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Effective exercise intervention must take into account...
- How Exercise affects tissue and body systems
- Behavioral Science
- Motor Learning
What is the ultimate goal of Therapeutic Exercise?
Achieve optimal level of symptom free movement
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
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
Aspencts of physical function
- Cardiopulmonary fitness
- Muscle performance
- Neuromuscular control
- Posture and Equillibrium
Physical function require the body to constantly....
React, adapt & develop
Absence of continuous force and physical stressors cause
Degeneration, degradation and deformity
Intervention is completed in a ....
controlled, progressive and safe environment
TherEx interventions impose physical force on ...
- body systems
- specific tissues
- individual structures
Types of TherEx Interventions
- Aerobic Conditioning
- Strength, Power & endurance
- Stabalizing Exercises
- Postural control and balance
Things to consider for exercise safety
- Prior fitness level
- Patient's health history
- Current Health status
Must imform patient of ...
- Symptoms of fatigue
- relationship between fatigue and injury
- importance of rest for recovery
The disablement process ....
impacts the functional consequesnces of acute or chronic conditions
The 3 models of disablement were criticized for what?
Not being person oriented so, WHO created ICF.
ICF stands for?
International classification of Function, disability and health
ICF model components
- Impairment of bosy strucutres and function
- Activity limitation
- Participation restriction
- Impact of contextual factors on functioning, disability and health
Inability to perform or participate in activities related to one's self, home or work that is perceived to be normal.
Reduction in the chance for disability
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
- Characteristics that predispose a person to the process of disablement
- They exist prior to the onset
Clinical Decision Making
Reasoning or critical thinking that involves making judgemtns and determination in patient care
Evidence based practice
Conscientous, explicit and judicious use of current best evidence in making a decision about the care of an individual patient
Process of evidence based practice
- Identify patient problem and convert to specific question
- Search literature and collect clinically relevant data
- Analyze the evidence
- Assess the outcome
Steps of PAtient management model
- prognosis of POC
- A purposeful interaction that directly relates to a patient's care and can include:
- coordination, communication & documentation
- procedural intervention
- patient related instruction
Functional outcomes must be:
Discharge occurs when...
Anticipated goals and expected outcomes have been attained
Discontinuation occurs when ...
ending service prior to meeting expected goals and outcomes
Exercise instruction should be....
- In place to facilitate learning
- Focus on goals
- Be based on patients learning style
Stages of motor learning
Range of Motion
Basic technique used for examination of movement and for initiating movement into a purposeful therapeutic intervention
Indications for PROM
- Patient has acute, inflamed tissue
- Patient is unable to or not supposed to move segment
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
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
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