Lecture #11 (Functional Exercise) Flashcards
What does functional exercise within a therapeutic exercise program encompass?
Exercise and evaluation
What are the goals of functional exercise? (x3)
- attain full functional level of performance (not necessarily full)
- restore the pt’s confidence
- return the pt to full participation
What is an examination and assessment of the pt’s ability to perform an exercise or skill drill safely and accurately before he/she is allowed to advance to the next level?
Functional evaluation
True or false:
Athletes need to have functional exercise incorporated into their rehab programs more so than the general population.
True…they are competing at a higher level and thus need more intensity, strength, power, coordination, agility, etc)
What is normal motion?
The normal amount of motion needed for a pt’s normal, sport-specific activities (i.e. baseball pitchers have decreased internal rotation since they have more external rotation)
Describe multifaceted muscle activity.
Rehab exercises must focus on different strengthening activities for several different muscles. This includes different types of contractions (isometric, concentric, eccentric), work on accelerators, decelerators, stabilizers, prime movers, and agonists and antagonists.
True or false:
Functional exercise should include multiplanar motions.
True…sports aren’t played in straight lines
Progressing functional exercises from what to what to increase proprioception?
Slow to fast
True or false:
Level of proprioception will not affect the functional performance of a pt.
False…their functional performance will suffer until their proprioception is reestablished
What is an easy way to help a patient gain their confidence back?
By having they do their functional sport exercises, it can prove to them that they are capable of doing what is required of their sport–if they can do it in rehab, they can do it on the field
How can you increase the stress or intensity of a functional exercise?
Increase the speed, force, distance, complexity, or decrease the base of support
What is determined by how involved or challenging the activity is to complete?
Complexity
What is determined by the number of weight bearing extremities used during an activity?
Support
What are the precautions of functional exeercise? (x8)
- exacerbating the injury (consistent overload)
- don’t advance the exercise until its performed correctly
- always explain what you expect, speed, goals, positions, etc) prior to the exercise
- give continual feedback
- avoid pain and swelling
- understand tissue integrity and healing to put structures under right about of stress at right time
- know pts confidence level
- be aware of progression tolerance
True or false:
the functional evaluations should be as objective as possible.
True
