Handout 3 (Kin)

Question 1

What are the fundamentals of prescribing therapeutic exercise to your clients?

Answer 1

To help or prevent impairments.

Improve, restore or improve physical function.

Question 2

What are special considerations for giving a client Therapeutic Exercise?

Answer 2

Age, safety, ability, medications, coordination, mobility and flexibility, living space to perform.

Question 3

What are indications for stretching?

Answer 3

Limited ROM, Structural Deformities, MM weakness & shortening of opposing tissue.

Question 4

What could cause Limited ROM?

Answer 4

Loss of extensibility, contractures, (adaptive shortening)

Adheshions, Scar tissue.

Question 5

What are Determinants of stretching?

Answer 5

Alignment, Stabilization, Intensity, Duration, Speed, Frequency, Mode.

Question 6

What is Alignment during stretching?

Answer 6

…

Question 7

What is Stabilization during Stretching?

Answer 7

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Question 8

What is Intensity during stretching?

Answer 8

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Question 9

What is Duration during stretching?

Answer 9

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Question 10

What is Speed during stretching?

Answer 10

…

Question 11

What is Frequency during stretching?

Answer 11

…

Question 12

What is Mode during Stretching?

Answer 12

The 3 types:

Manual, Self, Mechanical.

Question 13

What is included in preparation for stretching?

Answer 13

Review goals and outcomes.
Select proper stretches and modes.
Explain procedure & obtain consent.
Warm up the tissue.
place client in stable / comfortable position.
Remove restrictive clothing, bandages or splints.
Assure client of tolerance level, make sure they are relaxed.

Question 14

What are general Precautions during stretching?

Answer 14

Do not force the joint past its ROM. 
Use caution with Osteoporosis. 
protect newly united fractures. 
apply techniques progressively. 
Avoid over-stretching Weak mm tissue.

Question 15

What is included in the Post Stretching?

Answer 15

Apply cold to minimize soreness ( make sure to cool mm in the lengthened position ).
Have client perform AF ROM to determine new ranges gained.
develop a balance of strength in the opposition of the stretch to help maintain target mm mobility and decrees imbalance.

Question 16

How could a client maintain ROM in-between treatments?

Answer 16

They could use home stretches.

Question 17

What is the “Overload Principle”?

Answer 17

This is when you use progressive overload to challenge the mm being worked on.
In strength training you increase the weight in increments.
In Endurance training you would increase the amount of time the muscles get used.

Question 18

What is Power within mm tissue?

Answer 18

This is related to speed and strength of movement = Work (Force X Distance) produced by a mm per unit of time.

Question 19

What is Strength within mm tissue?

Answer 19

The ability of contractile tissue to create tension and a resultant force based on the demands of the mm tissue.

Question 20

What is Endurance within mm tissue?

Answer 20

The ability to perform low intensity, repetitive or sustained activities over a prolonged period of time.

Question 21

What is the “Said Principle”?

Answer 21

Specific, Adaptation,-to-Imposed, Demands.
The ability off a mm to adapt to specific tasks is a necessity in allowing the body segment to change/ Function properly based on the demands.

Question 22

What is the “Reversibility Principle”?

Answer 22

Within a week or two of not excessing the mms will begin to (De-train).
It is for this reason it is important to continue consistent work with the mm.

Question 23

What are the Important points with training a muscle?

Answer 23

This includes:
Alignment, Stabilization, Intensity, Volume, Exercise order, Frequency, Duration, Rest interval/Recovery periods, Mode of Exercise, Energy system, Velocity of exercise, Variation.

Question 24

What are the general precautions taken for Strengthening?

Answer 24

Pain should not occur during session.
Warm up before going to heavy.
Avoid heavy load with (Children, Seniors/Osteoporosis).
Do not use resistance across a unstable joint.
Avoid holding breath.
Avoid Exsplosive movements.
Avoid secondary stress on the back.
Be aware of medications.
Discontinue if the CT gets dizzy, Pain or shortness of breath.

Question 25

What will happen if there is to much weight added to a lift/ workout?

Answer 25

The body will compromise and other muscles will be worked instead of the isolated mm.

Question 26

What will happen if there is to much weight added to a lift/ workout?

Answer 26

The body will compromise and other muscles will be worked instead of the isolated mm.