Therapeutic Exercise Prescription Course Intro

Lecture Content: Problem Solving Framework: ICF

Problem Solving Framework 4 Step Process

  1. Problem Representation

  2. Solution Development

  3. Argument Construction

  4. Monitoring & Evaluation

1. Problem Representation

  • Identify the problem

    • What is the actual problem?

    • What is the patient unable to do and why?

    • Characteristics of the problem

      • Environmental considerations

      • Psychosocial considerations

  • Example Scenario:

    • Mr. Smith comes to the clinic with a complaint of inability to play with grandchildren due to frequent falls.

2. Solution Development

  • Brainstorm potential solutions

    • Encourage thinking outside the box

    • Importance of creativity and seeking diverse input

  • Research & Self-assessment:

    • Identify what has worked for similar problems

    • Gather evidence on effective solutions

    • Reflect on personal experiences:

      • What worked?

      • What did not?

  • Key Consideration:

    • If limited to 3-5 exercises for Mr. Smith, which would be most effective?

3. Argument Construction

  • Narrow down solutions:

    • Determine why one solution is preferable over others

  • Context considerations:

    • Address potential new issues arising from the solution

  • Exercise Prescription Application:

    • Explanation of why one exercise mode is superior

    • Determine optimal parameters for the exercise

    • Clarify the goal of the exercise program

4. Monitoring & Evaluation

  • Implementation:

    • Apply the intervention with the strongest rationale

  • Assessment:

    • Regularly evaluate if the solution is resolving the issue

    • Determine if modifications are needed

    • Decide when to try a different solution

    • Evaluate the solution's applicability to the population

  • Patient Engagement:

    • Importance of patient “buy-in”

    • Review goals/outcomes to objectively assess progress

International Classification of Functioning (ICF)

  • Overview:

    • A model for organizing and describing an individual's functional level and impairments

    • Systematic breakdown of issues to improve function and quality of life

    • Emphasizes a holistic approach to patient care

    • Source: (WHO, n.d.)

ICF Model Components

  • Health Condition

  • Environmental Factors

  • Body Functions/Structures

  • Activity

  • Participation

  • Source: (WHO, n.d.)