Copyright © 2013. F.A. Davis Company Part I: General Concepts Chapter 1 Therapeutic Exercise: Foundational Concepts

Copyright © 2013. F.A. Davis Company

Part I: General Concepts

Chapter 1

Therapeutic Exercise: Foundational Concepts


Definition of Therapeutic Exercise– Patient definition– Client definition

Therapeutic Exercise: Impact on Physical Function


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)


Types of Therapeutic Exercise Interventions Exercise Safety

Therapeutic Exercise: Impact on Physical Function (cont'd)


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


Impairments in body function Impairments in body structure Activity limitations Participation restrictions Contextual factors– Environmental factors– Personal factors

Key Terms in the ICF Model


Background Health Conditions – Pathological conditions– Pathophysiological conditions

Components of Functioning and Disability Models and Applications in Physical Therapy


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)


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)


Clinical Decision Making Evidence-Based Practice– Definition and description of the process– Accessing evidence

Patient Management and Clinical Decision Making: An Interactive Relationship


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)


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



A Patient Management Model (cont’d)– Outcomes• Functional outcomes

• Measuring outcomes– Impact of intervention on patient-related functional outcomes

– Patient satisfaction

• Discharge planning



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


Types of Motor Task– Discrete task– Serial task– Continuous task

Concepts of Motor Learning: A Foundation of Exercise and Task-Specific Instruction


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)


Stages of Motor Learning– Cognitive stage

– Associative stage

– Autonomous stage

Concepts of Motor Learning: A Foundation of Exercise and Task-Specific Instruction (cont'd)


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


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)


Characteristics of the Learner and Instructional Strategies for the Three Stages of Motor Learning

Application of Motor Learning Principles for Exercise Instruction


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


Critical Thinking and Discussion

Independent Learning Activities

Documents

Copyright © 2013. F.A. Davis Company Part I: General Concepts Chapter 1 Therapeutic Exercise: Foundational Concepts