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Introduction to Therapeutic Exercise

Introduction to Therapeutic Exercise. Chapter 1. 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. Definition: Therapeutic Exercise (cont’d).

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Introduction to Therapeutic Exercise

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  1. Introduction to Therapeutic Exercise Chapter 1

  2. 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 . . .

  3. Definition:Therapeutic Exercise (cont’d) • Remediate or prevent impairments • Enhance function • Reduce risk • Optimize overall health • Enhance fitness and well-being

  4. Herodicus Galen Ling Frenkel Codman Kabat Williams Hislop & Perrine Maitland Mennell Kalternborn Historical Perspective

  5. The Guide to Physical Therapist Practice • Intervention: the purposeful and skilled interaction of the physical therapist with the patient/client

  6. Intervention • Includes three components: • Coordination, communication, and documentation • Patient/client–related instruction • Procedural interventions

  7. Procedural Interventions • Therapeutic exercise • Functional training: • Home • Work, community, leisure • Manual therapy

  8. Procedural Interventions • Assistive devices and equipment • Airway clearance • Integumentary repair • Electrotherapeutic modalities • Physical agents and mechanical modalities

  9. Injury Classification • Macro trauma • Micro trauma

  10. Phases of Healing • Phase I: inflammatory response • Phase II: repair sequence • Phase III: remodeling phase

  11. Joint Capsule • Joint stability • Pain receptors

  12. Ligaments • Connectors • Stabilizers

  13. Tendons • Musculotendinous junction • Dynamic stability and function

  14. Cartilage • Three types: • Hyaline • Fibrocartilage • Elastic

  15. Skeletal Muscle • Dynamic, contractile properties • Basis for human movement

  16. Implications for Intervention • Injuries generally not specific to one tissue • Multifaceted • Recognition of signs of tissue involvement

  17. Complementary Interventions to Ther Ex • Physical agents: • Thermotherapy • Cryotherapy • Hydrotherapy • Sound

  18. Electrotherapeutic Modalities • Biofeedback • Electrical stimulation

  19. 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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