TherEx Flashcards

1
Q

Q: How can posture effect TherEx? (2)

A
  1. Watch for compensatory mechanism
  2. Can lead to other injury
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2
Q

Q: In which phase does pain occur with activity or motion of involved area?

A

Sub-acute

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2
Q

Q: What is another name for the sub-acute phase?

A

Migratory/Proliferative Phase

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2
Q

Q: At what length is the greatest tension produced?

A

Near or at resting length

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3
Q

Q: What is an illness script?

A

Decision making that gets right to the point and treats the problem

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3
Q

Q: What is the plyometric theory related to the neurophysiological model?

A

Stretch reflex occurs as a response to overstretching, reaction is to recoil spring into concentric contraction

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4
Q

Term: The body’s ability to transmit position sense, interpret the information and respond consciously or unconsciously to stimulation through appropriate execution of posture and movement

A

Proprioception

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5
Q

Content: Intervention for Collagen

A

Modified tension in the line of stress

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5
Q

Q: In which phase does scar tissue density and tensile strength increase?

A

Chronic

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5
Q

Term: Increase in fiber size

A

Hypertrophy

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6
Q

Defn: Medical model

A

Scan, Illness scripts

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6
Q

Content: How to calculate DAPRE (5)

A
  • 0-2 reps decrease 5-10#
  • 3-4 reps decrease 0-5#
  • 5-6 reps keep same weight
  • 7-10 reps increase 5-10#
  • 11+ increase 10-15#
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7
Q

Q: In which phase is the area red, warm, swollen, and painful?

A

Acute

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8
Q

Defn: Algorithms

A

If and then

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9
Q

Content: Exercise selection (3)

A
  1. Multiple exercises for the same muscle group
  2. Stable and unstable surfaces
  3. Incorporate interval training
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10
Q

Term: The ability to perform smooth, accurate, and controlled movements.

A

Coordination

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10
Q

Q: What is the exercise prescription for a power training objective?

A

Rest 2-5 min, sets 2-4, reps 3-6

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11
Q

Diagram: Oddvar Holten Curve

A
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12
Q

T/F: Greater torques are produced at higher speeds.

A

False: lower

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13
Q

Q: What is the goal of a therapeutic exercise program?

A

Optimal level of symptom free movement during basic to complex physical activities

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14
Q

Q: In which phase does macrophage and fibroblast activity diminish?

A

Chronic

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15
Q

Q: Is our definition of normal strength really a measurement of strength?

A

No, also need to look at endurance (a different type of strength)

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16
Q

Content: Delayed Onset of Muscle Soreness (DOMS) (4)

A
  1. can occur 48-72 hours after exercise
  2. usually related to eccentric exercise or lack of preparation
  3. low load and high rep will assisst in healing
  4. proper hydration and nutrition are key
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17
Q

Content: Other considerations for TherEx (6)

A
  1. Posture/position
  2. Muscle type, contraction, fibers
  3. Repetition
  4. Rest/recovery
  5. Periodization
  6. Substitution
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17
Q

Q: In which phase is ROM and strength limited?

A

Sub-acute

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17
Q

Q: In which phase is there capillary growth, granulation tissue formation, fibroblast proliferation with collagen synthesis, and increased macrophage activity?

A

Sub-acute

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18
Q

T/F: The length tension relationship can be altered by pt. position, thus positional weakness should be considered for MMT and TherEx.

A

True

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19
Q

Term: TherEx - sensory input used either to facilitate or inhibit a response

A

Element

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20
Q

Content: Parts of the intervention definition (5)

A
  1. Exercise to prevent muscular atrophy
  2. Restoring joint and muscle function
  3. Increasing muscular strength
  4. Improving efficient cardiovascular and pulmonary function
  5. Neurological elements
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20
Q

Q: What is the exercise prescription for an endurance training objective?

A

Very short rest periods, 2-3 sets, reps > 15

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22
Q

Q: In which phase is there coagulation and WBCs present?

A

Acute

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23
Q

Q: In which phase is there pain present at rest and with motion of the involved area?

A

Acute

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24
Q

Q: What is the PT problem solving approach?

A

Assess needs > develop a plan > implement plan > evaluate plan > ALWAYS return to ASSESS needs

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25
Q

Q: Which fiber type can generate large amounts of tension, but fatigue quickly?

