Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Introduction to Therapeutic Exercise Chapter 1

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins 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...

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Definition: Therapeutic Exercise (cont’d)  Remediate or prevent impairments  Enhance function  Reduce risk  Optimize overall health  Enhance fitness and well-being

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Historical Perspective  Herodicus  Galen  Ling  Frenkel  Codman  Kabat  Williams  Hislop & Perrine  Maitland  Mennell  Kalternborn

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins The Guide to Physical Therapist Practice  Intervention: the purposeful and skilled interaction of the physical therapist with the patient/client

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Intervention  Includes three components:  Coordination, communication, and documentation  Patient/client–related instruction  Procedural interventions

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Procedural Interventions  Therapeutic exercise  Functional training:  Home  Work, community, leisure  Manual therapy

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Procedural Interventions  Assistive devices and equipment  Airway clearance  Integumentary repair  Electrotherapeutic modalities  Physical agents and mechanical modalities

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Injury Classification  Macro trauma  Micro trauma

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Phases of Healing  Phase I: inflammatory response  Phase II: repair sequence  Phase III: remodeling phase

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Joint Capsule  Joint stability  Pain receptors

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Ligaments  Connectors  Stabilizers

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Tendons  Musculotendinous junction  Dynamic stability and function

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Cartilage  Three types:  Hyaline  Fibrocartilage  Elastic

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Skeletal Muscle  Dynamic, contractile properties  Basis for human movement

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Implications for Intervention  Injuries generally not specific to one tissue  Multifaceted  Recognition of signs of tissue involvement

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Complementary Interventions to Ther Ex  Physical agents:  Thermotherapy  Cryotherapy  Hydrotherapy  Sound

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Electrotherapeutic Modalities  Biofeedback  Electrical stimulation

Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Summary  Therapeutic exercise:  Is a vital component of patient intervention for the PTA  Is a core element in the treatment of the patient/client