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prestoncas
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Effective exercise intervention must take into account...
- How Exercise affects tissue and body systems
- A&P
- Kinese
- Patho
- Behavioral Science
- Motor Learning
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What is the ultimate goal of Therapeutic Exercise?
Achieve optimal level of symptom free movement
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The definition of TherEx utilizes body movement, posture and physical activities to ...
- Remediate or prevent impairment
- Improve, restore or enhance physical function
- Prevent or reduce health related risk factors
- Optimize overall health status, fitness or well-being
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PAtient vs. Client
- Patient has impairment & functional limitation diagnosed by a PT
- Client is without diagnosed dysfunction but, engages in PT to promote health/wellness and prevent dysfunction
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Aspencts of physical function
- Balance
- Cardiopulmonary fitness
- Coordination
- Flexibility
- Mobility
- Muscle performance
- Neuromuscular control
- Posture and Equillibrium
- Stability
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Physical function require the body to constantly....
React, adapt & develop
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Absence of continuous force and physical stressors cause
Degeneration, degradation and deformity
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Intervention is completed in a ....
controlled, progressive and safe environment
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TherEx interventions impose physical force on ...
- body systems
- specific tissues
- individual structures
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Types of TherEx Interventions
- Aerobic Conditioning
- Strength, Power & endurance
- Stretching
- Stabalizing Exercises
- Postural control and balance
- Relaxation
- Breathing
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Things to consider for exercise safety
- Prior fitness level
- Patient's health history
- Current Health status
- Medication
- Environment
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Must imform patient of ...
- Symptoms of fatigue
- relationship between fatigue and injury
- importance of rest for recovery
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The disablement process ....
impacts the functional consequesnces of acute or chronic conditions
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The 3 models of disablement were criticized for what?
Not being person oriented so, WHO created ICF.
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ICF stands for?
International classification of Function, disability and health
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ICF model components
- Impairment of bosy strucutres and function
- Activity limitation
- Participation restriction
- Impact of contextual factors on functioning, disability and health
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Disability definition
Inability to perform or participate in activities related to one's self, home or work that is perceived to be normal.
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Prevention
(definition)
Reduction in the chance for disability
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3 types of prevention
- Primary - help prevent disease
- Secondary - early diagnosis and reduction of severity
- Tertiary - Use of rehab to reduce the degree or limit progression of existing disability
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Risk Factors
(definiton)
- Characteristics that predispose a person to the process of disablement
- They exist prior to the onset
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Clinical Decision Making
Reasoning or critical thinking that involves making judgemtns and determination in patient care
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Evidence based practice
Conscientous, explicit and judicious use of current best evidence in making a decision about the care of an individual patient
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Process of evidence based practice
- Identify patient problem and convert to specific question
- Search literature and collect clinically relevant data
- Analyze the evidence
- Integrate
- Incorporate
- Assess the outcome
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Steps of PAtient management model
- Examination
- Evaluation
- Diagnosis
- prognosis of POC
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PTA Intervention
- A purposeful interaction that directly relates to a patient's care and can include:
- coordination, communication & documentation
- procedural intervention
- patient related instruction
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Functional outcomes must be:
- Meaningful
- Practical
- Sustainable
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Discharge occurs when...
Anticipated goals and expected outcomes have been attained
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Discontinuation occurs when ...
ending service prior to meeting expected goals and outcomes
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Exercise instruction should be....
- In place to facilitate learning
- Focus on goals
- Be based on patients learning style
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Stages of motor learning
- Cognitive
- Associative
- Autonomous
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Range of Motion
Basic technique used for examination of movement and for initiating movement into a purposeful therapeutic intervention
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Indications for PROM
- Patient has acute, inflamed tissue
- Patient is unable to or not supposed to move segment
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Goals of PROM
- Maintain joint and connective tissue mobility
- Prevent contractures
- Maintain mechanical elasticity of muscle
- Assist circulation and vascular dynamics
- Enhance synovial movement
- Decrease or inhibit pain
- Assist with the healing process
- Pumps blood
- Help maintain the patient’s awareness of movement
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Indications for AROM
- When a patient is able to actively contract the muscles
- When a patient has weak muscles
- For aerobic conditioning
- To mobilize a segment above or below an immobilized region
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Precautions and contraindication to ROM exercises
- Should not be done if movement will hinder healing
- Should not be done if it is going to kill patient
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