THERAPEUTIC EXERCISES Dr. Michael Banoub Sorour By Dr. Michael Banoub Sorour

Mrs. K, 78 years old , who lived alone and independently Mrs. K, 78 years old , who lived alone and independently. Diagnosed with arthritis and osteoporosis, she fell and broke her hip. Following surgery, rehabilitation was only partially successful hen she was discharged due to lack of insurance and sent home. After second fall , she entered a nursing home and become depressed. Antidepressant drug made her dizzy. She fell again, breaking her other hip. She was unable to participate in rehabilitation due to confusion and medical complications, and she become bedridden. Case study

Why are health-care consumers referred for physical therapy?

Because of physical impairments associated with movement disorders caused by injury, disease, or health-related conditions that interfere with their ability to perform activities that are necessary or important to them. Or to improve their overall level of fitness or reduce the risk of injury or disease.

So An individually designed therapeutic exercise program is almost always a fundamental component of the physical therapy services

As The ultimate goal of a therapeutic exercise program is the achievement of an optimal level of symptom-free movement during basic to complex physical activities.

What is the physical therapist need to develop the optimal therapeutic exercise plan of treatment? The therapist must integrate and apply knowledge of anatomy, physiology, kinesiology, pathology, as he / she must understand the relationship between physical function and disability In conclusion therapist is the patient/client educator

THERAPEUTIC EXERCISE exercise takes its place as the key element that lies at the center of programs designed to improve or restore an individual’s function or to prevent dysfunction

Definition Remediate or prevent impairments Therapeutic exercise is the 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

Prerequisites For Designing Exercise Program The therapist must have knowledge of anatomy, physiology, kinesiology and pathology and can integrate and apply this knowledge to each condition.

Prerequisites For Designing Exercise Program The therapist must understand the different forms of exercises and how these exercises affect body system. The exercise program should be individualized to the special needs of each patient.

Steps For Designing Exercise Program Start with comprehensive examination of the patient. Determine the problems and functional disabilities that the patient has. Set the aims and objectives of the treatment program. Select the proper exercise program that can solve the patient’s problems and improve functional capabilities.

Steps For Designing Exercise Program Periodic e-evaluation and examination of the patients should be carried out weekly or monthly depending on the program. According to the result of the re-evaluation, modifications of the program should be made to attain the optimal degree of improvement

Classification of Therapeutic Exercises Passive Exercises Relaxed passive Exercises Forced Passive Exercises Active Exercises Static Exercise Active assisted Exercises Active Free Exercises

Types of Therapeutic Exercises Range of motion exercises which aims to maintain and increase range of motion Muscle performance exercises to increase muscle strength, power and endurance

Types of Therapeutic Exercises Postural exercises to improve posture and correct faulty posture Balance and coordination exercises to improve balance and coordination Relaxation exercises to induce relaxation Area specific exercises as breathing exercises and circulatory exercises