Therapeutic Exercise Exam 1
1. Therapeutic Exercise according to (Kisner and Colby): -Systematic,
planned performance of bodily movements, postures, or physical activities intended
to provide a patient/client with the means to:
-Remediate or prevent impairments
-Improve, restore, or enhance physical function
-Prevent or reduce health-related risk factors
-Optimize overall health status, fitness, or sense of well-being (p.2)
2. Patient Designation: individual with impairments and functional deficits
diagnosed by a PT and is receiving physical therapy care to improve function and
prevent disability (p.2)
3. Client Designation: individual without diagnosed dysfunction who engages in
physical therapy services to promote health and wellness and to prevent
dysfunction
4. a list of the physical elements necessary for independent physical
function.: Muscle Performance
Balance/Postural Equilibrium
Cardiopulmonary/Endurance
Stability
Neuromuscular Control/Coordination
Motor/Flexibility
5. Current model is WHO's framework for health and disability: enablement
model, the ICF model:
-Emphasizes health and functioning
, Therapeutic Exercise Exam 1
-Acknowledges that all humans experience decrements in health, and some level
of disability
-Focuses on impact of the condition 6.
ICF Model Diagram:
7. Why should we, as clinicians, understand and apply the ICF model?:
Establish a common language that improves communication
Stimulate better care to improve participation in society
8. Questions Physical Therapists can ask about individual patients/clients to
help apply the ICF model:: -What is the person's level of functioning?
(assessment)
-What treatments or interventions can maximize functioning? (treatment planning)
-What are the outcomes of the treatment? How useful were the interventions?
(evaluation of treatment effectiveness)
-How can the therapist, patient or client rate capacity in mobility?
9. Active-Assistive ROM (A-AROM): Motion produced by a combination of
external force and active muscle contraction (type of AROM)
Moving in unrestricted ROM
10. Passive Range of Motion: Motion produced by an external force, manual or
mechanical
Moving in unrestricted range only!
11. Active ROM (AROM): Motion produced by active contraction of the muscles
, Therapeutic Exercise Exam 1
Moving in unrestricted ROM only
12. Goals for PROM: Reduce complications of immobility
Maintain joint/connective tissue mobility
Minimize effects of contracture formation
Maintain mechanical elasticity of muscle
Aid circulation
Synovial fluid movement for nutrition to cartilage Decrease/inhibit
pain
Aid healing after injury or surgery
Help maintain patient's awareness of movement
13. Indications for PROM: -During early healing (2 to 6 days), when tissues are
inflamed
-Patient unable to move actively
14. Limitations for PROM: Will NOT prevent muscle atrophy
Will NOT increase strength or endurance
Does not assist circulation to the extent that active movement does
15. Indications for AROM: -Patient able to contract muscles and generate some
motion
-Weakness that limits movement through full range
-Independent motion above/below an immobilized region
-As a part of aerobic conditioning
-To relieve stress from sustained postures
16. Goals for AROM
(different from PROM goals): Maintain physiological elasticity and contractility of
muscles
Sensory feedback from contracting muscles
Stimulus for bone/joint tissue integrity
Increase circulation and prevent thrombus formation
Develop coordination and motor skills for functional activities
1. Therapeutic Exercise according to (Kisner and Colby): -Systematic,
planned performance of bodily movements, postures, or physical activities intended
to provide a patient/client with the means to:
-Remediate or prevent impairments
-Improve, restore, or enhance physical function
-Prevent or reduce health-related risk factors
-Optimize overall health status, fitness, or sense of well-being (p.2)
2. Patient Designation: individual with impairments and functional deficits
diagnosed by a PT and is receiving physical therapy care to improve function and
prevent disability (p.2)
3. Client Designation: individual without diagnosed dysfunction who engages in
physical therapy services to promote health and wellness and to prevent
dysfunction
4. a list of the physical elements necessary for independent physical
function.: Muscle Performance
Balance/Postural Equilibrium
Cardiopulmonary/Endurance
Stability
Neuromuscular Control/Coordination
Motor/Flexibility
5. Current model is WHO's framework for health and disability: enablement
model, the ICF model:
-Emphasizes health and functioning
, Therapeutic Exercise Exam 1
-Acknowledges that all humans experience decrements in health, and some level
of disability
-Focuses on impact of the condition 6.
ICF Model Diagram:
7. Why should we, as clinicians, understand and apply the ICF model?:
Establish a common language that improves communication
Stimulate better care to improve participation in society
8. Questions Physical Therapists can ask about individual patients/clients to
help apply the ICF model:: -What is the person's level of functioning?
(assessment)
-What treatments or interventions can maximize functioning? (treatment planning)
-What are the outcomes of the treatment? How useful were the interventions?
(evaluation of treatment effectiveness)
-How can the therapist, patient or client rate capacity in mobility?
9. Active-Assistive ROM (A-AROM): Motion produced by a combination of
external force and active muscle contraction (type of AROM)
Moving in unrestricted ROM
10. Passive Range of Motion: Motion produced by an external force, manual or
mechanical
Moving in unrestricted range only!
11. Active ROM (AROM): Motion produced by active contraction of the muscles
, Therapeutic Exercise Exam 1
Moving in unrestricted ROM only
12. Goals for PROM: Reduce complications of immobility
Maintain joint/connective tissue mobility
Minimize effects of contracture formation
Maintain mechanical elasticity of muscle
Aid circulation
Synovial fluid movement for nutrition to cartilage Decrease/inhibit
pain
Aid healing after injury or surgery
Help maintain patient's awareness of movement
13. Indications for PROM: -During early healing (2 to 6 days), when tissues are
inflamed
-Patient unable to move actively
14. Limitations for PROM: Will NOT prevent muscle atrophy
Will NOT increase strength or endurance
Does not assist circulation to the extent that active movement does
15. Indications for AROM: -Patient able to contract muscles and generate some
motion
-Weakness that limits movement through full range
-Independent motion above/below an immobilized region
-As a part of aerobic conditioning
-To relieve stress from sustained postures
16. Goals for AROM
(different from PROM goals): Maintain physiological elasticity and contractility of
muscles
Sensory feedback from contracting muscles
Stimulus for bone/joint tissue integrity
Increase circulation and prevent thrombus formation
Develop coordination and motor skills for functional activities
