Transcript Introduction

Introduction
to Therapeutic Exercise
Chapter 1
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Definition:
Therapeutic Exercise
 The systematic performance or
execution of planned physical
movements, postures, or activities
intended to enable the patient/client
to:
 Continued on next slide . . .
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Definition:
Therapeutic Exercise
(cont’d)
 Remediate or prevent impairments
 Enhance function
 Reduce risk
 Optimize overall health
 Enhance fitness and well-being
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Historical Perspective
 Herodicus
 Kabat
 Galen
 Williams
 Ling
 Hislop & Perrine
 Frenkel
 Maitland
 Codman
 Mennell
 Kalternborn
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The Guide to Physical
Therapist Practice
 Intervention: the purposeful and skilled
interaction of the physical therapist
with the patient/client
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Intervention
 Includes three components:
 Coordination, communication, and
documentation
 Patient/client–related instruction
 Procedural interventions
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Procedural Interventions
 Therapeutic exercise
 Functional training:
 Home
 Work, community, leisure
 Manual therapy
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Procedural Interventions
 Assistive devices and equipment
 Airway clearance
 Integumentary repair
 Electrotherapeutic modalities
 Physical agents and mechanical
modalities
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Injury Classification
 Macro trauma
 Micro trauma
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Phases of Healing
 Phase I: inflammatory response
 Phase II: repair sequence
 Phase III: remodeling phase
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Joint Capsule
 Joint stability
 Pain receptors
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Ligaments
 Connectors
 Stabilizers
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Tendons
 Musculotendinous junction
 Dynamic stability and function
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Cartilage
 Three types:
 Hyaline
 Fibrocartilage
 Elastic
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Skeletal Muscle
 Dynamic, contractile properties
 Basis for human movement
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Implications for Intervention
 Injuries generally not specific to one
tissue
 Multifaceted
 Recognition of signs of tissue
involvement
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Complementary
Interventions to Ther Ex
 Physical agents:
 Thermotherapy
 Cryotherapy
 Hydrotherapy
 Sound
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Electrotherapeutic Modalities
 Biofeedback
 Electrical stimulation
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Summary
 Therapeutic exercise:
 Is a vital component of patient
intervention for the PTA
 Is a core element in the treatment of the
patient/client
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