Therapeutic Exercise

Question 1

Passive ROM

Answer 1

movement that is produced entirely by an external force

Question 2

Active ROM

Answer 2

momvement produced by active contraction of muscles crossing the joint

Question 3

Active Assistive ROM

Answer 3

assistance is provided manually or mechanically by an outside force

Question 4

Resistive exercise

Answer 4

muscle contraction is resisted by an external force

Question 5

Isometric exercise

Answer 5

no change in length of muscle and no visiible joint motion

Question 6

Isotonic exercise

Answer 6

equal tension

Question 7

Isokinetic exercise

Answer 7

dynamic exercise in which velocity is predetermined and heald constant by a rate limiting device

Question 8

COncentric contraction

Answer 8

shortening

knee extension

Question 9

Eccentric contraction

Answer 9

lengthening

Knee flexion

Question 10

Proprioceptive Neuromuscular Facilitation

Answer 10

combines functionally based diagnostic patterns of movement with techniques of neuromuscular facilitation in order to evoke motor response and improve neuromuscular control and function

Question 11

Open chain

Answer 11

unrestriced space

Question 12

Closed chain

Answer 12

weight bearing - body moves while distal segments are stabilized

Question 13

PLyometric exercise

Answer 13

speed of movement is manipulated

Question 14

Overload principle

Answer 14

guiding prnciple of ex perscription, muscle must be challened to perform at a level greater than what it is used to

Question 15

SAID principle

Answer 15

specific adaptation to imposed demands - specificity is necessary foundation to build exercise program on

Question 16

Strength

Answer 16

ability of contractile tissue to produce tension and result force based on depands placed on the muscle

Question 17

Power

Answer 17

work produced by a muscle per unit of time - the rate of performing work

Question 18

Endurance

Answer 18

ability to perform low intensity repetitive or sustained activiteis over prolonged period of time

Question 19

Which is typically harder to do concentric or eccentric?

Answer 19

Eccentric

Question 20

Modify parameters - % body weight

Answer 20

partial –> full –> full weight bearing + additional weight

Question 21

Modify parameters - Base of support

Answer 21

wide –> narrow
widr –> tandum (one foot in front of other)
bilateral –> unilateral
fixed on surface –> sliding

Question 22

Modify parameters - support surface

Answer 22

stable –> unstable
rigid –> soft
ground level height –> inc height

Question 23

Modify parameters - balance

Answer 23

with external support –> no external support

Eyes open –> eyes closed

Question 24

Modify parameters - exclusion of limb movement

Answer 24

taking away arm waving
small –> large ranges
short arc –> full arc

Question 25

Modify parameters - plane or direction of movement

Answer 25

uniplanar --> multiplanar Anterior --> post --> diagonal Sagittal --> frontal or transverse --> side to side sliding --> lateral side up

Question 26

Modify parameters - speed of movement

Answer 26

slow --> fast

Question 27

Modify parameters - ROM

Answer 27

make it greater = harder

Question 28

Modify parameters - type of contraction

Answer 28

Eccentric = harder

Question 29

Goals in Acute stage

Answer 29

Control effects of inflammation with selective rest Ice, compression, elevation Prevent deleterious effects of rest with nondestructive movement, passive ROM, massage, muscle setting with caution Isometric movements Reduce pain and swelling Educate on healing process

Question 30

Goals in Subacute stage

Answer 30

``` Develop mobile scar, monilization of restrictions, promote healing with nondestrcutive active, resistive open and closed chain stabilization, muscular endurance, cardiopulmonary endurance, AROM PROM too Normalize gait, begin true strengthening improve neuromuscular (fluid, edema, inhibition to nerve fibers due to inflammation) so need to re-educate ```

Question 31

Goals in Chronic Stage

Answer 31

Increase tensile quality of scar with progressive strengthening and endurance exercises Develop functional independence with functional exercises and specificity drills Aerobic (high rep, low weight for endurance)

Question 32

Cumulative Trauma

Answer 32

from rep injury (carpel tunnel) Educate the patient, promote healing and dec pain and iflammation, maintain integrity and mobility of tissue (PROM) posture and stabilization traning, progressing functional independence, train coordination, develop endurance, analyze job/activity (adapt home, work, sport environemnt/tools)