TherEx Flashcards

1
Q

What is therapeutic exercise

A

Systematic, planned performance of bodily movements, postures or physical activities intended to provide a patient with the means to:
• Remediate or prevent impairments
• Improve, restore or enhance physical
function
• Prevent or reduce health-related risk factors
• Optimize overall health status, fitness or sense of well-being

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2
Q

Aspects of physical function

A
Muscle performance
Cardiopulmonary endurance
Mobility/flexibility 
Neuromuscular control/coordination
Stability
Balance/postural equilibrium
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3
Q

Therapeutic exercise includes

A
- Aerobic and endurance conditioning
• Flexibility exercises
• Neuromotor development training
• Relaxation techniques
• Muscle performance exercises: strength, power and endurance exercises
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4
Q

SAID (specific adaptation to imposed demands) principle includes what

A
  • Specificity of training (Muscles adapt over time to the stresses placed on
    them)
    • Strength versus muscular endurance
    • Specific velocity of exercise
    • Isometric versus concentric versus eccentric
    • Specific joint angle
    • Emphasis on task-specific practice
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5
Q

What is the reversibility principle

A

“Use it or lose it”

Adaptive changes due to strength, lower, or endurance training are transient

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6
Q

Detraining occurs within

A

1-2 weeks after cessation of training and continues until all training effects are lost

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7
Q

What is essential to maintain adaptive changes

A

Maintenance program

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8
Q

What is the overload principle

A

To improve muscle performance, a load that exceeds the
metabolic capacity of the muscle must be applied
• Focuses on progressive loading of a muscle by manipulating
intensity or volume

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9
Q

Key steps to develop a therapeutic exercise plan

A
  • Identify impairments and functional limitations
    • Develop goals to address impairments and
    functional limitations
    • Implement appropriate therapeutic exercises
    • Continually assess progress towards goals and progress program appropriately
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10
Q

Component of effective exercise programs

A
  • Safe
  • Individualized
  • Tailored to patient goals
  • Appropriately challenging
  • Functional/task-specific
  • Implements evidence-based exercises
  • Includes patient education
  • Involves progressive overload and is constantly evolving
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11
Q

Indications of passive ROM

A
  • In a region where a patient is unable or active movement is contraindicated
  • To allow assessment of inert structures to determine limitations of normal motions at a joint
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12
Q

Goals of passive ROM

A

• decrease complications from immobility (cartilage
degeneration, adhesion and contracture formation)
• Maintain functional range of motion

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13
Q

PROM does not… (limitations)

A
  • Prevent muscle atrophy
  • Increase muscular strength or endurance
  • Assistcirculation
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14
Q

Indications of AROM

A

Able to move desired segment without physical assistance

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15
Q

Indications of AAROM

A

Weak muscles require external or self assistance to move through desired ranges

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16
Q

Active rom is useful where in relation to an immobilized segment to maintain normal jt motions in the unaffected areas?

A

Above and below

17
Q

Limitations to AROM

A

In strong muscles, it does not assist with maintaining or increasing strength

18
Q

A shorter external moment arm will require ________ force

A

Greater

19
Q

Gravity can have effects on AROM in 3 ways, what are they?

A

Gravity assisted
Gravity minimized/eliminated
Against gravity

20
Q

What property would weighted supine knee extension or prone knee hang for increasing ROM follow?

A

Viscoelasticity (creep)

21
Q

3 types of training for muscular performance

A

Strength
Power
Endurance

22
Q

Strength training includes

A

Lowering or controlling heavy loads (resistance) for a relatively low number of reps or over a short period of time

23
Q

What element of movement is the most manipulated for power training

A

Speed

24
Q

What leads to the greatest muscle power

A

Greater the intensity and shorter the time taken to generate force

25
Q

Typical endurance training involves

A

Contracting and lift or lower a light load form any reps or sustain a muscle contraction for an extended period of time

26
Q

Bringing resistance moment arm closer to the axis of rotation ____________ load placed on a muscle

A

Decreases

27
Q

You can use ___________ to initiate movement in pts with neurological impairments

A

Passive tension

28
Q

Break down exercises into ____________ & ____________ vectors

A

Horizontal and vertical

29
Q

If the vertical vector (against gravity is small, add _____________ or _____

A

Bands or pulleys

30
Q

External stabilization can be applied…

A

Manually,
With equipment,
Or with a support surface

31
Q

Internal stabilization comes from

A

Isometric muscle contraction

32
Q

Ways to challenge balance

A
Narrowing BOS
Stable vs unstable surface
Eyes open vs eyes closed
Controlled vs open environment 
Proactive vs reactive strategies
33
Q

A therapeutic exercise program demonstrates a …

A

Logical, graded exercise progression with simple tasks and progressing to more complex tasks

34
Q

PTs identify pts impairments through careful evaluation and prescribe a…

A

Graded application of physical stresses to the impaired body system

35
Q

Therapeutic exercise should be performed in a ________, _______, and ______ manner to improve the patients function by the __________ of physical impairment

A

Controlled, progressive, and safe manner

Reduction of physical impairments

36
Q

Progressions for ROM

A

PROM > AAROM > AROM

Gravity assisted > gravity eliminated > against gravity

37
Q

How to progress strength

A
• Isometric ➔Concentric➔
Eccentric
• Double-leg➔Single-leg
• No weight ➔Body-weight ➔Weighted
• Straight plane➔Lateral plane ➔Cutting
• Controlled ➔Open environment
38
Q

How to progress balance

A
  • Double-leg➔Single-leg
  • Wide BOS➔Narrow BOS
  • Stable➔Unstablesurface
  • Static➔Dynamic
  • Controlled ➔ Open environment
  • Eyes Open➔Eyes Closed