Therapeutic Exercise

Question 1

what are some things to consider when initiating therapeutic exercise?

Answer 1

injury (magnitude, type, body segment, prior fxn, response to injury)

pts goals

SAID principle (what does the pt need?strength?power?endurance?combo?)

Question 2

what is the SAID principle?

Answer 2

specific adaptation to imposed demands

Question 3

how can we progress strengthening?

Answer 3

motion

force

time

Question 4

the acute/early intervention is through what phase of healing?

Answer 4

inflammation

Question 5

what are the goals of acute/early interventions?

Answer 5

relieve pain, swelling, spasm

protection of injured tissues

prevent deconditioning

Question 6

what ther ex is a part of early/acute intervention?

Answer 6

no exercise/very light

modalities

ID causes of chronic/repetitive injuries

Question 7

what phase of healing is the mid-phase interventions through?

Answer 7

proliferation healing phase w/advance of type 3 collagen development

Question 8

what are the goals of mid-phase intervention?

Answer 8

restore ROM, flexibility, and tissue mobility

Question 9

what ther ex is included in mid-phase intervention?

Answer 9

exercise includes primarily ROM/flexibility

manual therapy for motion gains

late mid-phase may include early resistance exercises

Question 10

what healing phase is late phase intervention through?

Answer 10

coincides with conversion from type 3 to type 1 collagen development and increased tensile strength from late proliferation to late remodeling healing phases

Question 11

what are the goals of late phase intervention?

Answer 11

to restore muscles strength and endurance, proprioception, balance, and agility

Question 12

what ther ex is included in late phase intervention?

Answer 12

exercises begin in straight plane and progress to diagonal plane activities

Question 13

what healing phase is functional/activity specific intervention through?

Answer 13

late remodeling phase

Question 14

what is the goal is the functional/actitivity specific intervention phase?

Answer 14

to restore pt to optimal performance

Question 15

what ther ex is included in the functional/activity specific intervention phase?

Answer 15

resistive exercises are multiplanar

balance-coordination-agility (ABCs)

plyometrics, if used, are added in this phase

functional exercises progress to performance-specific exercises