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Notes
,THERAPEUTICkEXERCISEkI ScientifickBasiskOfkTherapeutickExercise
SCIENTIFIC BASIS OF THERAPEUTIC EXERCISE k k k k
What is therapeutic exercise??
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• It is a systematic , planned performance of bodily movements , postures or phy
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sical activity k
• When Physical therapists design a Therapeutic exercise program, they design a
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n individualized program to each patient’s unique need and abilities (even if the
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kpatients are complaining from the same disorder or problem, each patient is un
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ique ➔ you can treat the old age patient as the young one or the athletic one lik
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e the sedentary person, each patient is different from the other)
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What are the intended goals for therapeutic exercises??
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▪ Therapeutic exercises are intended to k k k k
1. Prevent impairments k
2. Improve, restore, or enhance physical function
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3. Prevent or reduce health related risks
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4. Optimize overall health status and fitness
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COMPONENTS OF PHYSICAL FUNCTION k k k
• The ability to function as independently as possible during activities of daily li
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ving (ADL) is dependent upon elements of physical as well as social and psych
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ological function. k
• The multidimensional aspects of physical function encompass the diverse inte
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rrelated areas of performance. k k k
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,THERAPEUTICkEXERCISEkI ScientifickBasiskOfkTherapeutickExercise
• Components of Physical Function are
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Componentskofkphysicalkfunction
k Cardiopulmonary fitness /endurance: k k
• The ability to perform moderate intensity, repetitive total body movements (w
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alking, jogging, cycling, swimming) over an extended period of time.
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k Balance:
• The ability to align body segments against gravity to maintain the body (center o
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f mass) within the available base of support without falling
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• The ability to move the body in equilibrium with gravity via interaction of the se
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nsory and motor systems
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k Coordination:
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, THERAPEUTICkEXERCISEkI ScientifickBasiskOfkTherapeutickExercise
• The correct timing and sequencing of muscle firing combined with the appropr
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iate intensity of muscular contraction leading to the effective initiation, guidin
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g, and grading of movement. Coordination is the basis of smooth, accurate, effi
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cient movement and occurs at a conscious or automatic level
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k Flexibility:
• The ability to move freely, without restriction;
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• It is used interchangeably with mobility.
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k Mobility:
• The ability of structures or segments of the body to move or be moved in order to
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allow the occurrence of range of motion (ROM) for functional activities (funct
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ional ROM). Passive mobility is dependent on soft tissue (contractile and nonc
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ontractile) extensibility; in addition, active mobility requires neuromuscular a
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ctivation
k Muscle performance: k
• The capacity of muscle to produce tension and do physical work. Muscle p
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erformance encompasses strength, power, and muscular endurance.
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k Neuromuscular control: k
• Interaction of the sensory and motor systems that enables synergists, agonists a
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nd antagonists as well as stabilizers and neutralizers to anticipate or respond to
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proprioceptive and kinesthetic information and, subsequently, to work in corre
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ct sequence to create coordinated movement.
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k Postural control: k
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