INTRODUCTION TO THERAPEUTIC EXERCISE Flashcards
_____ is a continuum health procedure designed to improve or restore an individual’s function, or to prevent dysfunction
Therapeutic Exercise
5 purposes as to why one would incorporate therapeutic exercise into their lifestyle?
REMEDIATING or PREVENTING impairments*
ENHANCING function*
REDUCING risk of injury/re-injury*
OPTIMIZING overall health
ENHANCING fitness and well-being
is the process of elongation of CONTRACTILE and NON-CONTRACTILE tissues.
Stretching
Effects and benefits of stretching include?
Increasing flexibility and ROM
Allowing the body to move more efficiently
Decreasing the chance of injury
Invigorating the respiratory, circulatory and lymphatic systems
A sustained or intermittent external end range stretch force, applied with overpressure by manual contact. Shortened tissue is elongated by moving a restricted joint just past the available ROM, while the patient is as relaxed as possible.
PASSIVE STRETCHING
Any stretching exercise that is carried out independently by a patient after instruction and supervision by a therapist
SELF-STRETCH
active movements that take joints and muscles through their ROM. Dynamic stretches can be functional and mimic the movements of the activity or sport you are about to perform. For example a swimmer may circle their arms before getting into the water. They can also be a series of movements to get the body ready for a certain exercise: ie, walking lunches leg swings against the wall.
DYNAMIC STRETCH
Spring-like response, recoil; the stretched material recovers its pretensile dimensions after the applied load is removed.
ELASTIC DEFORMATION
When a load is applied for an extended period of time, the tissue elongates, and does not return to its original length. The amount of deformation depends on the amount of force and the rate at which the force is applied.
CREEP
A stretch well beyond the normal range of motion of a joint and surrounding soft tissue, placing heavy loads on tendons and ligaments (tendons can rupture at 10% increase in length). This causes micro-tearing and inflammation and can lead to hypermobility and degenerative arthritis
OVERSTRETCH
Adaptive shortening of a muscle or other soft tissues that cross a joint; which results in limitation of ROM.
CONTRACTURE
Conditions that can produce contractures are?
prolonged immobilization (cast), restricted mobility (sling), disease (MS), tissue pathology due to trauma (skin grafts, scars), congenital and acquired deformities (scoliosis, torticollis)
Indications for Stretching
- ROM is limited because soft tissues have lost extensibility (from adhesions, contractures, scar tissue, etc.)
- Restricted motion may lead to structure deformities that may be preventable
- Muscle weakness and shortening of opposing tissue have resulted in limited ROM
- Prevent/reduce the risk of musculoskeletal injuries
- May be used prior to and after exercise to reduce post-exercise muscle soreness
Contraindications for Overstretching
- Bony block that limits joint motion
- Recent fracture
- Evidence of acute inflammation or infection (heat and swelling), or soft tissue healing
- Presence of sharp, acute pain with joint movement or muscle elongation
- Hematoma or other indication of tissue trauma
- Hypermobility already exists
- When shortened tissue provides necessary joint stability
- When shortened tissues enable a patient with paralysis or severe muscle weakness to perform specific
Any form of active exercise in which a dynamic or static muscular contraction is resisted by an outside force?
Resistance Exercise