A

Type 2A-B

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26
Q

Content: What 3 questions can you ask for any type of TherEx

A
  1. Does the pt. have the available ROM?
  2. What motion do you need to perform this stance?
  3. What exercises can you prescribe to achieve this?
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27
Q

Q: What does the overload principle look like for endurance training?

A

Emphasis on increasing time muscle contraction is sustained or number of repetitions performed

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28
Q

T/F: During eccentric contractions, increased speed of lengthening produces more tension.

A

True

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29
Q

Q: What is the overload principle?

A

Progressive loading of the muscle by manipulating intensity or volume of the exercise

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30
Q

T/F: The larger the diameter of the muscle the greater the tension-producing capacity.

A

True

32
Q

Q: What is a problem list good for?

A

Helps you develop your goals and plan

33
Q

Q: How should you structure a HEP?

A

So that is compliments your program in the clinic

35
Q

Q: How do you achieve symptom-free movement and function?

A
  1. Knowledge of basic principles
  2. Relationships of anatomy and kinesiology
35
Q

Q: What are open chain exercised used for?

A

To isolate one joint motion

36
Q

Q: What is the plyometric theory related to series elastic components?

A

Stored energy created with rapid stretching, energy released immediately with concentric contraction

36
Q

Q: What is the exercise prescription for a hypertrophy training objective?

A

Rest 30-45 secs or before full recovery, 3-4 sets, reps to fatigue

37
Q

Q: The following example is what type of PRE? 10 reps @ 100%, 10 reps @75%, 10 reps @50%

A

Oxford

39
Q

Content: Intervention for Cartilage (2)

A
  1. Intermittent compression and decompression with gliding
  2. Avoid excessive overload
40
Q

Term: TherEx - a posture and any movement occurring in that posture

A

Activity

40
Q

Q: In which phase may pain occur after activity?

A

Chronic

41
Q

Q: The following example is what type of PRE? 10 reps @50%, 10 reps @75%, 10 reps @100%

A

DeLorme

43
Q

Term: Tool (object or therapist) used to restore and improve a pt.’s musculoskeletal or cardiopulmonary well being.

A

Therapeutic exercise

44
Q

Q: What are the 4 goals of the chronic phase?

A
  1. Increase tissue stress
  2. Full motion
  3. Strengthen
  4. Return to pain-free function
45
Q

Content: TherEx Dosage (5)

A
  1. Choose 1-2 types of exercise
  2. 1-3x/wk for 6-12 wks
  3. 2 sets of 10 OR 4 sets of 8
  4. 48-72 hours rest per body part
  5. Ample rest between sets
47
Q

Q: Muscle strength is a foundation for developing muscle ________.

A

Power

48
Q

T/F: Oxford PRE results in better outcomes than DeLorme PRE.

A

False; same outcome

48
Q

Q: What is the exercise prescription for a strength training objective?

A

Rest 1-2 mins, 3-6 sets, reps 4-8

50
Q

Content: Types of TherEx (7)

A
  1. ROM
  2. Strengthening
  3. Flexibility
  4. Coordination
  5. Endurance
  6. Balance/Neuromuscular control
  7. Functional/specific activities
51
Q

Q: What 3 systems are used for balance?

A
  1. Sensory
  2. Biomechanical
  3. Motor
52
Q

Content: DAPRE (4)

A
  1. Daily adjustable progressive resistive exercise
  2. Based on 6RM
  3. Adjusted working weight is based on the max number
  4. This determines the weight for the next session
54
Q

T/F: Balance should be progressed from simple to complex activites.

A

True

54
Q

Term: Relates to the ability of the neuromuscular system to produce, reduce, or control forces, contemplated or imposed, during functional activities, in a smooth, coordinated manner

A

Functional Strength

56
Q

Term: The ability of a muscle or muscle group to produce tension and a resulting force during a maximal effort, either dynamically or statically in relation to the demands placed upon it

A

Strength

57
Q

Term: TherEx - the type(s) of muscle contraction(s) i.e. concentric, eccentric, isometric

A

Technique

58
Q

Content: Intervention for Bone (2)

A
  1. Biomechanical energy in the line of stress
  2. Avoid sheer forces
58
Q

Q: What are plyometrics good for? (3)

A
  1. power training combined with strengthening
  2. using max force in short time period
  3. eccentric to concentric
59
Q

Term: Distal portion free in space

A

Open Chain Exercise

60
Q

Q: What are closed chain exercises used for?

