The systematic, planned, performance of body movement, postures or physical activities intended to provide a patient/client with the means to
Remediate or prevent impairments
Improve, restore or enhance physical function
Prevent or reduce health related risk factors
Optimize overal health status, fitness or sense of well being
Function as the key: what is the goal of Physical Therapy & how does it occur?
To assist patients in resuming previous roles
Occurs on a continuum dependent on the pathological processes that are occurring
Components of Function (9)
Cardiopulmonary Fitness: oxygentation is necessary for a functional neuromuscular system. Lifestyle choices & age can lead to deconditioning which decreases efficiency of oxygen production
Postural Control, Stability, & Equilibrium
The ability to maintain the COG over the BOS
The ability to move the body w/in the AVAILABLE BOS w/o falling
The ability to maintain the upright against gravity w/o falling
Postural control & stability (proper allignment of the head, neck & trunk)
Endurance & Fitness= synonyms
The ability to perform low to moderate level activity over a period of time (ex) marathon
Different from musculoskeletal endurance
The ability to move w/ accuracy in speed, sequencing and grading of movement
Almost entirely automatic (senses take in info, info is processed, action is taken)
ROM (passive:the ability to be moved, requires external force vs. active: the ability to move, requires muscle contraction) active assisted: need passive assistance at some point to complete motion
Name the order of ROM from most to least assistance
Passive-->Active Assisted-->Active-->Active Resisted (against external force) such as an isometric exercise
Name the 3 components of Muscle Performance?
Strength: the ability to produce tension (hypertrophy muscle fibers & make them bigger from activity against resistance: strengthens w/ low repetition)
Muscular Endurance: Ability to contract repeatedly and resist fatigue (swimmers)
Power: Ability to create tension in a given period of time
Integration of sensory and motor systems that allows appropriate response to kinesthetic information
Inner ear & proprioception of joints in space
Therapeutic Exercise Intervention
Procedural intervention that is used for the purpose of resolving impairments and functional limitations Prescribed and implemented in response to patient centered goals that are measurable & time frame limitedResults of PT Examination & Evaluation will dictate the type of exercise intervention that is indicated
Is skilled observation objective or subjective?
Objective & comes with experience.
What is Therapeutic Exercise Intervention used for?
-what is the purpose?
Resolve impairments & functional limitations
How is Ther Ex selected, prescribed & implemented?
-in response to what?
Response to patient centered goals that are measurable & time limited
How is the type of Ther Ex Intervention indicated?
--dependent upon what?
The results of the physical therapy examination & evaluation
Types of Exercise Intervention (7)
Aerobic Conditioning (walking program should be progressive, w/ increasing demands at reg. intervals)
Strength, power, & endurance exercises
Stabilization Exercises (core)
Postural Control & Balance Training (neuromuscular training)
Breathing exercises & Ventilatory Muscle training
Disablement as a Driving Force in Patient Management & Intervention
-The purpose of the disablemet models NAGI & ICF
Describe the functional consequences of acute or chronic conditions
Treatmet is based on the impact of disease rather than on the disease itself
NAGI (4 things)
ICF (4 bullets)
Impairment of body structure or function
Impact of contextual factors on functioning, disability and health
Which type of impairments must physical therapy recognize and focus on?
In order for patients to have maximal attainment of goals, the ___________ _________ of impairments must be managed. Who manages this?
Common Functional Tasks (14 listed)
Reaching and Grasping (first form: infancy as a reflex)