Therapeutic Exercise Prescription

Question 1

Purpose of Therapeutic Exercise Presxriotion

Answer 1

Corrects or prevents body’s functional and structural impairments (ROM, Strength, Pain, Balance).
Enhances participation and activities.
Prevents/reduce health related risk factors.
Optimize overall health, fitness, well being.

Question 2

Signs and Symptoms of Muscle Fatigue

Answer 2

Uncomfortable sensation in the muscle, possible pain and cramping
Shaking or trembling of the contracting muscle
Unintentional slowing of the contraction velocity while repeting the
exercise
Inconsistent or jerky movements
Inability to complete the exercise
Incorrect movement patterns in order to complete the activity
Inability to continue low intensity physical activity

Question 3

Phases of Healing - Cartilage

Answer 3

Inflammation: 48h - 5 days
Proliferation: 2 weeks - 1 month.
Remodeling: 2-6 months.

Question 4

Phases of Healing - Muscle

Answer 4

Inflammation: 6h - 3 weeks.
Proliferation: 7 - 18 days
Remodeling: 6 weeks - 6 months.

Question 5

Phases of Healing - Bone

Answer 5

Inflammation: 48h - 5 days
Proliferation: 2-4 weeks
Remodeling: up to 6 months

Question 6

Phases of Healing - Tendon

Answer 6

Inflammation: 3 days - 1 week
Proliferation: 10 - 42 days
Remodeling: 6 - 50 weeks

Question 7

Phases of Healing - Ligament

Answer 7

Inflammation: 48 - 72 h
Proliferation: 4 - 8 weeks
Remodeling: months - years
Return to sport before healing is complete.
3-6 weeks in mild injury.
8-12 weeks in moderate to severe (except ACL).

Question 8

Exercise Prescription - Inflammatory Phase

Answer 8

POLICE
PEACE and LOVE

Question 9

Exercise Prescription - Proliferation Phase

Answer 9

Begin ROM Exercises:
PROM, AAROM
Isometrics?

Question 10

Exercise Prescription - Remodelling Phase

Answer 10

Full ROM
Resistance exercises
Balance and agility
Functional + specific exercises.

Question 11

Acute Phase Goals

Answer 11

Relief pain, decrease swelling, minimize inflammation.

Question 12

Intermediate Phase Goals

Answer 12

Muscle strengthening
Regain full ROM
Functional activities

Question 13

Motor control dosage

Answer 13

Quality not quantity so maybe 8-10 reps.

Question 14

Balance dosage

Answer 14

45sec, if patient can do longer, increase the difficulty.

Question 15

Muscle strength dosage

Answer 15

Min 6 weeks. Neural changes the first 6 weeks, after that fibre size and nr of fibres, also takes longer to be reversed.
up to 12 weeks.

Question 16

Tendinopathy Pain Reduction Dosage

Answer 16

at least 8 weeks before pain is likely to reduce.

Question 17

Muscle tears

Answer 17

Nothing first 5 days. 1-2 weeks mechanotherapy, pain not above 2. Active contractions without resistance in beginning.

Question 18

Mobilisations Grade 1-2 Pain Reduction Reasoning

Answer 18

Oscillations stimulate joint mechanoreceptors to inhibit nociceptive feedback into the joints. 3x 30 sec.