Term: Safely return a pt. to his or her preinjury state with as little risk of reinjury as possible with the minimum amount of pt. inconvenience
Term: Tool (object or therapist) used to restore and improve a pt.'s musculoskeletal or cardiopulmonary well being.
Q: What is the goal of a therapeutic exercise program?
Optimal level of symptom free movement during basic to complex physical activities
Q: How do you achieve symptom-free movement and function?
1. Knowledge of basic principles
2. Relationships of anatomy and kinesiology
Content: Components of TherEx (3)
Term: TherEx - a posture and any movement occurring in that posture
Term: TherEx - the type(s) of muscle contraction(s) i.e. concentric, eccentric, isometric
Term: TherEx - sensory input used either to facilitate or inhibit a response
Content: Parts of the intervention definition (5)
1. Exercise to prevent muscular atrophy
2. Restoring joint and muscle function
3. Increasing muscular strength
4. Improving efficient cardiovascular and pulmonary function
5. Neurological elements
Content: Other bits of the TherEx puzzle (4)
1. Understand state of the injury
2. Understand surgical procedure
3. Know potential rate of recovery
4. Be aware of precautions, complications, and contraindications
Content: Intervention for Bone (2)
1. Biomechanical energy in the line of stress
2. Avoid sheer forces
Content: Intervention for Cartilage (2)
1. Intermittent compression and decompression with gliding
2. Avoid excessive overload
Q: How can posture effect TherEx? (2)
1. Watch for compensatory mechanism
2. Can lead to other injury
Content: Intervention for Collagen
Modified tension in the line of stress
Content: Things to keep in mind when addressing the problem (4)
1. Where is the pt. lacking function?
2. What are the pt goals?
3. Are they the same as your goals?
4. Assess the needs
Q: What is the PT problem solving approach?
Assess needs > develop a plan > implement plan > evaluate plan > ALWAYS return to ASSESS needs
Content: Skillful Decision Making Models (4)
1. Disablement model
2. Medical model
3. Clinical reasoning
Defn: Disablement model
Impairment, Function, Activity
Defn: Medical model
Scan, Illness scripts
Defn: Clinical reasoning
Reliant on experience
If and then
Q: What is a problem list good for?
Helps you develop your goals and plan
Content: Basic Principles of TherEx (6)
3. Single/multiplanar motion
4. Single/multijoint motion
5. Simple/complex task/exercise
6. Specific to job/sport
Content: 4 parts of specificity of training
1. Bilateral vs. single loading exercise
T/F: Balance should be progressed from simple to complex activites.
Content: Other considerations for TherEx (6)
2. Muscle type, contraction, fibers
Q: In which phase is the area red, warm, swollen, and painful?
Q: In which phase is there pain present at rest and with motion of the involved area?
Q: In which phase is there coagulation and WBCs present?
Q: What are the 3 goals of the acute phase?
2. Relieve pain