THER week 10

Activities of Daily Living - Definition

  • A series of basic activities performed by individuals on a daily basis necessary for independent living at home or in the community.

Activities of Daily Living – 6 Basic Categories ("BATTED")

  1. Bathing

    • Bathing/showering, grooming, nail care, and oral care.

  2. Ambulation

    The ability to walk independently from one location to another.

  3. Toileting

    • Both the mental and physical capacity to use a restroom, including the ability to get on and off the toilet and cleaning oneself.

  4. Transferring

    • Moving oneself from seated to standing, getting in and out of bed.

  5. Eating

    • The ability to feed oneself, though not necessarily the capability to prepare food.

  6. Dressing

    • The ability to make appropriate clothing decisions and physically dress/undress oneself.

Functional Training Exercise – Examples

  • Classification of exercise which trains the body for activities performed in daily life.

  • Generally, it involves movements that integrate multiple muscles rather than isolating individual ones.

Free Body Squats

  • Feet/Ankles

    • Feet positioned hip width apart, toes tracking straight ahead.

    • Weight is evenly distributed; focus on the lateral aspect of the foot and heel to prevent knee valgus collapse.

  • Knees

    • Knees track over the feet and align with hips.

  • Hips

    • Maintain neutral position, avoid external rotation.

  • Torso

    • Engage abdominals to support the lumbar spine.

  • Arms

    • Can be placed in front for counterbalance.

Lunges

  • Feet/Ankles

    • Step one foot forward in line with hips, toes tracking straight ahead.

    • Weight on the front foot for single-leg focus.

  • Knees

    • The front knee tracks directly over the foot; both knees are at 90 degrees flexion.

  • Hips

    • Keep hips neutral, avoiding external rotation.

  • Torso

    • Engage abdominals, keep upright without hinging forward.

  • Arms

    • Positioned on hips or out to the side for balance.

Stability Ball Hamstring Curls

  • Feet/Ankles

    • Back of both feet/lower leg on the ball.

  • Knees

    • Begin with slightly flexed knees, fully flexed in the end position.

  • Hips

    • Hips hover above the ground initially, extended at the top position.

  • Torso

    • Engage abdominals throughout to support lumbar spine.

  • Arms

    • Placed on the ground for stability.

Single-Leg Deadlifts

  • Feet/Ankles

    • Standing leg's foot tracks straight ahead; distribute weight evenly on foot.

  • Knees

    • Standing knee slightly flexed; avoid locking out.

  • Hips

    • Maintain hip hinge and avoid forward spinal flexion.

  • Torso

    • Keep a neutral spine; engage abdominals.

  • Arms

    • Can extend to the side or hold a weight for resistance.

Push Ups

  • Feet/Ankles

    • Position can vary; narrow increases difficulty.

  • Knees

    • Should remain soft, not hyperextended.

  • Hips

    • Keep aligned with torso, don't lead with hips during movement.

  • Torso

    • Maintain a neutral torso, lead with the chest to protect the back.

  • Arms

    • Hands positioned slightly wider than shoulder-width.

Bent Over Row

  • Feet/Ankles

    • Feet hip-width apart, toes tracking straight ahead.

  • Knees

    • Bent in a ¼ squat for stability and hip mobility.

  • Hips

    • Hinge forward at the hip joint; posterior gluteal push.

  • Torso

    • Keep straight, focus on neutral lumbar spine.

  • Arms

    • Hang naturally, elbows tight to the torso while rowing.

Lateral Band Walks

  • Feet/Ankles

    • Toes track straight; lift feet off the ground, avoid sliding.

  • Knees

    • Align with hips and ankles, avoid inward dropping.

  • Hips

    • Maintain slight flexion to activate gluteal muscles.

  • Torso

    • Keep neutral, hinge at hips without forward spine flexion.

Mobility Drills

  • Ankle Rockers

  • Spiderman Stretch

  • T-spine Mobility

  • Yoga Table

  • Wall Slides

  • [YouTube Links for Demonstrations]

    • Ankle Rockers: https://www.youtube.com/watch?v=YkilrKed0c4

    • Spiderman Stretch: https://www.youtube.com/watch?v=N73AnUp3m2w

    • T-spine Mobility: https://www.youtube.com/watch?v=1hhb1sb67Eg

    • Yoga Table: https://www.youtube.com/watch?v=twGnMnUapAs

    • Wall Slides: https://www.youtube.com/watch?v=nWaOi23tXeA