A

When you want multiple joints and muscles involved

61
Q

Content: Components of TherEx (3)

A
  1. Activity
  2. Technique
  3. Elements
62
Q

Q: What does the overload principle look like for strength training?

A

Amount of resistance applied is gradually increased

64
Q

Defn: Clinical reasoning

A

Reliant on experience

65
Q

Q: What are the 3 goals of the acute phase?

A
  1. Rest
  2. Relieve pain
  3. Protect
65
Q

Content: Periodization (4)

A
  1. Method used to prevent overtraining
  2. Helps maximize results in minimum time
  3. Improves muscular endurance, strength, power, motor performance, and/or muscle hypertrophy
  4. Can alter exercise variables (mode, order, frequency, intensity, volume)
67
Q

Content: Progressive Resistance Exercise - DeLorme (3)

A
  1. 3 sets of 10 RM
  2. Progressive loading during each set
  3. Warm up build in
69
Q

Q: What is the acronym SAID?

A

Specific Adaptation to Imposed Demands

71
Q

Content: Skillful Decision Making Models (4)

A
  1. Disablement model
  2. Medical model
  3. Clinical reasoning
  4. Algorithms
72
Q

Content: Other bits of the TherEx puzzle (4)

A
  1. Understand state of the injury
  2. Understand surgical procedure
  3. Know potential rate of recovery
  4. Be aware of precautions, complications, and contraindications
73
Q

Q: What are the 3 phases of plyometrics?

A
  1. Pre-stretch
  2. Amortization (time between pre-stretch and concentric contraction)
  3. Muscle contraction
75
Q

Q: What are the 3 goals of the sub-acute phase?

A
  1. Optimal stimulus for regeneration
  2. Protect
  3. Gain motion
77
Q

Term: The ability of a muscle to contract repeatedly against a load, generate and sustain tension, and resist fatigue over an extended period of time

A

Muscular endurance

79
Q

Term: Advanced skill that is built on flexibility, strength, and power first, followed by coordination and balance.

A

Agility

80
Q

Q: What 5 things should you consider when prescribing TherEx?

A
  1. Target Muscles
  2. Adjust to activity and posture
  3. Strength vs. endurance
  4. Frequency
  5. Pt personality
81
Q

Content: 4 parts of specificity of training

A
  1. Bilateral vs. single loading exercise
  2. Balance
  3. Proporioception
  4. Kinesthetic
82
Q

Content: Things to keep in mind when addressing the problem (4)

A
  1. Where is the pt. lacking function?
  2. What are the pt goals?
  3. Are they the same as your goals?
  4. Assess the needs
83
Q

T/F: According to SAID, exercised should be selected to create training effects specific to pt.’s funcitonal needs and goals

A

True

84
Q

Q: Which type of contract produces the most tension?

A

Eccentric

85
Q

Defn: Disablement model

A

Impairment, Function, Activity

87
Q

Content: Basic Principles of TherEx (6)

A
  1. Bi/Unilateral
  2. Un/stable
  3. Single/multiplanar motion
  4. Single/multijoint motion
  5. Simple/complex task/exercise
  6. Specific to job/sport
88
Q

Term: Ability to maintain equilibrium.

A

Balance

89
Q

Term: The ability to use the right muscles at the right time with appropriate sequencing and intensity

A

Coordination

90
Q

Term: Distal protion of segment is fixed

A

Close chain exercise

91
Q

Defn: “Normal” strength

A

The amount or degree of strength of a muscle that allows that muscle to contract against gravity and hold against maximum resistance (one time)

92
Q

Content: 2 ways power can be enhanced

A
  1. Increasing the work a muscle must perform in a specific period of time
  2. Reducing the amount of time taken to generate the force
93
Q

Q: Which fiber type develops less tension but are resistant to fatigue?

A

Type 1

94
Q

Q: What does functional movement allow use to do?

A

Gives us the ability to change direction of movement quickly and efficiently and adapt to surfaces

95
Q

Term: Increase in fiber number

A

Hyperplasia

96
Q

Term: Safely return a pt. to his or her preinjury state with as little risk of reinjury as possible with the minimum amount of pt. inconvenience

A

Intervention

97
Q

Content: Progressive Resistance Exercise - Oxford (2)

A
  1. Regressive loading
  2. Diminished the resistance as the muscle fatigues