Intro to Ther Ex

Question 1

systematic, planned performance of bodily movements, postures, or physical activities intended to provide a patient/client with the means to:

• remediate or prevent impairments
• improve, restore, enhance physical function
• prevent or reduce health-related risk factors
• optimize overall health status, fitness & sense of well being

Answer 1

Therapeutic Exercise

Question 2

therapeutic exercise to develop strength and endurance, range of motion and flexibility

Answer 2

CPT Code 97110

Question 3

Neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities

Answer 3

CPT Code 97112

Question 4

dynamic activities to improve functional performance, direct (1:1) with the patient

Answer 4

CPT Code 97530

Question 5

6 interrelated components of physical fitness

Answer 5

1. balance/postural equilibrium
2. cardiovascular fitness
3. mobility/felxibility
4. muscle performance
5. neuromuscular control & coordination
6. stability

Question 6

If we build a _________, then we can expect an increase in performance resulting in increased skill

Answer 6

sound foundational movement

Question 7

What should be regularly assessed that directly relates to a key consideration of exercise safety?

Answer 7

Current health status

Question 8

What is the level of supervision for ther ex?

Answer 8

1:1

Question 9

The ____ should always outweigh the ____ for the patient

Answer 9

benefit, risk

Question 10

How do you figure out what the patient needs?

Answer 10

LISTEN, your patient will typically tell you

Question 11

Exercise should _______ based on the patient’s specific needs and goals

Answer 11

change

Question 12

When matching interventions to impairments, should we give the same exercises for the same issue every time?

Answer 12

NO - no more cookbook medicine. exercises need to be patient specific and consistently changing

Question 13

In the muscles vs movement argument, which is defined by exercises that aim to improve strength?

Answer 13

muscle

Question 14

What do I need to remember as a clinician when choosing ther ex?

Answer 14

need to look at the big picture that includes both exercises for specific muscles but also transition to movements that are meaningful to the patient.

EX. patient wants to climb stairs independently. Need to consider weak quadriceps but cant solely focus on this. need to eventually do stair training as well.

Question 15

When choosing ther ex the level needs to match the patient’s _____?

Answer 15

ability

Question 16

You can avoid floor effects by

Answer 16

being able to start where the patient is

Question 17

You can avoid ceiling effects by

Answer 17

being able to get your patient where they need to be

don’t want to limit patient due to our own lack of knowledge

Question 18

Exercises with a similar goal and intensity may be used to spice things up. What are these called?

Answer 18

Laterals

Question 19

Name an example of laterals…

Answer 19

Push ups.

use a weight, roll a ball, hold on bosu. switch it up!

Question 20

What is the exercise sequence?

Answer 20

1. General warm up
2. dynamic mobility
3. skill training
4. power
5. strength
6. metabolic conditioning
7. balance
8. static mobility & flexibility

Question 21

General warm up -> Dynamic mobility -> ____ -> Power -> _____ -> metabolic conditioning -> _____ -> static mobility & flexibility

Answer 21

skill training
strength
balance

Question 22

General warm up -> ____ -> skill training -> Power -> strength -> ____ -> balance -> ____

Answer 22

dynamic mobility
metabolic conditioning
static mobility & flexibility

Question 23

____ -> Dynamic mobility -> skill training -> ____ -> strength -> metabolic conditioning -> balance -> static mobility & flexibility

Answer 23

general warm up

power

Question 24

_____ is a dynamic process that requires constant needs assessment

Answer 24

Home Exercise Programs

Question 25

When designing a HEP what do you want to give the patient?

Answer 25

Long-term battles like flexibility or strength

Question 26

What are some different modes of delivery of HEP?

Answer 26

handwritten
computer generated
online programs
selfies

Question 27

should we point the finger at patient’s for not being compliant with their HEP?

Answer 27

NO Rule of 1/3 s

1/3 PT
1/3 Patient
1/3 Life

Question 28

When selecting home exercises, what three things should we keep in mind?

Answer 28

Time consumption - how long do they take to do?
Exercise Effects - Do these exercises work towards the patient’s goals?
Complexity of exercises - do they match the patient’s level of ability?