Copyright © F.A. Davis Company Part I: General Concepts Chapter 1 Therapeutic Exercise: Foundational Concepts

Copyright © F.A. Davis Company  Definition of Therapeutic Exercise – Patient definition – Client definition Therapeutic Exercise: Impact on Physical Function

Copyright © F.A. Davis Company  Components of Physical Function: Definition of Key Terms – Balance/postural equilibrium – Cardiopulmonary/endurance – Neuromuscular control/coordination – Mobility/flexibility – Muscle performance – Stability Therapeutic Exercise: Impact on Physical Function (cont'd)

Copyright © F.A. Davis Company  Types of Therapeutic Exercise Interventions  Exercise Safety Therapeutic Exercise: Impact on Physical Function (cont'd)

Copyright © F.A. Davis Company  Background and Rationale for Classification Systems  Models of Functioning and Disability: Past and Present – Early models – Need for a new framework for functioning and disability The ICF: An overview of the model Classification of Health Status, Functioning and Disability: Evolution of Models and Related Terminology

Copyright © F.A. Davis Company  Impairments in body function  Impairments in body structure  Activity limitations  Participation restrictions  Contextual factors – Environmental factors – Personal factors Key Terms in the ICF Model

Copyright © F.A. Davis Company  Background  Health Conditions – Pathological conditions – Pathophysiological conditions Components of Functioning and Disability Models and Applications in Physical Therapy

Copyright © F.A. Davis Company  Impairments – Types of impairment Impairments of body function and body structure Primary and secondary impairments Composite impairments  Functional limitations – Types of functional limitations Components of Functioning and Disability Models and Applications in Physical Therapy (cont'd)

Copyright © F.A. Davis Company  Activity Limitations/Functional Limitations – Types of activity limitations/functional limitations  Participation Restrictions and Disability  Prevention of Disability  Risk Factors  Summary Components of Functioning and Disability Models and Applications in Physical Therapy (cont'd)

Copyright © F.A. Davis Company  Clinical Decision Making  Evidence-Based Practice – Definition and description of the process – Accessing evidence Patient Management and Clinical Decision Making: An Interactive Relationship

Copyright © F.A. Davis Company  A Patient Management Model – Examination History Systems review Specific tests and measures – Evaluation – Diagnosis Diagnostic process Diagnostic category Patient Management and Clinical Decision Making: An Interactive Relationship (cont'd)

Copyright © F.A. Davis Company  A Patient Management Model (cont’d) – Prognosis and plan of care Plan of care Setting goals and outcomes in the plan of care – Intervention Coordination, communication, and documentation Procedural intervention Patient-related instruction Patient Management and Clinical Decision Making: An Interactive Relationship (cont'd)

Copyright © F.A. Davis Company  A Patient Management Model (cont’d) – Outcomes Functional outcomes Measuring outcomes – Impact of intervention on patient-related functional outcomes – Patient satisfaction Discharge planning Patient Management and Clinical Decision Making: An Interactive Relationship (cont'd)

Copyright © F.A. Davis Company  Preparation for Exercise Instruction  Concepts of Motor Learning: A Foundation of Exercise and Task-Specific Instruction  Adherence to Exercise Strategies for Effective Exercise and Task-Specific Instruction

Copyright © F.A. Davis Company  Types of Motor Task – Discrete task – Serial task – Continuous task Concepts of Motor Learning: A Foundation of Exercise and Task-Specific Instruction

Copyright © F.A. Davis Company  Conditions and Progression of Motor Tasks – Closed or open environment – Inter-trial variability in the environment: absent or present – Body stable or body transport – Manipulation of objects: absent or present Concepts of Motor Learning: A Foundation of Exercise and Task-Specific Instruction (cont'd)

Copyright © F.A. Davis Company  Stages of Motor Learning – Cognitive stage – Associative stage – Autonomous stage Concepts of Motor Learning: A Foundation of Exercise and Task-Specific Instruction (cont'd)

Copyright © F.A. Davis Company  Pre-Practice Considerations  Practice – Part versus whole practice – Practice order: blocked, random, and random/blocked – Physical versus mental practice Variables That Influence Motor Learning: Considerations for Exercise Instruction and Functional Training

Copyright © F.A. Davis Company  Feedback – Intrinsic feedback – Augmented feedback – Knowledge of performance versus knowledge of results – The feedback schedule: timing and frequency of augmented feedback Variables That Influence Motor Learning: Considerations for Exercise Instruction and Functional Training (cont'd)

Copyright © F.A. Davis Company  Characteristics of the Learner and Instructional Strategies for the Three Stages of Motor Learning Application of Motor Learning Principles for Exercise Instruction

Copyright © F.A. Davis Company  Factors That Influence Adherence to an Exercise Program – Patient-related factors – Factors related to the health condition or impairments – Program-related variables  Strategies to Foster Adherence Adherence to Exercise

Copyright © F.A. Davis Company  Critical Thinking and Discussion Independent Learning Activities