Therapeutic Exercise Foundations Flashcards

1
Q

Define Therapeutic Exercise according the APTA guide.

A

Therapeutic exercise is the systematic performance or execution of planned physical movements, postures, or activities intended to enable the patient/client to 1. re-mediate (fix) or prevent impairments, 2. enhance function, 3. reduce risk, 4. optimize overall health, and 5. enhance fitness and well-being.

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2
Q

What are the 6 steps of the Patient/Client model?

A
Examination
Evaluation
Diagnosis
Prognosis
INTERVENTION
Outcomes
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3
Q

Therapeutic exercise falls under what category of interventions?

A

Procedural interventions

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4
Q

What are the 9 (8) types of procedural interventions that are commonly selected by physical therapists are the core of most plans of care?

A
Aerobic capacity/Endurance training
Balance, Coordination, and Agility training
Body mechanics and Postural Stabilization
Flexibility exercises
Gait and Locomotion Training
Neuromotor development training
Relaxation
Strength, Power, and Endurance training
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5
Q

What are clinical considerations regarding the examination that may direct how we choose ther-ex or what type of ther-ex we use with the patient? 6

A
Pathology
Impairments
Functional Limitations
Disability
Risk Reduction
Health, Wellness, and Fitness needs
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6
Q

What impairments do PTs generally address?

A

Those that affect the musculoskeletal, neuromuscular, cardiovascular/pulmonary, or integumentary systems. (board exams are broken down into these sections too)

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7
Q

What pathology becomes a functional limitation?

A

Occurs at the level of the whole person (a pathology that occurs at the shoulder, but doesn’t limit everything in a day is not whole person)
A result of impairments
Characterized by reduced ability of a person to perform actions or components of motor skills in an efficient or typically expected manner. (ie. decreased ROM in should makes combing hair impossible)

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8
Q

What is an activity limitation or functional limitation?

A

a person has difficulty executing or is unable to perform talks or ADL

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9
Q

What is the definition of a disability?

A

Inability to perform or participate in activities or tasks related to one’s self, the home, work, recreation, or the community in a manner or to the extent that the individual or community as a whole PERCEIVE AS NORMAL.–situational and cultural.

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10
Q

Define Balance

A

Ability to align body segments against gravity to maintain or move the body (center of mass) within the available base of support without falling: the ability to move the body in equilibrium with gravity through interaction of the sensory and motor systems.

Can you keep yourself upright, aligned without falling over?

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11
Q

Define Cardiopulmonary fitness

A

Ability to perform low-intensity, repetitive, total body movements over an extended period of time (walking, joggin, cycling, swimming.)

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12
Q

Define Coordination

A

How well one performs movements they want to perform.

Correct timing and sequencing of muscle firing combined with the appropriate intensity of muscular contraction leading to the effective initiation, guiding, and grading of movement.

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13
Q

Define Flexibility

Define Mobility

A

Ability to move freely, without restriction; used interchangeable with mobility.

Ability of structures or segments of the body to move or be moved in order to allow the occurrence of ROM for functional activities.

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14
Q

Define Muscle Performance

A

Capacity of muscles to produce tension and do physical work; encompasses strength, power, and muscular endurance.

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15
Q

Define Neuromuscular Control

A

Interaction of the sensory and motor systems that enables synergists, agonists, and antagonists, as well as stabilizers and neutralizers to anticipate or respond to proprioceptive and kinesthetic information and subsequently, to work in correct sequence to create coordinated movement.

Can we use our motor and nervous system to perform activities based on anticipated needs or activities with appropriate feedback.

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16
Q

Define Postural Control, Postural stability and Equilibrium

A

the same as balance

Ability to align body segments against gravity to maintain or move the body (center of mass) within the available base of support without falling: the ability to move the body in equilibrium with gravity through interaction of the sensory and motor systems.

Can you keep yourself upright, aligned without falling over?

17
Q

Define Stability

A

Ability of the neuromuscular system through synergistic muscle actions to hold a proximal or distal segment in a stationary position or to control a stable base during superimposed movement.

Can I stabilize at a close segment to do something distally?

18
Q

Define Joint Stability

A

Maintenance of PROPER ALIGNMENT of bony partners of a joint by means of passive and dynamic component.

19
Q

What is the most important question to ask during an interview?

A

What activities are most important to you?

20
Q

What are components of effective exercise instruction?

A

A non-distracting environment with demonstrated proper performance. If something goes wrong, provide specific feedback. Avoid confusion by teaching the program in small increments over several visits.

21
Q

How does one foster adherance to an exercise program?

A

Explain the rationale and importance of all exercises and their relationship to patient goals.
Involve the patient.
Create a short program…no more than 6 exercises or incorporate exercises into everyday tasks.
Point out all progress no matter how small.