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37 Cards in this Set
- Front
- Back
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therapeutic exercise
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aeorbic or endurance training
balance training strength tissue healing pain reduction muscle re-education |
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68 year old male
case study |
?
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motor learning principles
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results from experience
inferred from behavior process of acquiring the capability for skilled action |
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ther ex and motor learning
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the exercises that promote function are the best exercises
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why ther ex?
and what for |
faciliate healing specific to tissue's stage, protect the tissue, and reduce adaptive motor strategies that may emerge due to injury
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stages of connective tissue healing
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1 inflammation
2 repair/regeneration 3 remodeling |
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effects of pain/swelling on neuromuscular control
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timing isn't restored
training at wrong rate of fire our job is to restore firing timing from aberrant timing |
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case study
23 year old rower with R shoulder pain, arm knocked backwards while shooting, unable to raise her arm OH or to the side |
she is in the acute phase
3-7 days |
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case study
P/A |
probably intraarticular ?
anterior band of GH joint? |
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case study
ROM |
limited ROM especially OH and to the side
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case study
joint play |
reduced or boggy end-feel
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in inflammatory stage
TE goals (tissue healing) |
reduce swelling
reduce pain immobilize mental practice of task |
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subacute
tissue healing TE |
restore motion with protection of joint
-stability -provide optimal stimulus for tissue recovery |
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case study
TE things to avoid |
dont do OH resisted movement
work her ST joint, do exercises w/ elbow, hand, FA |
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case study
4 weeks later |
she will be in proliferation
-there shouldnt be swelling or cardinal signs we want to increase blood supply we need rest equal amount to contraction |
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TH
muscle tendon |
intermittent tension thru contraction and stretch
-eccentric principles w/ chronic tendonopathy |
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muscle/tendon
stage 1 |
PROM w/ painfree ROM if safe to tolerate any stretch, gentle submax iso in shortened position of muscle
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muscle/tendon
2nd |
AAROM progress from deloaded or grav min to gravity
-stretch to muscle and tendon in lengthened position fxnl activities once painfree and contraction tolerated against gravity |
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muscle/tendon
3rd |
strength, endurance, power
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cartilage injury (intraarticular)
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intermittent compression
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cartilage
1 |
protect joint
gentle isos, PROM if stable joint within painfree ROM |
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cartilage
2 |
AAROM to AROM w/ intermittent compression
-isometric contractions at varying angles of joint then perturbations -fxnl activities can be introduced as soon as tissue can tolerate them |
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cartilage injury
3 |
progress strength and overload as necessary for return to high level activities
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bone
tissue healing |
intermittent compression?
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bone
1 |
PROM, gentle submax iso using gripping within the hand, scapula movements w FA supported on the table
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bone
2 |
AAROM and AROM as tolerated
functional restoration of strength as boney callous formation occurs |
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bone
3 |
remodeling of bone can take up to 3 years
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ligament/capsule (extraarticular)
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intermittent tension in perpendicular direction to the fibers
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lig/cap
1 |
protect and stabilize w/ external support
iso around the joint you want to insure no movement or stress to the fibers to facilitate some stiffening |
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lig/cap
2 |
gentle PROM and AAROM ntil some stiffness has occurred
iso at different joint angles and gentle pertubrations |
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lig/cap 3
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retrain to performance level
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hypertrophy
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used with extreme weakness in rehab
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strength
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general PRE exercises in rehab
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endurance
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20 reps
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tissue repair/healing
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30+ reps for adequate stress to assist in repair and remodel
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isometrics
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performed early
used during fractures promote vascularity in joints, prevent muscle atrophy -when joint motion is painful -enhance joint stability |
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eccentric
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greatest tension
repair/tissue healing of tendon dont perform it if you have a strain or tear (acute inflammation) |
