Manual Motor Integration Strategies Flashcards
What is the three stage progression of therapeutic exercise?
1) muscle activation phase
2) strength/endurance/neuromuscular control phase
3) motion integration phase
What is the goal of phase 1 in the ther ex progression?
To increase selective and isolated recruitment of key muscles
What is the focus of phase 1 of ther ex progression?
Static resistance training
What is the progression protocol for stage 1?
Isolated muscle recruitment in static end range positions for a minimum of 60s that demonstrates
1) precision
2) patterns of recruitment (no form fatigue)
3) pain free performance
If a pt can activate the target muscle, what should we do?
Increase time of the hold
Increase reps
Include HEP with frequent activation
If a pt can’t activate the target muscle, what should we do?
Use hands on tactile cues
Use biofeedback (can be in the form of diagnostic US if available)
Consider going into the secondary planes of motion for the muscle
T/f: once there is success in phase 1 to the point where the pt can do 10x10” holds, we can move on to phase 2
True
What is the goal of phase 2 in the ther ex progression?
Increase force producing capability, endurance, and neuromuscular coordination during dynamic tasks
What is the focus of phase 2 of the ther ex progression?
Dynamic resistance training
What is involved in dynamic resistance training?
Actively holding a contraction of a proximal muscle while moving distal ones
What is the progression protocol for stage 2?
Successful completetion of single and repeated multi-planar motions that demonstrate proper
1) precision
2) pattern of recruitment (no form fatigue)
3) pain free performance
What is the positioning progression in stage 2?
Prone—>quadruped—>supine—>sitting—>kneeling—>half kneeling—>standing—>DLS—>SLS
What components of ther ex can we manipulate to progress?
Motion
Force
Time
What is the goal of phase 3 in the ther ex progression?
Facilitate normal motions
What is the focus of phase 3 of ther ex progression?
Ballistic resistance training
What is the progression protocol of phase 3 of ther ex?
Successful completion of single and repeated multi planar motions that demonstrate proper
1) precision
2) patterns of recruitment (no form fatigue)
3) pain free performance
T/f: task analysis is a huge part of phase three
True
Ideally, when would we want to begin including tasks analysis in the ther ex progression?
During phase 2
What does task analysis look at?
Motion of segments
Planes of motion
What is happening at transformational zones (going into/out of a motion)
What the components of the movt are
What exercises are in our toolboxes to replicate these motions
