Effectiveness of home exercise on pain and.pptx

7/29/2019 Effectiveness of home exercise on pain and.pptx

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Designing a Home exercise program

- A practical approach


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MUSCULO-SKELETAL REHAB


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MODEL

-70S

1.Decrease symptom,such as pain usingheat/cold,electrotherapy or traction.

2.Increase ROM through passive /active

mobilisation/stretchings.

3.Finally strengthen the affected structures and

then normalise functions(graded exercises).


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Current model Step 1 - Tissue Normalisation

First we bring the injury under control, so your tissues can begin to heal. This helps the injured part

to function smoothly with the rest of the body.

Step 2 - Muscle Activation

An injury is extremely painful, and makes movement difficult. By activating injured muscles early,

you'll recover sooner.

Step 3 - Static Control

Develop sufficient strength and control of your injured body part to hold a neutral position whilst

other parts are moving.

Step 4 - Dynamic Control

Develop the strength to control the injured body part during movement. By increasing endurance,

you'll be able to maintain dynamic control.

Step 5 - Functional Rehabilitation

You're well on your way to full recovery. This stage customises your rehabilitation to your specific

needs.

Step 6 - Functional Fitness

This stage is ensures you have the necessary physical fitness, power, endurance, body

awareness, strength and flexibility to perform physically.

Step 7 - Maintenance Program

To make sure you don't experience a recurring injury, we tailor a program to keep you fighting fit,

monitor your progress and continue to supervise rehabilitation.


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Why & where did I MISS?


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Effectiveness of HEP

Can be installed as a part of treatment-inbetweenmanual therapy to maintain ROM.

Using it as a complimentary therapy in time

feasable conditions.

Using it as a preventive stategy in recurrence.

As a main course therapy for minor musculo-

skeletal sprains and strains.

Using it for neuromuscular co-ordination.


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Added benefits-cognitive


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Physical work capacity-daily

requirement vs reserve.

0

20

40

60

80

100

120

Category 1

reserve

workcapacity


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A simple program of home quadriceps

exercises can significantly improve self

reported knee pain and function.

(Ann Rheum Dis 1999;58:1519)

Effectiveness of home exercise on painanddisability fromosteoarthritis of the knee:

arandomised controlled trialSheila C OReilly,

Ken R Muir, Michael Doherty


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Physical Therapy Treatment Effectiveness for Osteoarthritis of the Knee: A

Randomized Comparison of Supervised Clinical Exercise and Manual Therapy

Procedures Versus a Home Exercise ProgramGail D Deyle, Stephen CAllison,Robert L Matekel, Michael G Ryder, John M Stang, David D Gohdes,

JeremyPHutton, Nancy E Henderson and Matthew B Garber

The results indicate that a home exercise

program for patients with OA of the knee providesimportant benefit. Adding a small number of

