, deform, or become prone to injury

what occur with abnormal and repetitive stress?

gets deformity, pain and dysfunction

effectiveness of exercise depends on?

- patient active involvement

- patients education

what are three technique PTA use to educate the exercise to the involved patient?

verbal

visual

tactile

how do you verbally educate a patient?

explain, question, discuss

how do you visually educate a patient?

demonstrate, use pictures and models.

how do you use tactile to educate a patient?

guide, control, correct, stabilize, assist

what are good communication skill?

- ask appropriate questions

- listen to the answer

- use info to provide effective treatment..

what is an open ended question?

a question that invites a wide range or response.

what is the purpose of an open ended response?

open up discussion, give freedom to talk and involvement

what is a pause?

intentional period of silence

what is the purpose of a pause?

give other chance to think and respond.

what is a reflective statement?

a statement that describe and reflects on a feeling/ emotion.

what is the purpose of a reflective statement?

identify emotion and understanding

what is a neutral phase or question?

a question or statement that encourages other to elaborate.

what is the purpose of a neutral phase or question?

get others to tell more about the subject.

what is a brief assertion?

a short statement, sound, or gesture to show involvement

what is the purpose of a brief assertion?

encourage other to continue

what is a summary statement?

brief statement in your own word, of what content of what was said

what is the purpose of a summary statement?

- check understanding and show you're listening

what is a close ended question?

question that gives a "yes" or " no" response

what is the purpose of a close end response?

find out specific details, direct discussion

what is a loading question?

rhetorical question- no answer needed

what is the purpose of a loading question?

verify assumption, or threatening

what does the NAGI model show?

pathology -> impairment -> functional limitation -> disability

what does the ICF model show?