Practical 3 Exercise Prescriptions

Question 1

acute stage timeframe

Answer 1

~1-6 days

Question 2

subacute stage timeframe

Answer 2

~7-21+ days

Question 3

criteria for initiating active exercises and stretching in subacute

Answer 3

• decreased swelling
• no constant pain
• pain not exacerbated by motion in available range

Question 4

acute stage interventions

Answer 4

• PRICE
• PROM
• muscle setting (isometrics)
• low dosage joint mobility
• massage

Question 5

early subacute stage interventions

Answer 5

• multi angle, submax isometrics
• AROM
• muscular endurance exercises
• protected WB exercises
• stretching
  NOT!!!! ECCENTRICS OR HEAVY RESISTANCE EXERCISES

Question 6

chronic stage timeframe

Answer 6

• ~21 days to 18 months

Question 7

chronic stage interventions

Answer 7

• stretching (if limitation in muscle length)
• joint mobilization (if tightness persists in joint)
• strengthening in controlled manner (if strength limitation)
• return to high demand activities (sport or work training)

Question 8

PROM dosage

Answer 8

at least 5-10 reps, but generally greater than 10. slow, repetitive motion

Question 9

when should you use PROM?

Answer 9

• acute, inflamed tissue (inflammation usually lasts 2-6 days)
• pt is unable or not allowed to move
• after surgical repair of contractile tissue

Question 10

when should you use AAROM?

Answer 10

• when weak muscles cannot move a joint through a desired ROM against gravity (<3/5)

Question 11

when should you use AROM?

Answer 11

• part of an aerobic program
• pt has volitional control of movement
• for segments above and below immobilizations

Question 12

dosage for AROM

Answer 12

20-30 reps, 2-5 times per day