additional clinical visits for the application of

manual therapy and supervised exercise adds

greater symptomatic relief.
http://physther.net/search?author1=Gail+D+Deyle&sortspec=date&submit=Submithttp://physther.net/search?author1=Stephen+C+Allison&sortspec=date&submit=Submithttp://physther.net/search?author1=Stephen+C+Allison&sortspec=date&submit=Submithttp://physther.net/search?author1=Robert+L+Matekel&sortspec=date&submit=Submithttp://physther.net/search?author1=Michael+G+Ryder&sortspec=date&submit=Submithttp://physther.net/search?author1=John+M+Stang&sortspec=date&submit=Submithttp://physther.net/search?author1=David+D+Gohdes&sortspec=date&submit=Submithttp://physther.net/search?author1=Jeremy+P+Hutton&sortspec=date&submit=Submithttp://physther.net/search?author1=Nancy+E+Henderson&sortspec=date&submit=Submithttp://physther.net/search?author1=Matthew+B+Garber&sortspec=date&submit=Submithttp://physther.net/search?author1=Matthew+B+Garber&sortspec=date&submit=Submithttp://physther.net/search?author1=Nancy+E+Henderson&sortspec=date&submit=Submithttp://physther.net/search?author1=Jeremy+P+Hutton&sortspec=date&submit=Submithttp://physther.net/search?author1=David+D+Gohdes&sortspec=date&submit=Submithttp://physther.net/search?author1=David+D+Gohdes&sortspec=date&submit=Submithttp://physther.net/search?author1=John+M+Stang&sortspec=date&submit=Submithttp://physther.net/search?author1=John+M+Stang&sortspec=date&submit=Submithttp://physther.net/search?author1=Michael+G+Ryder&sortspec=date&submit=Submithttp://physther.net/search?author1=Robert+L+Matekel&sortspec=date&submit=Submithttp://physther.net/search?author1=Robert+L+Matekel&sortspec=date&submit=Submithttp://physther.net/search?author1=Robert+L+Matekel&sortspec=date&submit=Submithttp://physther.net/search?author1=Robert+L+Matekel&sortspec=date&submit=Submithttp://physther.net/search?author1=Stephen+C+Allison&sortspec=date&submit=Submithttp://physther.net/search?author1=Stephen+C+Allison&sortspec=date&submit=Submithttp://physther.net/search?author1=Gail+D+Deyle&sortspec=date&submit=Submithttp://physther.net/search?author1=Gail+D+Deyle&sortspec=date&submit=Submithttp://physther.net/search?author1=Gail+D+Deyle&sortspec=date&submit=Submithttp://physther.net/search?author1=Gail+D+Deyle&sortspec=date&submit=Submit


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ompar son o e resu s o superv se p ys o erapyprogram and home-based exercise program in patients

treated with arthroscopic-assisted mini-open rotator cuff

repair].

[Article in Turkish]Bker N, Kiti A,Akkaya S,Akkaya N.

RESULTS:

There were significant improvements in all evaluation parameters in both

groups after rotator cuff repair.

CONCLUSION:

There were no statistical differences between the patients who received

exercise program under the supervision of the physiotherapist and the

patients who were treated with standardized home-based exercise program

for the efficacy of treatment in the evaluation of pain, functional status,quality of life, and depression status. When the rehabilitation programs were

analyzed for cost effectiveness, the supervised physiotherapy group was

found to have higher costs.
http://www.ncbi.nlm.nih.gov/pubmed?term=B%C3%BCker%20N[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Kiti%C5%9F%20A[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Kiti%C5%9F%20A[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Akkaya%20S[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Akkaya%20N[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Akkaya%20N[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Akkaya%20N[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Akkaya%20N[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Akkaya%20S[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Akkaya%20S[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Akkaya%20S[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Kiti%C5%9F%20A[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Kiti%C5%9F%20A[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Kiti%C5%9F%20A[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=B%C3%BCker%20N[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=B%C3%BCker%20N[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=B%C3%BCker%20N[Author]&cauthor=true&cauthor_uid=22085347


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DIFFICULTIES


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Space Feasibility


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SUPERVISED AND

UNSUPERVISED


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time


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Availability of medium (gadgets).


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Construction of exercises


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Economy


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Exercising equipments


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HOW TO APPROACH

DIFFICULTIES


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OBJECTIVES AND GUIDANCE


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Priority


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To accomplish its necessary to follow

the objectives

1.Defined starting position of every exercise.

2.Defined ways of doing exercise without faulty

patterns.

3.Defined resistance body weight /angle of

inclination.

4.Defined time-each set interval/session

interval/day.

5.Defined repetitions-each exersise/sets. 6.Defined frequency-day/week.

7.Defined speed-easy verbal couting method.

8.Defined follow up interval/progression interval.


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Practical ways

SIMPLE CONSTRUCT-availabilities of patientshome /list

MINIMAL GADGETS-affordability /therabands

tubings

MINIMAL SPACE-at home

MININMAL TIME CONSUMPTION-work timing

ECONOMICAL-number of visits for progressions

possible WAYS TO IMPLEMENTdiary /mobile recordings

WAYS TO MONITOR-once a week home

monitoring by inmates.


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Easy ways.


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Stick diagram prescription


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Mobile recordings


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Exercise recording calendar


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Android application-to do list with

remainders available for free .


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Home exercise program..

Documents

Effectiveness of home exercise on pain and.pptx