Lecture 9- Therapeutic Exercise Flashcards

1
Q

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

  • Remediate or prevent __________
  • Improve, restore or enhance ________ function
  • Prevent or reduce health-related _________
  • Optimize overall _________, fitness or sense of well-being
A
  • impairements
  • physical
  • risk factors
  • health status
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2
Q

Development of a therapeutic exercise program involves the integration and application of knowledge of what subjects?

A
  • anatomy
  • physiology
  • kinesiology
  • pathology
  • behavioral sciences
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3
Q

A therapeutic exercise program should be __________ to the unique needs of each patient.

A

-individualized

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4
Q

What are the aspects of physical function that lead to full function?

A
  • muscle performance
  • cardiopulm/ endurance
  • mobility/ flexibility
  • neuromuscular control/ coordination
  • stability
  • balance/ postural equilibrium
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5
Q

What does therapeutic exercise include?

A
  • aerobic and endurance conditioning
  • flexibility exercises
  • neuromotor development training
  • relaxation techniques
  • muscle performance exercises: strength, power, and endurance exercises
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6
Q

Developing A Therapeutic Exercise Program:

  • Identify impairments and functional ________
  • Develop ______ to address impairments and functional limitations WITH patients
  • Implement appropriate _________ exercises
  • Continually assess progress towards goals and progress program appropriately
A
  • limitations
  • goals
  • therapeutic
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7
Q

Common Musculoskeletal Impairments Managed with Therapeutic Exercise:

  • ____
  • Muscle _______/ reduced torque production
  • Decreased muscular _________
  • Limited ____ due to restriction of the ________, restriction of periarticular _______, decreased muscle _______, joint hypermobility, faulty posture, muscle length/ strength imbalances
A
  • pain
  • weakness
  • ROM
  • joint capsule
  • CT
  • length
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8
Q

Common Integumentary Impairments Managed with Therapeutic Exercise:
-Skin ______mobility

A

hypo

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9
Q

Common Neuromuscular Impairments Managed with Therapeutic Exercise:

  • ____
  • Impaired ________
  • _________, faulty timing
  • Delayed motor development
  • Abnormal tone
  • Ineffective/inefficient functional movement strategies
A
  • pain
  • balance, postural stability or control
  • incoordination
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10
Q

Common Cardiovascular/Pulmonary Impairments Managed with Therapeutic Exercise:

  • Decreased _________ capacity
  • Impaired _________
  • Pain with sustained activity
A
  • aerobic

- circulation

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11
Q

What are the components of an effective therapeutic exercise program?

  • Safe
  • Individualized
  • Tailored to patients ______
  • Appropriately challenging
  • Functional/ ____-specific
  • Implement ______-_______ exercises
  • Includes patient __________
  • Involves progressive __________ and is constantly evolving
A
  • goals
  • task-specific
  • evidence-based
  • education
  • overload
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12
Q

Strength vs. Power vs. Endurance Training

Strength Training
-Lowering or controlling ______ loads (resistance) for a relatively ____ number of reps

Power training

  • ______ the intensity and _______ the time period taken to generate force=greater muscle power
  • ______ of movement is often the element most manipulated

Endurance training
-Contract and lift or lower a ____ load for ____ reps or sustain a muscle contraction for an extended period of time

A

-heavy/low

  • greater, shorter
  • speed

-lower, many

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13
Q

What is the overload principle?

A

To improve muscle performance, a load that exceeds the metabolic capacity of the muscle must be applied.

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14
Q

The overload principle focuses on progressive loading of a muscle by manipulating _________ or _________.

A
  • intensity= strength training
  • volume= endurance training

-speed or explosiveness= power training

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15
Q

What is the SAID principle?

A

Specific adaptation to imposed demands

-muscles adapt over time to the stresses placed on them

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16
Q

Easy saying to remember the SAID (specific adaptation to imposed demands) principle?

A

“YOU GET WHAT YOU TRAIN FOR”

17
Q

What is the reversibility principle?

A
  • Adaptive changes due to strength, power, or endurance training are transient.
  • To maintain adaptive changes, a maintenance program is essential.
18
Q

Detraining occurs - weeks after cessation of training.

A

1-2 weeks, even earlier if on bedrest

19
Q

Exercise Progression Variables to Consider for ROM?

A
  • PROM→AAROM→AROM

- Gravity eliminated→Against gravity

20
Q

Exercise Progression Variables to Consider for Strengthening?

A

Gravity eliminated→Against gravity
Double-leg→Single-leg
No weight →Body-weight→Weighted
Controlled→Open environment

21
Q

Exercise Progression Variables to Consider for Balance?

A
Double-leg→Single-leg
Wide BOS→Narrow BOS
Stable→Unstable surface
Static→Dynamic
Controlled→Open environment
22
Q

Either manually, through equipment, or support surfaces we can supply ________ stabilization.

A

external

23
Q

Through isometric muscle contraction we can provide ___________ stabilization.

A

internal

24
Q

Proximal _______ leads to distal ________.

A
  • stability

- mobility