Grouped Exercise Testing & Prescription Strategies

Spasticity & Weakness

Includes: Stroke, Cerebral Palsy, SCI, MS, Guillain-Barré Syndrome

Testing for Spasticity & Weakness

ROM, isometric strength, 6MWT, TUG, Berg balance, FES/cycle ergometer

Aerobic Prescription for Spasticity & Weakness

2-5x/week, 20-40 min, RPE 11-13

Strength Prescription for Spasticity & Weakness

2-3x/week, 1-3 sets of 8-12 reps, NMES for weakness

Flexibility Prescription for Spasticity & Weakness

Daily, 30 sec holds, stretch spastic/contracted muscles

Balance/Coordination Prescription for Spasticity & Weakness

Constraint induced movement therapy, bimanual tasks, obstacle courses

Caution for Spasticity & Weakness

Spasticity, fatigue, autonomic dysfunction

Movement & Motor Disorders

Includes: Parkinson's Disease, Motor Neurone Disease, Post-Polio Syndrome

Testing for Movement & Motor Disorders

UPDRS, grip strength, stair climb, gait & fatigue testing

Aerobic Prescription for Movement & Motor Disorders

3x/week, walk/cycle, RPE 11-14

Strength Prescription for Movement & Motor Disorders

2x/week, low/moderate load, posture focus

Balance Prescription for Movement & Motor Disorders

Gait drills, turning, dual tasks

Caution for Movement & Motor Disorders

Fatigue, bradykinesia, fall risk

Cognitive & Psychological Impairments

Includes: Dementia, Alzheimer's, Depression

Testing for Cognitive & Psychological Impairments

Functional tests (TUG), dual tasks, mood/cognitive screens

Aerobic Prescription for Cognitive & Psychological Impairments

3-5x/week, walking or group-based, RPE 11-13

Strength Prescription for Cognitive & Psychological Impairments

2x/week, functional movements (e.g., sit-to-stand)

Balance Prescription for Cognitive & Psychological Impairments

Fall prevention focus, cue-based training

Caution for Cognitive & Psychological Impairments

Safety, motivation, supervision needs

Peripheral / Neuromuscular Disorders

Includes: Peripheral Neuropathy, Myopathies, Epilepsy

Testing for Peripheral / Neuromuscular Disorders

Pain/fatigue scales, ROM, sensory, respiratory muscle strength

Aerobic Prescription for Peripheral / Neuromuscular Disorders

Low-moderate, short bouts with rest

Strength Prescription for Peripheral / Neuromuscular Disorders

Low load, high reps, avoid overuse

Pain Modulation for Peripheral / Neuromuscular Disorders

TENS, graded exposure

Caution for Peripheral / Neuromuscular Disorders

Injury risk, thermoregulation, seizures