Intro to Ther Ex Flashcards
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
Therapeutic Exercise
therapeutic exercise to develop strength and endurance, range of motion and flexibility
CPT Code 97110
Neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities
CPT Code 97112
dynamic activities to improve functional performance, direct (1:1) with the patient
CPT Code 97530
6 interrelated components of physical fitness
- balance/postural equilibrium
- cardiovascular fitness
- mobility/felxibility
- muscle performance
- neuromuscular control & coordination
- stability
If we build a _________, then we can expect an increase in performance resulting in increased skill
sound foundational movement
What should be regularly assessed that directly relates to a key consideration of exercise safety?
Current health status
What is the level of supervision for ther ex?
1:1
The ____ should always outweigh the ____ for the patient
benefit, risk
How do you figure out what the patient needs?
LISTEN, your patient will typically tell you
Exercise should _______ based on the patient’s specific needs and goals
change
When matching interventions to impairments, should we give the same exercises for the same issue every time?
NO - no more cookbook medicine. exercises need to be patient specific and consistently changing
In the muscles vs movement argument, which is defined by exercises that aim to improve strength?
muscle
What do I need to remember as a clinician when choosing ther ex?
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.
When choosing ther ex the level needs to match the patient’s _____?
ability
You can avoid floor effects by
being able to start where the patient is
You can avoid ceiling effects by
being able to get your patient where they need to be
don’t want to limit patient due to our own lack of knowledge
Exercises with a similar goal and intensity may be used to spice things up. What are these called?
Laterals
Name an example of laterals…
Push ups.
use a weight, roll a ball, hold on bosu. switch it up!
What is the exercise sequence?
- General warm up
- dynamic mobility
- skill training
- power
- strength
- metabolic conditioning
- balance
- static mobility & flexibility
General warm up -> Dynamic mobility -> ____ -> Power -> _____ -> metabolic conditioning -> _____ -> static mobility & flexibility
skill training
strength
balance
General warm up -> ____ -> skill training -> Power -> strength -> ____ -> balance -> ____
dynamic mobility
metabolic conditioning
static mobility & flexibility
____ -> Dynamic mobility -> skill training -> ____ -> strength -> metabolic conditioning -> balance -> static mobility & flexibility
general warm up
power
_____ is a dynamic process that requires constant needs assessment
Home Exercise Programs
When designing a HEP what do you want to give the patient?
Long-term battles like flexibility or strength
What are some different modes of delivery of HEP?
handwritten
computer generated
online programs
selfies
should we point the finger at patient’s for not being compliant with their HEP?
NO Rule of 1/3 s
1/3 PT
1/3 Patient
1/3 Life
When selecting home exercises, what three things should we keep in mind?
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?
