Transcript Therapeutic Exercise

Therapeutic
Exercise
Ms. Bowman
Overview
 Therapeutic

exercise-
Goal: return the injured athlete to activity in
a safe and timely manner
Components-1
 Immediate



first aid and management
Begins immediately after injury
Very critical; impacts course of
rehabilitative process
Controlling swelling
 P-protection
 R-rest
 I-ice
 C-compression
 E-elevation
Components-2
 Reducing


or minimizing pain
PRICE
Therapeutic modalities
Components-3
 Restoring




range of motion
Injury always followed by some degree of
↓ROM
Limiting loss and ↑ROM back to normal or
better is important for any rehab program
PROM
AROM
Components-4
 Restoring
muscular strength, endurance,
and power

Essential to restoring function of body to
pre-injury status
 Strength-ability
of muscle to generate force
against some resistance
 Endurance-ability to perform repetitive
muscular contractions against some
resistance for an extended time
 Power-ability to generate force rapidly
Components-4


Isometric contractions-contraction while
muscle length remains constant
Isotonic-contraction while the length of the
muscle changes
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

Concentric contractions-contraction while
muscle is shortening
Eccentric contractions-contraction while
muscle is lengthening
Isokinetic contractions-muscle contraction
that occurs at a constant velocity
Components 4 Closed
chain-exercises that are
performed when feet or hands are weight
bearing
 Open chain-exercises that are performed
when one foot or hand is not in contact
with the ground or some other surfaced
Components 4 Overload
principle-for a muscle to
improve in strength, it must be forced to
work at a higher level than it is
accustomed to
 Exercises are progressively increased
depending on the healing process
Components-4

Progressive Resistive Exercises-strengthen
muscles through ROM with some fixed
resistance



Use isotonic contractions
Circuit Training-exercise stations that consist of
various combinations of activities
Plyometric Exercise-involves a rapid eccentric
stretch of a muscle followed immediately by
a rapid concentric contraction
Components-5
 Reestablishing


neuromuscular control
Production of coordinated movements
Strength exercises (especially functional
one) help body “relearn” movements need
to perform tasks of sport
Components-6
 Regaining


balance
Essential athletic skill
Lack of balance may predispose one to
further injury or reinjury
Components-7
 Maintaining


cardiorespiratory fitness
Levels of cardiorespiratory fitness may
decrease rapidly when athlete is injured
Alternative activities may be implemented
until at the appropriate point in healing
process for others
Components-8
 Functional


progressions
Series of gradually progressive activities
designed to prepare athlete for return to a
specific sport
Sport specific activities
 The
steps of therapeutic exercise are on a
continuum much like the healing process.
 Progression from one component to the
next should be guided by the healing
process and the patient’s body and injury.