Intro the therapeutic exercises Flashcards
What is Therapeutic Exercise (TE)?
Systematic performance or execution of planned physical movements, postures, or activities intended to enable the patient/client to:
Remediate or prevent impairments
Enhance function
Reduce risk
Optimize overall health, fitness and well-being
Therapeutic Exercise (TE) purpose
Achieve symptom-free movement and function
Participation restrictions
want to climb the stair to carry laundry
What is motive for doing the limitation
Task Specific Therapeutic Exercise
robber gif
What is the Appropriate Dosage?
Should be enough to induce a training effect without exacerbating the present condition
Should establish rules for progressing treatment
Mode, Intensity, frequency, duration of TE
Physical Stress Theory
Therapeutic Exercise is treatment
Exercise can increase adverse symptoms
Patients don’t want to exercise when they’re in pain
We must figure out how to shift into the ‘increased tolerance’ range without causing injury or increasing pain
Motor learning
a complex set of internal processes that involves the acquisition and relatively permanent retention of a skilled movement or task through practice (Kinser & Colby)
Learning occurs through experiences
Learning results in permanent changes in behavi
3 Types of Motor Tasks
Discrete
Serial
Continuous
Discrete Motor Tasks
Has a beginning and an end
Most exercises
Positioning the sideboard
Serial
Sequence of discrete tasks
Wheelchair to bed transfer
Continuous Motor Tasks
No beginning/end
Walking
Verbal-Cognitive Stage
Learning the goals and appropriate responses
Requires higher attention demands on part of learner
Responses are uncertain, uncoordinated
Motor Stage
Focus on more effective ways of responding
Developing motor programs for more effective responses
Developing internal feed-back mechanisms and self correction of errors
Can tell our own errors
Attention demands diminish
Sandlot: kid can catch the ball, and now wants to accomplish it in a specific way
Autonomous Stage
Motor programs are in place
Responses are automatic and executed on subconscious level
Refinement of responses for high level function
high levels of practice
Block Practice
Practice one aspect of a skill at a time
Master one aspect before advancing to the next aspect
Example: 10 repetitions of a SL squat focusing on level hips
Random Practice
Practice all aspects of a skill in a random order during training
Example: Practice SL squat with attention on balance, level hips, knee alignment etc. on different reps
Variable Practice
Practicing varying levels or parameters of a task (force, velocity)
Example: Practice round of 18 holes, Using different clubs and force – we are manipulating multiple variables at the same time
Example: Bring in an opponent, Have to vary aspects of stills
Block practice yields
better short-term performance
Random practice yields
better long-term changes in performance
Random, combined with variable
practice yields better long-term carry-over to a variety of functional situations
Feedback During Practice
Continuous Feedback
Summary Feedback
Knowledge of Performance
Knowledge of Results
Continuous Feedback
Therapist gives constant feedback of results to learner during practice
May interfere with learning
Too much “signal to noise”
Prevents learner from developing internal mechanisms of feedback or error detection
Summary Feedback
Allow learner to practice for a while then provide a summary of performance
Focus on a few key changes
Allows for development of internal feedback mechanisms
Knowledge of Performance
Intrinsic feedback sensed during the task or immediately afterwards
Relates to QUALITY of performance
How my swing looked and felt
