Therapeutic Exercise - Lecture 1 Flashcards
Rehab programs must be based on the cycle of the ___
cycle of the healing process
Rehab principle: you must have a sound understanding of the __ of the various phases
sequences
rehab principles: responses follow a predictable __
sequence
rehab principles: how and when to alter a progress a program should primarily be based on __ and ___ associated with phases
signs & symptoms and time frame associated with phases
rehab principles: to be effective, specific parameters must be addressed ___
sequentially
rehab principles: each parameter must be restored to __
pre-injury level
list the 8 goals of an exercise rehab program
- range of motion,
- flexibility,
- proprioception,
- metabolic conditioning,
- strength,
- power,
- functional movement,
- mental confidence
rehab principles goal order:
flexibility and ROM, strength and muscle endurance, proprioception and coordination
acute phase (inflammatory/demolition): early __ is essential
mobility
early mobility is essential but what occurs if you are to aggressive
the inflammatory process never gets a chance to do its job
during the acute phase how long should you consider immobility as a n option
first 24-48 hours
during the acute phase of rehab at what point should you look at working through pain-free ROM
day 3-4
during the acute phase of rehab what should you progressively encourage?
progressively encourage to bear weight (lower extremity-Wolf’s law)
during the repair phase (demolition/early healing) of rehab pain may be less with __ and __ motion
active and passive
what should you start to do in the repair phase (demolition/early healing) of rehab?
maintain CV fitness, restore ROM, restore or increase strength, re-establish neuromuscular control
which rehab phase is the longest? How long can it last?
remodelling phase (mid/late healing) can last months - years
during which phase should strengthening exercises be progressively placed on injured site?
remodelling phase (mid/late healing)
during which phase should you introduce stresses and strains normally encountered during activity?
remodelling phase (mid/late healing)
during which phase should you incorporate plyo’s for power?
remodelling phase (mid/late healing)
during what phase should you incorporate functional testing to determine specific skill weakness?
remodelling phase (mid/late healing)
rehab principles: exercises should embody a wide variety of __,__,__
activities, actions, techniques
what two criteria is exercise selection based upon?
therapists determination and stages of healing
what is a fundamental consideration in every aspect of a rehab program?
safety
Types of ROM
AROM, PROM, joint mobilizations, PNF, Stretching techniques
types of flexibility
patient, partner assisted, static, dynamic
types of proprioception
balance, agility, stability, coordination, quickness
types of metabolic conditioning
aerobic, anaerobic alactic, anaerobic lactic
types of functional movement
return to sport, return to job, accomplish ADL
types of mental confidence
records (to show progress), imagery and visualization, subjective, realistic and attainable goals
list the 5 steps to the treatment plan
- assessment,
- do something for the injured tissue,
- Do something for the injured body part
- do something for the whole body
- joint above and below
- quadrant
- whole body,
- reassessment
8 components of exercise selection
- stimulate appropriate neural pathways,
- maintain the nural pathway as the joint heals,
- protect injured body part while maintaining integrity of uninjured areas,
- increase motor unit recruitment,
- eccentric control of the body,
- hypertrophy,
- facilitate contraction and muscle patterning,
8 coordination/proprioception/kinesthetic awareness
list the 8 principles of rehabilitative exercise
- overload - will vary,
- initiation of exercise program,
- progressions/regressions,
- specificity (ROM, patterns, velocity, force, flexibility),
- functional movement,
- rest and recovery,
- contraction type,
- individualization
