Intro to ther ex.

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Author:
jpowell22
ID:
144068
Filename:
Intro to ther ex.
Updated:
2012-03-30 19:48:45
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ther ex
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Description:
therapeutic exercise
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  1. Therapeutic exercise is the prescription of the bodily movements to do what three things?
    • correct and prevent an impairment
    • improve musculoskeletal function
    • improve state of well being
  2. What can cause a lot of pain from muscles?
    weakness and tightness
  3. What are some objectives of ther ex?
    • decrease pain
    • increase relaxation
    • increase circulation
    • increase mobility/flexibility
    • increase strength
    • increase coordination/balance
    • increase endurance
    • increase function
    • stability
  4. Mobility is considered what?
    joint ROM
  5. Flexibility is considered what?
    extensibility of muscles
  6. What is strength?
    ability of muscle to produce tension
  7. What is a major goal we want for ther ex?
    proximal stability for distal mobility
  8. What is Sherringtons law of autogenic technique?
    you contract tight muscles as hard as you can which will fatigue them and help to relax them
  9. What is Sherringtons law of reciprocal innervation/inhibition?
    you work on the muscle group thats opposite of the tight muscle..(contract the biceps to relax tight triceps)
  10. What are the 4 basic qualities of muscle work?
    • power
    • elasticity
    • coordination
    • extensibility
  11. What is power?
    force X velocity = power

    ability to contract and develop strength within a given period of time
  12. What is elasticity?
    ability to yield to passivie stretch

    muscles ability to lengthen and recoil after stretch is removed
  13. What is the cooperation with other muscles in proper timing with appropriate power and elasticity?
    coordination
  14. A muscle has to be able to elongate to achieve what?
    extensibility
  15. What parts make up the motor unit?
    • motor neuron
    • axon
    • al the muscle fibers innervated by the nerve fibers
  16. What 4 things do you need to do to increase muscle strength?
    • increase:
    • -contractility of the muscle (each muscle fiber)
    • -number of motor units firing
    • -frequency of firing
    • -size of muscle fibers
  17. What is the overload principle?
    if we want muscle performance to improve, you have to challenge the muscle
  18. What type of contraction develops tension as length changes?
    isotonic

    joint movement; dynamic
  19. What are the 2 types of isotonic contractions?
    • concentric
    • eccentric
  20. What is a concentric contraction?
    • shortening contraction
    • origin/insertion move closer together
    • usually occurs against gravity
    • usually occurs with acceleration activity (bringing body part up/forward)
  21. What is eccentric contraction?
    • lengthening contraction
    • origin/insertion move farther apart
    • usually occurs with gravity
    • usually occurs during deceleration activity
    • produces greater forces (more tension)
  22. What type of contraction occurs when muscles develop tension with no appreciable change in length or joint position?
    isometric

    static exercises
  23. What type of contraction occurs when the muscle shortens as maximal tension develops?
    isokinetic

    machine
  24. What two things must be present for isokinetic contractions?
    • constant speed
    • accomodating resistance (harder pt pushes/pulls the more resistance)

    resistance=pt effort
  25. What is an agonist?
    prime mover - when it contracts it causes motion
  26. What is an antagonist?
    performs opposite motion of agonist

    typically relaxes while agonist is working
  27. What is a synergist?
    muscle group working together to foster or inhibit motion

    smaller muscles that do the same as the agonist
  28. What is a fixator?
    stabilizer

    proximal stability for distal mobility
  29. What is substitution?
    alternative method used to get functional goal

    cheating
  30. What is volition?
    muscular efforts
  31. What type of ROM is performed entirely by an external force (pt/pta,machine,theirselves)?
    passive ROM

    -acute, too weak/paralyzed,contraindicated to motion
  32. What type of ROM can a patient perform completely and independently?
    active ROM
  33. What type of ROM is part of the ROM performed by the pt., and the rest by the clinician(or other outside force)?
    active assistive ROM
  34. What type of ROM can a patient perfrom complete ROM independently against resistance?
    resistive ROM

    -dumbell, weight, theraband
  35. What are movements patients cant do automatically?
    accessory movements
  36. Movements of a joint are affected by what 2 things?
    • structure of joints (surfaces,capsules,ligaments)
    • integrity and flexability of soft tissues that pass over joints (muscle,tendons,vessels,nerves,fasciae)
  37. When doing a functional assessment, what are you looking at during the inspection/appearance/palpation portion?
    • posture/gait/ADLs
    • general ease of mvmt
    • skin
    • shape,color,swelling,atrophy,asymmetry,temp,texture
  38. What are some non-contractile tissues?
    • bones
    • ligaments
    • joint capsules
  39. What are some things the results of ther ex are influenced by?
    • pain (should go away w/i 24 hours)
    • compliance
    • motivation
    • rapport
    • specificity - NO substitutions
    • socioeconomic/cultural factors
    • psychosocial support

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