Therapeutic Exercise - Lecture 1 Flashcards

1
Q

Rehab programs must be based on the cycle of the ___

A

cycle of the healing process

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2
Q

Rehab principle: you must have a sound understanding of the __ of the various phases

A

sequences

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3
Q

rehab principles: responses follow a predictable __

A

sequence

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4
Q

rehab principles: how and when to alter a progress a program should primarily be based on __ and ___ associated with phases

A

signs & symptoms and time frame associated with phases

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5
Q

rehab principles: to be effective, specific parameters must be addressed ___

A

sequentially

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6
Q

rehab principles: each parameter must be restored to __

A

pre-injury level

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7
Q

list the 8 goals of an exercise rehab program

A
  1. range of motion,
  2. flexibility,
  3. proprioception,
  4. metabolic conditioning,
  5. strength,
  6. power,
  7. functional movement,
  8. mental confidence
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8
Q

rehab principles goal order:

A

flexibility and ROM, strength and muscle endurance, proprioception and coordination

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9
Q

acute phase (inflammatory/demolition): early __ is essential

A

mobility

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10
Q

early mobility is essential but what occurs if you are to aggressive

A

the inflammatory process never gets a chance to do its job

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11
Q

during the acute phase how long should you consider immobility as a n option

A

first 24-48 hours

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12
Q

during the acute phase of rehab at what point should you look at working through pain-free ROM

A

day 3-4

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13
Q

during the acute phase of rehab what should you progressively encourage?

A

progressively encourage to bear weight (lower extremity-Wolf’s law)

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14
Q

during the repair phase (demolition/early healing) of rehab pain may be less with __ and __ motion

A

active and passive

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15
Q

what should you start to do in the repair phase (demolition/early healing) of rehab?

A

maintain CV fitness, restore ROM, restore or increase strength, re-establish neuromuscular control

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16
Q

which rehab phase is the longest? How long can it last?

A

remodelling phase (mid/late healing) can last months - years

17
Q

during which phase should strengthening exercises be progressively placed on injured site?

A

remodelling phase (mid/late healing)

18
Q

during which phase should you introduce stresses and strains normally encountered during activity?

A

remodelling phase (mid/late healing)

19
Q

during which phase should you incorporate plyo’s for power?

A

remodelling phase (mid/late healing)

20
Q

during what phase should you incorporate functional testing to determine specific skill weakness?

A

remodelling phase (mid/late healing)

21
Q

rehab principles: exercises should embody a wide variety of __,__,__

A

activities, actions, techniques

22
Q

what two criteria is exercise selection based upon?

A

therapists determination and stages of healing

23
Q

what is a fundamental consideration in every aspect of a rehab program?

A

safety

24
Q

Types of ROM

A

AROM, PROM, joint mobilizations, PNF, Stretching techniques

25
Q

types of flexibility

A

patient, partner assisted, static, dynamic

26
Q

types of proprioception

A

balance, agility, stability, coordination, quickness

27
Q

types of metabolic conditioning

A

aerobic, anaerobic alactic, anaerobic lactic

28
Q

types of functional movement

A

return to sport, return to job, accomplish ADL

29
Q

types of mental confidence

A

records (to show progress), imagery and visualization, subjective, realistic and attainable goals

30
Q

list the 5 steps to the treatment plan

A
  1. assessment,
  2. do something for the injured tissue,
  3. Do something for the injured body part
  4. do something for the whole body
    • joint above and below
    • quadrant
    • whole body,
  5. reassessment
31
Q

8 components of exercise selection

A
  1. stimulate appropriate neural pathways,
  2. maintain the nural pathway as the joint heals,
  3. protect injured body part while maintaining integrity of uninjured areas,
  4. increase motor unit recruitment,
  5. eccentric control of the body,
  6. hypertrophy,
  7. facilitate contraction and muscle patterning,
    8 coordination/proprioception/kinesthetic awareness
32
Q

list the 8 principles of rehabilitative exercise

A
  1. overload - will vary,
  2. initiation of exercise program,
  3. progressions/regressions,
  4. specificity (ROM, patterns, velocity, force, flexibility),
  5. functional movement,
  6. rest and recovery,
  7. contraction type,
  8. individualization