MTST-225 Lecture Notes - Lecture 4: Free Range, Shock Absorber, Proprioception
27 Jun 2018
School
Department
Course
Professor
Feb 5
What is therapeutic exercise: prevent or reduce health related risk factors, promote best
physical health
Independent physical function - multidimensional - psychological, physical, social and cognitive
aspects.
The previous 7 aspects of physical function (p2 therapeutic exercise) are in turn controlled by
systems of the body. Our body systems react, adapt and develop in response to the forces and
stresses placed upon them - SAID principle (specific adaptations to imposed demand) - is an
extension of wolf’s law.
Model of displacement:
a) Pathophysiology - what is happening at cellular/biological level of condition
b) Physical impairment - signs and symptoms
c) Functional limitations - physical, social and psychological. Focus on primarily physical
limitations
d) Disabilities - inability to participate in self care, leisure, and work to their or societies
perceived expectation as normal
NAGI disablement model - characterized by the reduced ability of a person to perform actions or
components of motor tasks in an efficient or typically expected manner - box 1.4, pg 10.
Risk factors to disablement/disability - usually exist prior to the onset of pathology, impairment
or functional limitation
a) Biological factors
b) behavioural/lifestyle factors
c) Physical environment
d) Socio-economic factors
Figure 1.5,pg 15 in therapeutic exercise.
Establishing goals:
- Get pt involved
- Pt must understand their pathology/injury and how it affects their life
- Long term goals functionally relevant and meaningful to the client - activity meaningful -
play tennis again, drive car etc
- Involve a support person if possible for physical and emotional help/feedback
Activity meaningful goals
- Long term goals LTG - overall goal of client
- Short term goals STG - are ltg broken down intro progressive manageable units
- Small steps
- Easy to monitor
find more resources at oneclass.com
find more resources at oneclass.com
- Progressive and incremental
- Involve frequency - sets and reps/day (time line)
- Duration is needed
- Explain how the specific exercise is a building block to support their LTS
- Reevaluate often
Range of Motion - p6/7 in handout
C/I for ROM exercises
- Shouldnt be done when motion to a part is disruptive to the healing process
- Complete immobility leads to adhesions and contracture formtation, sluggish circulation
and prolonged recovery time
- Early continous PROM within a pain free range has been shown to be beneficial to
healing and early recover of many soft tissue and joint
Self assisted ROM
- Use uninvolved extremity to move the involved one through ranges of motion
- W unilateral weakness or early stages of recovery following surgery or trauma, self
assissted rom is used to protect the healing tissues when more intense mm contraction
is desired
- Forms of self assisted ROM - box 3.2 pg 64
Resisted exercise
3 key elements of mm performance
1. Strength
2. Power
3. Endurance
Strength - the ability of the neuromuscular system to produce, reduce or control the forces
during functional activities in a smooth coordinated manner
Power - strength and speed of mvmnt/ the rate of performing work
Endurance - low intensity, sustained activity over a long period of time
Has a more positive impact on improving function than strength training for pts w impaired mm
performance.
Minimizes adverse forces on joints, produces less irritation on soft tissue and us more
comfortable than heavy exercises
Overload principle - p 160
If mm performance is to improve, mm must be worked to point of fatigue
SAID principle
Which exercise, how it should be applies, to achieve specific training effects based on clients
functional needs and goals
Non destructive stress to facilitate
Specific training - mimic anticipated function
Transfer of training - occurs minimallly. Exercised limb can benefit non exercised limb
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
What is therapeutic exercise: prevent or reduce health related risk factors, promote best physical health. Independent physical function - multidimensional - psychological, physical, social and cognitive aspects. The previous 7 aspects of physical function (p2 therapeutic exercise) are in turn controlled by systems of the body. Our body systems react, adapt and develop in response to the forces and stresses placed upon them - said principle (specific adaptations to imposed demand) - is an extension of wolf"s law. Model of displacement: pathophysiology - what is happening at cellular/biological level of condition, physical impairment - signs and symptoms, functional limitations - physical, social and psychological. Focus on primarily physical limitations: disabilities - inability to participate in self care, leisure, and work to their or societies perceived expectation as normal. Nagi disablement model - characterized by the reduced ability of a person to perform actions or components of motor tasks in an efficient or typically expected manner - box 1. 4, pg 10.
